题目内容

A 54-year-old man is diagnosed with acute bacterial prostatitis for the first time. He is an otherwise healthy male with a documented allergy to trimethoprim–sulfamethoxazole. Which of the following is the most appropriate therapy for this patient?

A. Ciprofloxacin 500 mg orally twice daily for 3 days
B. Trimethoprim–sulfamethoxazole double strength, one tablet orally twice daily for 4 weeks
Ciprofloxacin 500 mg orally twice daily for 4 weeks
D. Nitrofurantoin 100 mg orally twice daily for 5 days

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A 50-year-old woman is admitted to the ICU with severe pyelonephritis. She has a history of anaphylaxis with penicillin. What would be the most appropriate empiric treatment?

A. Trimethoprim–sulfamethoxazole double strength, 1 tablet orally twice daily for 3 days
B. Nitrofurantoin 100 mg orally twice daily for 7 days
Cipofloxacin 400 mg IV twice daily for 3 days, followed by 500 mg orally twice daily for 11 days
D. Piperacillin/tazobactam 3.375 gm IV q6 hr x 14 days

A 34-year-old woman is diagnosed with her 3rd incidence of uncomplicated cystitis in the last 18 months. The trimethoprim–sulfamethoxazole resistance rate for E.coli is 10% in the community. Her last prescription filled was TMP/SMX and was completed 30 days ago. Which of the following would be the best choice treatment of an uncomplicated UTI for this patient?

A. Trimethoprim–sulfamethoxazole double strength, one tablet orally twice daily for 3 days
B. Amoxicillin 500 mg orally twice daily for 5 days
C. Fosfomycin 3 gm orally daily for 3 days
D. Ciprofloxacin 500 mg orally twice daily for 5 days

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