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AG-ACNP (Questions With Complete Solutions)
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AG-ACNP (Questions With Complete Solutions)
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AG-ACNP (Questions With Complete Solutions)Influenza mechanism of transmission Right Ans - Respiratory droplets
What portion of Healthcare workers get flu vaccine annually Right Ans -
Over 2/3
Can pregnant women receive mmr Right Ans - No
What allergy would prevent the patient from receiving MMR Right Ans -
Neomycin or gelatin
Which pneumonia vaccine should the immune compromised receive Right
Ans - Prevnar pcv 13
Which organism is leading cause of death in CAP Right Ans - S. Pneumonia
Hiv patients should receive which pneumonia vaccine Right Ans - Pcv 13
first and PPSV 23 eight weeks later
Which pneumonia vaccine has greatest immunogenicity Right Ans - PCV 13
Which allergy prevents patients from receiving hep b vaccine Right Ans -
Bakers yeast
How does variola virus transmit smallpox Right Ans - Direct deposit of
infected droplets
How do smallpox lesions present Right Ans - All erupt simultaneously
How long does smallpox incubate Right Ans - 7-17 minutes
Where does smallpox rash begin Right Ans - Starts on tongue covers body
within 24hours
How is varicella vaccine transmitted Right Ans - Droplet transmission
List the live vaccines Right Ans - MMR Varicella flumist Zoster rota virus
,What are five stages of change from prochaska and Diclemente Trans
theoretical model Right Ans - Precontemplation. Contemplation.
Preparation. Action. Maintenance/relapse
Precontemplation stage Right Ans - Minimizes problem not changing
Contemplation stage Right Ans - Feels stuck. Knows they need to change
but unsure how
Preparation Right Ans - Exhibits change behavior but maybe overwhelmed
Action stage Right Ans - Takes concrete steps to change
Maintenance /relapse Right Ans - Adopts healthy habits
Five A's of care for tobacco use pt Right Ans - Ask about use
Advise to quit
Assess willingness
Assist in quit attempt
Arrange follow-up
Medications used for smoking cessation Right Ans - Bupropion:Zyban
wellbutrin
Varenicline :Chantix
Most common tool for screening a 55yr old man for prostate cancer Right
Ans - PSA test
A patient with acute cholecystitis would be positive for which sign Right
Ans - Murphy 's inspiration sign
End in pril Right Ans - Ace inhibitors
Gram positive bacteria Right Ans - Staph.
Strep
Enterococcus
Gram neg Right Ans - Mycoplasma
Pseudomonas
,Neisseria
Any others not +
Staph is found Right Ans - Skin
S. Pyogenes Right Ans - Strep throat
Where is beta lactam ring found Right Ans - Pcn and cephlosporins
What percentage of Pcn allergic are sensitive to beta lactam ring Right Ans
- 2-10%
Beta lactam producing bacteria cannot be treated with Right Ans - Pcn or
cephlosporins
Where does Enterococcus grow Right Ans - Urine
Augmentin Right Ans - Pcn with Beta lactam ring covered
Augmentin Right Ans - Used if unsure if +or - or betalactamase
Augmentin Right Ans - Never used for MRSA or Staph
Pt has had ABT in last 90 days Right Ans - Do not use same Pcn has
betalactamase ring.. Step it up
Does Pcn work for MRSA Right Ans - No
If a patient needs ABT not for MRSA but unsure of pathogen Right Ans -
Augmentin covers some +and- and betalactamase
Treatment for chlamydia (gram-) Right Ans - Doxycycline
Outpt TX for MRSA Right Ans - Bactrim
Inpt TX for MRSA Right Ans - Minoxcycline
Doxycycline treat Bacteria Right Ans - Gram -
, Strep throat Right Ans - Gram positive
Escheri coli Right Ans - Gram -
Strep TX Right Ans - Penicillin
If Pcn allergic
Strep Right Ans - Macrolide
1st generation cephlosporins for gm +skin Right Ans - Keflex duracef
2nd generation cephlosporins tx gm pos. And negative. Right Ans - Ceftin
cefzol cefdinir
3rd generation cephlosporins tx. Betalactamase but lose gm pos coverage
Right Ans - Suprax
3 Rd generation cephlosporins expended spectrum TX pos. Neg and
betalactamase Right Ans - Rocephin
Will Rocephin TX MRSA Right Ans - No
3rd generation Outpt extended spectrum meds Right Ans - Omnicef..
Vantin Spectracef
Benefit of Omnicef in pediatrics Right Ans - Taste good
Macrolide Right Ans - Chemically large interacts with many drugs
What are Macrolide Right Ans - Erythromycin azithromycin clarithromycin
What are Macrolide TX for Right Ans - A typical pathogens
Azithromycin only cures what percentage of strep Right Ans - 1/3
What is a second generation fluorquinolones Right Ans - Cipro
When is Cipro used Right Ans - Gram - below the belt
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