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IAI and travel medicine

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

Which of the following treatments would be appropriate for a mild/moderate complicated secondary peritonitis?

a)

Amoxicillin/ clavulanate

b)

Ciprofloxacin

c)

Ceftriaxone + metronidazole

d)

Meropenem

2.

Why is ampicillin/sulbactam an inappropriate choice for empiric therapy in many cases of mild/moderate secondary prophylaxis?

a)

It does not cover MRSA

b)

High resistance to E. coli

c)

High resistance to Bacteroides

d)

It does not cover Pseudomonas

3.

Which of the following is true about treatment of primary peritonitis for most patients receiving peritoneal dialysis (PD)?

a)

can be treated with I&D alone

b)

can be treated with local (PD) antibiotics alone

c)

should undergo an exploratory laparotomy to find cause

d)

Should stop PD until infection resolves

4.

For mild/moderate complicated secondary peritonitis, which organism is NOT routinely covered for all patients?

a)

Enterococci

b)

E. coli

c)

Streptococci

5.

A patient with severe secondary peritonitis is started on piperacillin/tazobactam and metronidazole. What is wrong with this regimen?

a)

Metronidazole should be changed to clindamycin

b)

Pip/tazo should be changed to ceftriaxone

c)

Pip/tazo should be changed to meropenem

d)

Metronidazole should be discontinued

6.

Which of the following disease states is associated with the development of primary peritonitis?

a)

Cirrhosis

b)

Crohn's disease

c)

Clostridioides difficile diarrhea

d)

Cholecystitis

7.

Azithromycin would be preffered over ciprofloxacin for treatment of traveler's diarrhea if going to which country?

a)

Chile

b)

Mexico

c)

South Africa

d)

Thailand

8.

Which of the following is spread via contaminated food and water?

a)

Dengue fever

b)

Japanese encephalitis

c)

Typhoid

d)

Yellow fever

9.

When should antibiotics be started for Traveler's Diarrhea?

a)

Immediately upon arrival to destination

b)

Only once the patient had food or a drink that is suspect

c)

Following an episode of "distressing" diarrhea

d)

After loose stools for two or more days

10.

What is a recommended strategy to prevent malaria for adult travelers going to a country endemic with malaria?

a)

Take oral chemoprophylaxis before, during and after the trip

b)

Avoid eating/drinking contaminated food or water (peel it, boil it or forget it!)

c)

Obtain vaccination from a travel health clinic

d)

Bring a treatment regimen in case you develop symptoms