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Chapter 57 – Endocarditis (QE) Sample Questions

1. Arthur is a 60-year-old patient with hypertrophic myopathy. Currently, he is using Gentamicin I.V. and Ampicillin IV for acute prostatitis. His doctor referred him to urologist to do cystoscopy. The doctor decided to perform tooth extraction while Arthur is in the hospital. What should be used as amoxicillin antibiotic prophylaxis history?

A. There is no need for prophylaxis, as patient already taking high dose of antibiotics.
B. No need for prophylaxis as this minor procedure.
C. Give 2 g of Amoxicillin before 1 hr procedure.
D. Give dose of azithromycin 500 mg single dose

Answer

Ans: D

Tips: Allergic to penicillin or ampicillin, can use cephalexin 2g po single dose, azithromycin 500 mg, or clarithromycin 500 mg or doxycycline 100 mg po.
Clindamycin is no longer is used.

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