Exam (elaborations)

2025 medication practice question with answers for fnp boards

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Course
NURSING

Institution
Michigan State University

2025 medication practice question with answers for fnp boards 2025 medication practice question with answers for fnp boards 2025 medication practice question with answers for fnp boards 2025 medication practice question with answers for fnp boards 2025 medication practice question with answers ...

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Uploaded on November 17, 2024
Number of pages 23
Written in 2024/2025
Type Exam (elaborations)
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medication practice question 2025

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Medication practice question with
answers for FNP boards

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Medication practice question
with answers for FNP boards
Adult Streptococcal pharyngitis- 1st line
Penicillin 250 mg 4x daily
Penicillin 500 mg 2x daily
Adult Streptococcal pharyngitis- PCN allergy
Cephalosporins, clindamycin, and macrolides are alternatives for patients who are
allergic to penicillin
Pediatric Otitis Media - 1st line
amoxicillin or amoxicillin-clavulanate are first-line antibiotics

amoxicillin recommended if child has not received amoxicillin in past 30 days, no
purulent conjunctivitis, and is not allergic to penicillin

antibiotic with additional beta-lactamase coverage recommended if child has received
amoxicillin in past 30 days, has purulent conjunctivitis, or has history of recurrent AOM
unresponsive to amoxicillin

amoxicillin-clavulanate is recommended first-line antibiotic if additional beta-lactamase
coverage indicated

dosing
amoxicillin 80-90 mg/kg/day in 2 divided doses
amoxicillin-clavulanate given as amoxicillin 90 mg/kg/day plus clavulanate 6.4
mg/kg/day in 2 divided doses
Pediatric Otitis Media - PCN allergy
alternatives if allergic to penicillin
cefdinir 14 mg/kg/day once daily or in 2 divided doses
cefuroxime 30 mg/kg/day in 2 divided doses
cefpodoxime 10 mg/kg/day in 2 divided doses
ceftriaxone 50 mg/kg intramuscularly or IV once daily for 1 or 3 days
see also Penicillin allergy topic for information about children with severe penicillin
allergy
Bacterial sinusitis

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>10 days symptoms, double sickening, severe sickness.
Augmentin (preferred over amoxicillin)
5-10 days
500/125 3x daily
873/125 2x daily
Bacterial sinusitis- PCN allergic
Doxycycline 100 mg orally twice daily or 200 mg orally once daily
levofloxacin 500 mg orally once daily
moxifloxacin 400 mg orally once daily
Chlamydia - 1st line
first-line treatment for suspected or confirmed infections - either of
azithromycin 1 g orally in a single dose
doxycycline 100 mg orally twice daily for 7 days

for pregnant patients - azithromycin 1 g orally in a single dose is recommended first-line
agent

abstinence from sexual intercourse should be continued for 7 days after single-dose
regimen or after completion of 7-day regimen and until treatment of sexual partners

test of cure not routinely recommended except in cases of pregnancy, suspected
nonadherence, persistent symptoms, or suspected reinfection
screening for reinfection recommended for all patients 3 months after treatment
regardless of whether sex partners were treated
Chlamydia - 1st line - pregnant
for pregnant patients - azithromycin 1 g orally in a single dose is recommended first-line
agent
abstinence from sexual intercourse should be continued for 7 days after single-dose
regimen or after completion of 7-day regimen and until treatment of sexual partners
test of cure needed in pregnant patients!
Gonorrhea - 1st line
treat patients with gonococcal infection empirically for both Neisseria gonorrhoeae and
Chlamydia trachomatis

ceftriaxone 250 mg intramuscularly in a single dose
azithromycin 1 g orally in a single dose
PID treatment

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