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WEEK ONE NR 566 MIDTERM QUESTIONS AND ANSWERS WITH SOLUTI0NS 2024
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WEEK ONE NR 566 MIDTERM QUESTIONS AND ANSWERS WITH SOLUTI0NS 2024
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WEEK ONE NR 566 MIDTERMQUESTIONS AND ANSWERS WITH
SOLUTI0NS 2024
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%
Renal dose adjustment for sulfonamides crcl <15 - ANSWER stop drug immediately
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