MSN 611 quiz 6
Which of the following has good activity against methicillin-resistant
Staphylococcus aureus? - -Trimethoprim/sulfamethoxazole is a good, cost
effective option for treatment of MRSA.
-Which of the following has been associated with visual changes including
red-green color blindness, loss of vision and changes in visual acuity? - -
ethambutol
-Which of the following would you recommend for a patient hesitant to
continue taking isoniazid due to concerns about tingling and chronic pain
associated with therapy? - -Pyridoxine
-Which of the following medications should be prescribed cautiously in
children due to risk of causing bone separation from cartilage and loss of
blood supply to the bone? - -Levofloxacin
-Which of the following medications reduces adhesion of bacteria to the
epithelial cells located in the urinary tract? - -Fosfomycin
-Which of the following medications binds to mycobacteria DNA dependent
RNA polymerase, erradicating both multiplying and inactive bacilli - -
rifampin
-Which of the following antibacterial agents should be used with caution in a
patient with low serum magnesium due to chronic diarrhea? (Assume all
antibiotics listed may worsen diarrhea.) - -Azithromycin
-What therapeutic advantage does ampicillin have over penicillin V ? - -
better activity against gram negative bacteria
-Which of the following medications may cause irreversible numbness,
tingling and chronic pain when used in patients with chronic kidney disease?
- -Nitrofurantoin
-Which of the following is limited to treatment of intestinal infection due to
poor oral absorption? - -Vancomycin
-Which of the following would be the safest treatment option for a pregnant
patient requiring treatment for a gram positive respiratory infection (assume
bacteria is susceptible to all agents listed)? - -Azithromycin
-Which of the following drugs should be specifically reserved for the
treatment of clostridium dificile infection? - -fidaxomicin
, -How long after the onset of influenza symptoms should neuraminidase
inhibitors ideally be given for maximum efficacy in limiting infection? - -48
hours
-A patient receiving receiving elbasavir/grazoprevir for Hepatitis C infection
indicates that she would like to start a family. What should the NP tell the
patient? - -She should avoid pregnancy during treatment as safety of agents
to treat HCV not established in pregnancy
-As compared to other agents in the class, which medication used to treat
fungal infections is preferred due to having a lower amount of drug
interactions and more predictable bioavailability? - -fluconazole
-A breastfeeding woman requires treatment of a trichomonas infection.
Which of the following is the best option for the NP to prescribe? - -
metronidazole 250 mg three times daily for one week; do not breastfeed
during treatment
-When is the optimal time period to give acyclovir during a shingles (zoster)
infection to reduce duration of postherpetic neuralgia? - -within forty eight
hours of appearance of rash
-Which of the following medications works to treat HIV by binding to the
human chemokine receptor present on the cell membrane, ultimately
preventing HIV-1 from entering the cell? - -CCR5 antagonists
-A healthy adult patient without any medical conditions was exposed to HIV
infected blood sample 48 hours ago during a needlestick accident at their
place of employment. Which of the following is the most appropriate next
step? - -initiate tenofovir, emtricitabine and raltegravir
-A 42 year old female with a medical history significant for diabetes (no
hospitalizations of previous infections) presents to family practice clinic with
symptoms consistent with community-acquired pneumonia. According to the
2019 ATS/IDSA guidelines, which of the following would be the most
appropriate therapy to initiate? - -amoxicillin/clavulanate 500 mg/125 mg
TID and clarithromycin 500 mg BID
-35 year old male with a medical history of GERD (otherwise healthy, no
previous hospitalizations or treatment for infection) presents to family
practice clinic with symptoms consistent with community-acquired
pneumonia. According to the 2019 ATS/IDSA guidelines, which of the
following would be the most appropriate therapy to initiate? - -amoxicillin 1
g three times daily
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