sinusitis treatment question ? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 06-30-2011
kemoo's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 378
Threads: 161
Thanked 103 Times in 52 Posts
Reputation: 117
Drug sinusitis treatment question ?

A 24-year-old man is evaluated for facial pain and fever lasting four days. Symptoms began with an upper respiratory tract infection accompanied by purulent nasal discharge; he then began to have pain over the right cheek and fever to 38.4 C (101.1 F). Physical examination reveals purulent nasal discharge and tenderness over the right maxilla. Computed tomograms confirm right maxillary sinusitis. Which of the following is the most cost-effective antibiotic treatment for this patient?
(A) Amoxicillin-clavulanate
(B) Penicillin
(C) Dicloxacillin
(D) Cefaclor
(E) Trimethoprim-sulfamethoxazole
Reply With Quote Quick reply to this message



  #2  
Old 06-30-2011
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 175
Threads: 13
Thanked 244 Times in 59 Posts
Reputation: 254
Default

I was gonna say augmentin " A " but then becuz im prety clueless about drug pricing , i did a quick search and found an intresting article that said

"First-line antibiotics such as amoxicillin or trimethoprim-sulfamethoxazole are as effective in the treatment of sinusitis as the more expensive antibiotics. "

and ofcourse i went to the ever awesome wiki

", amoxicillin is a reasonable antibiotic to use first for treatment[4] with amoxicillin/clavulanate (Augmentin) being indicated when the patient's symptoms do not improve on amoxicillin alone"

so i got the answer wrong
Reply With Quote Quick reply to this message
  #3  
Old 06-30-2011
kemoo's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 378
Threads: 161
Thanked 103 Times in 52 Posts
Reputation: 117
Default

i got this question also wrong the concept is question said cost effective

so bactrim which is cheaper than amoxicilin clavulinic
Reply With Quote Quick reply to this message
 
  #4  
Old 07-01-2011
Ace3's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 735
Threads: 89
Thanked 289 Times in 191 Posts
Reputation: 301
Default

yes A and E both are cost effective for acute sinusities and a>e...but E is preferred bcoz A is contraindicated in blactam intolerance...so ans is E
Reply With Quote Quick reply to this message
  #5  
Old 06-30-2012
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 162
Thanked 282 Times in 146 Posts
Reputation: 292
Correct Answer Answer is E.

Answer is E.
Please see the following link:
http://www.passthefracp.com/FRACP.EXAM02ptC.htm
Reply With Quote Quick reply to this message
  #6  
Old 07-01-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,105 Times in 1,049 Posts
Reputation: 2125
Default

Quote:
Originally Posted by confident View Post
...but E is preferred bcoz A is contraindicated in blactam intolerance...
What do you mean ?
Reply With Quote Quick reply to this message
  #7  
Old 07-01-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,105 Times in 1,049 Posts
Reputation: 2125
Default

Quote:
Originally Posted by Evergreen View Post
Answer is E.
Please see the following link:
http://www.passthefracp.com/FRACP.EXAM02ptC.htm
I strongly recommed using US guidelines since this is USMLE
Reply With Quote Quick reply to this message
The above post was thanked by:
Evergreen (07-01-2012)
  #8  
Old 07-01-2012
USMLE Forums Addict
 
Steps History: Not yet
Posts: 105
Threads: 2
Thanked 42 Times in 37 Posts
Reputation: 52
Default (A) Amoxicillin-clavulanate

(A) Amoxicillin-clavulanate
Reply With Quote Quick reply to this message
  #9  
Old 07-01-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 646
Threads: 52
Thanked 761 Times in 256 Posts
Reputation: 772
Default

Amoxicillin - clav
Reply With Quote Quick reply to this message
  #10  
Old 07-01-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 64
Threads: 12
Thanked 34 Times in 20 Posts
Reputation: 44
Default

Quote:
Originally Posted by confident View Post
yes A and E both are cost effective for acute sinusities and a>e...but E is preferred bcoz A is contraindicated in blactam intolerance...so ans is E

I disagree with you because E is less costly than A
and also according to MTB page 15--the efficacy of first line drugs for sinusitis (amoxicillin, doxycycline and TMP/SMX) is THESAME as that of newer and more broad spectrum agents like Amox-clav

My ans: E TMP/SMX
Reply With Quote Quick reply to this message
  #11  
Old 07-01-2012
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 162
Thanked 282 Times in 146 Posts
Reputation: 292
Smile

Quote:
Originally Posted by Novobiocin View Post
I strongly recommed using US guidelines since this is USMLE
Thanks,
but actually I found that this question is from FRCP board not USMLE.
Reply With Quote Quick reply to this message
  #12  
Old 07-01-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,105 Times in 1,049 Posts
Reputation: 2125
Default

Quote:
Originally Posted by Evergreen View Post
Thanks,
but actually I found that this question is from FRCP board not USMLE.
It's not the question I am talking about but the answer. Exactly same question can have different answers on Australian or USMLE depending on the guidelines.
Reply With Quote Quick reply to this message
The above post was thanked by:
Evergreen (07-01-2012)
  #13  
Old 11-13-2014
USMLE Forums Newbie
 
Posts: 1
Threads: 0
Thanked 0 Times in 0 Posts
Reputation: 10
Default

The Answer is E(Trimethoprim-sulfamethoxazole)
You can check it here:
http://stop-sinusitis.net/antibiotic...inus-infection
Reply With Quote Quick reply to this message



Reply

Tags
Infectious-Diseases, Pharmacology-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
An Acne Treatment Question aghammoud85 USMLE Step 2 CK Forum 21 1 Week Ago 04:00 PM
BPH Treatment? Yallah USMLE Step 1 Forum 9 06-14-2011 11:07 AM
RA treatment, question from u-world gargabhi2 USMLE Step 1 Forum 8 10-25-2010 06:08 PM
Treatment of ITP ?? weta USMLE Step 2 CK Forum 2 08-17-2010 12:02 AM
Treatment of UTI Stmf4 USMLE Step 3 Forum 2 06-09-2010 11:55 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)