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WEEK ONE NR 566 MIDTERM EXAM QUESTIONS AND ANSWERS
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WEEK ONE NR 566 MIDTERM EXAM QUESTIONS AND ANSWERS
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WEEK ONE NR 566 MIDTERM EXAMQUESTIONS AND ANSWERS
CAP causative agents - Answer-strep pneumo, atypical bacteria (mycoplasma pneumo)
and viruses (influenza, RSV)
when to prescribe fluoroquinolone for CAP - Answer-if tx with antimicrobial w/in last 90
days r/f drug resistance
Most likely pathogen causing CAP in gen. population - Answer-strep pneumo, atypical
bacteria and/or viruses
most likely pathogen causing CAP in COPD/smokers - Answer-Haemophilus influenzae
most likely pathogen causing CAP in cystic fibrosis - Answer-psuedomonas aeruginosa
Chlamydial pneumo treatment - Answer-macrolides (azithromycin) then tetracycline and
fluoroquinolones
when to use narrow spectrum - Answer-when causative agent is known
Narrow spectrum abx - Answer-penicillin G/V, oxacillin, nafcillin, vancomycin,
erythromycin, clindamycin, gentamicin, 1st and 2nd gen cephalosporins
TB meds - Answer-isoniazid, rifamipin, ethambutol, pyrazinamide
Broad spectrum abx - Answer-ampicillin, 3rd gen cephalosporins, tetracyclines,
carbapenems, trimethoprim, sulfonamides, fluoroquinolones
Extended spectrum abx - Answer-piperacillin
MILD penicillin allergy what do you prescribe - Answer-oral cephalosporin
SEVERE penicillin allergy what do you prescribe - Answer-vancomycin, erythromycin
and/or clindamycin
allergic to sulfa drugs - Answer-PCN, cephalosporin or macrolide
CDIFF treatment - Answer-oral vanco and flagyl (stop abx that might be causing it)
Abx most likely to cause cdiff - Answer-cephalosporins, clindamycin and
fluoroquinolones (cipro and levo)
Renal dose adjustment for sulfonamides cr/cl 15-30 - Answer-decrease does by 50%
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