HNG 540 Exam 5 Questions with 100% Correct
Answers
Factors that place a patient at risk of developing an antimicrobial-resistant organism
include:
A) Age over 50 years
B) School attendance
C) Travel within the U.S.
D) Inappropriate use of antimicrobials
D) Inappropriate use of antimicrobials
Infants and young children are at higher risk of developing antibiotic-resistant
infections due to:
A) Developmental differences in pharmacokinetics of the antibiotics in children
B) The fact that children this age are more likely to be in daycare and
exposed to pathogens from other children
C) Parents of young children insisting on preventive antibiotics
D) Immunosuppression from the multiple vaccines they receive
B) The fact that children this age are more likely to be in daycare and
exposed to pathogens from other children
There is often cross-sensitivity and cross-resistance between penicillins and
cephalosporins because:
A) Renal excretion is similar
,B) When metabolized in the liver they both produce resistant enzymes
C) Both contain a beta-lactam ring that is vulnerable to beta-lactamase-producing
organisms
D) There is no issue with cross-resistance
C) Both contain a beta-lactam ring that is vulnerable to beta-lactamase-producing
Jonathan has been diagnosed with strep throat and had a rash with penicillin. An
appropriate antibiotic would be:
A) Penicillin VK
B) Amoxicillin
C) Cefadroxil (Duricef)
D) Azithromycin
D) Azithromycin
Sarah is pregnant and has a UTI. The appropriate antibiotic is:
A) Ciprofloxacin (Cipro)
B) Amoxicillin (Trimox)
C) Doxycycline
D) Trimethoprim-sulfamethoxazole (Septra)
B) Amoxicillin (Trimox)
A patient has been treated successfully with antibiotic therapy for community acquired
pneumonia (CAP). Which finding indicates resolve of infection?
,A. Pulse oximetry reading 88%
B. Serial cultures are negative
C. White blood cell count of 28,000 per microliter
D. Temperature 100.8 degrees Fahrenheit
B. Serial cultures are negative
Lauren, age 13, has cough, low-grade fever, green mucus. The appropriate antibiotic is:
A) Amoxicillin
B) Amoxicillin/clavulanate
C) TMP/SMZ (Septra)
D) None
D) None
Joanna had a VSD repaired at age 3 and is now 28. For dental prophylaxis:
A) None, no antibiotic is required
B) Amoxicillin 2g 1h before
C) Ampicillin 2g IM/IV
D) Azithromycin 1g 1h before
A) None, no antibiotic is required
To prevent resistance, fluoroquinolones should be reserved for:
A) UTI in young women
B) URI in adults
, C) Skin/soft tissue infections
D) Community-acquired pneumonia in patients with comorbidities
D) Community-acquired pneumonia in patients with comorbidities
Fluoroquinolones have a Black Box Warning regarding ________.
A) Renal dysfunction
B) Hepatic toxicity
C) Tendon rupture
D) Development of glaucoma
C) Tendon rupture
Patient with liver dysfunction needs a macrolide. Best option:
A) Azithromycin (Zithromax)
B) Clarithromycin (Biaxin)
C) Erythromycin (E-mycin)
D) None of the above
A) Azithromycin (Zithromax)
Antibiotic class to avoid with G6PD deficiency:
A) Penicillins
B) Macrolides
C) Cephalosporins
D) Sulfonamides
Answers
Factors that place a patient at risk of developing an antimicrobial-resistant organism
include:
A) Age over 50 years
B) School attendance
C) Travel within the U.S.
D) Inappropriate use of antimicrobials
D) Inappropriate use of antimicrobials
Infants and young children are at higher risk of developing antibiotic-resistant
infections due to:
A) Developmental differences in pharmacokinetics of the antibiotics in children
B) The fact that children this age are more likely to be in daycare and
exposed to pathogens from other children
C) Parents of young children insisting on preventive antibiotics
D) Immunosuppression from the multiple vaccines they receive
B) The fact that children this age are more likely to be in daycare and
exposed to pathogens from other children
There is often cross-sensitivity and cross-resistance between penicillins and
cephalosporins because:
A) Renal excretion is similar
,B) When metabolized in the liver they both produce resistant enzymes
C) Both contain a beta-lactam ring that is vulnerable to beta-lactamase-producing
organisms
D) There is no issue with cross-resistance
C) Both contain a beta-lactam ring that is vulnerable to beta-lactamase-producing
Jonathan has been diagnosed with strep throat and had a rash with penicillin. An
appropriate antibiotic would be:
A) Penicillin VK
B) Amoxicillin
C) Cefadroxil (Duricef)
D) Azithromycin
D) Azithromycin
Sarah is pregnant and has a UTI. The appropriate antibiotic is:
A) Ciprofloxacin (Cipro)
B) Amoxicillin (Trimox)
C) Doxycycline
D) Trimethoprim-sulfamethoxazole (Septra)
B) Amoxicillin (Trimox)
A patient has been treated successfully with antibiotic therapy for community acquired
pneumonia (CAP). Which finding indicates resolve of infection?
,A. Pulse oximetry reading 88%
B. Serial cultures are negative
C. White blood cell count of 28,000 per microliter
D. Temperature 100.8 degrees Fahrenheit
B. Serial cultures are negative
Lauren, age 13, has cough, low-grade fever, green mucus. The appropriate antibiotic is:
A) Amoxicillin
B) Amoxicillin/clavulanate
C) TMP/SMZ (Septra)
D) None
D) None
Joanna had a VSD repaired at age 3 and is now 28. For dental prophylaxis:
A) None, no antibiotic is required
B) Amoxicillin 2g 1h before
C) Ampicillin 2g IM/IV
D) Azithromycin 1g 1h before
A) None, no antibiotic is required
To prevent resistance, fluoroquinolones should be reserved for:
A) UTI in young women
B) URI in adults
, C) Skin/soft tissue infections
D) Community-acquired pneumonia in patients with comorbidities
D) Community-acquired pneumonia in patients with comorbidities
Fluoroquinolones have a Black Box Warning regarding ________.
A) Renal dysfunction
B) Hepatic toxicity
C) Tendon rupture
D) Development of glaucoma
C) Tendon rupture
Patient with liver dysfunction needs a macrolide. Best option:
A) Azithromycin (Zithromax)
B) Clarithromycin (Biaxin)
C) Erythromycin (E-mycin)
D) None of the above
A) Azithromycin (Zithromax)
Antibiotic class to avoid with G6PD deficiency:
A) Penicillins
B) Macrolides
C) Cephalosporins
D) Sulfonamides
