EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
NU 641 Advanced Pharm Final Exam
Study Questions and Answers
What type of infections do gram + cocci cause? - Answer✔✔-staph skin infections, endocarditis,
group A strep, UTIs
What is the first line treatment for an adolescent female with a urinary tract infection? -
Answer✔✔-Nitrofurantoin (Macrobid)
A child presents with an uncomplicated urinary tract infection symptoms resolve after 24 hours
of treatment this is an example of? - Answer✔✔-antimicrobial efficacy
A patient in her first trimester of pregnancy presents with symptoms of a UTI. What drug can be
used to treat her? - Answer✔✔-amoxicillin, if resistant to amoxicillin then used nitrofurantoin.
Do not use sulfamethoxazole and trimethoprim
What antibiotics are not safe for women in pregnancy? - Answer✔✔-fluoroquinalones,
tetracyclines, or sulfa drugs
What is the pre/op antibiotic of choice? - Answer✔✔-1st generations cephalosporins
ex: cefazolin (ancef)
A child presents with AOM and concomitant conjunctivitis what would be the first line
treatment? - Answer✔✔-high dose amoxicillin or amoxicillin/clavulanate
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A 4 month old presents with AOM, the parents will need to be educated on what for treatment?
- Answer✔✔-use of oral medication syringes
A child present with URI symptoms, what treatment would you recommend? - Answer✔✔-rest,
fluids, nasal saline spray, systemic decongestants, nasal corticosteroids
No antibiotics unless child has a fever
How do beta-lactam antibiotics work? - Answer✔✔-inhibit cell wall syntheses
meds: penicillins, cephalosporins, carbapenems & monobactams
How do bacteriostatic antibiotics work? - Answer✔✔-inhibit bacterial protein activity
Meds: tetracyclines, macrolides, clindamycin, trimethoprim/sulfamethoxazole, linezolid, and
chloramphenicol
A parent presents with symptoms of sinisitis. The parent currently has a child in daycare. What
drug would be the first line treatment? - Answer✔✔-amoxicillin/clavulanate
A patient presents with a rash after taking PO amoxicillin for several days. What should the
provider do? - Answer✔✔-d/c the amoxicillin, pt may be allergic
What drugs would be effective at treating strep pharyngitis? - Answer✔✔-ampicillin, amoxicillin,
amoxicillin/clavulanate, & azithromycin
NO erythromycin
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All stages of syphilis are effectively treated with? - Answer✔✔-Penicillin IM, if patient is allergic
could treat with cephalosporin or clindamycin
If a patient has tested positive for gonorrhea or chlamydia what must be done? - Answer✔✔-
retest for TOC at 3 months and 6 months
A non-pregnant women presents with a chancroid. What is the first line treatment? -
Answer✔✔-Ceftriaxone 1 g IM, if pt wants PO meds can prescribe azithromycin PO for 5 days or
ciprofloxacin PO for 10 days
Patient presents with suspected gonorrhea what is the first line treatment? - Answer✔✔-
Ceftriaxone 250 mg IM
Linezolid has several side effects such as decreased platelets, hemoglobin, WBCs, headache,
nausea, diarrhea, elevated LFTs, and neuropathy. If patient experiences any of these symptoms
what should the provider do? - Answer✔✔-d/c medication
What is the first line drug treatment for clostridium difficile? - Answer✔✔-oral vancomycin pt
could also be treated with oral metronidazole, but not as effective
What drugs frequently cause C. difficile? - Answer✔✔-broad spectrum antibiotics, clindamycin,
fluoroquinalones, cephalosporins and penicillins
What should a provider ensure a patient understands when taking a fluoroquinolone
(ciprofloxacin, ofloxacin, levofloxacin, & moxifloxacin)? - Answer✔✔-take the medication on an
empty stomach, potential tendon rupture
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