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NR 566 Advanced Pharmacology 2026/2027 | Care of the
Family Final Exam Review, Practice Questions, Drug
Classifications & Answers
Question and answer
1. Penicillin High Risk for Toxicitycorrect answer Renal
Impairment
Acutely ill
Very young
Very Old
2. Which patients should penicillins be used with
extreme caution?correct answer Patients with a
history of severe allergic reactions to cephalosporins,
or carbapenems.
3. Cephalosporinscorrect answer All appear to be safe
for use in pregnancy
4. Penicillinscorrect answer Although there are no well-
controlled studies in pregnant women, evidence we
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do have suggests there is no second or third trimester
fetal risk.
5. Tetracyclinescorrect answer Animal studies reveal
that these drugs can cause fetal harm in pregnancy.
Thus this class of drugs should be avoided in during
pregnancy.
6. Aminoglycosidescorrect answer There is evidence
that use of this drug class in pregnancy can harm the
fetus so they should not be used.
7. Sulfonamidescorrect answer Systemic drugs in this
class may cause birth defects, especially if taken
during the first semester. If taken near term, the
infant may develop kernicterus.
8. Acute otitis externa presents with what symptoms
that differentiates it from otitis media to determine
diagnosis and treatment?correct answer Rapid-onset
ear pain that include pruritis.
9. What baseline data is needed to prescribe
trimethoprim/sulfamethoxa-
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zole? (Select all that apply)correct answer 2 Establish
an infection appropriate for this drug class exists
Complete blood count with white cell differential for
prolonged therapy Renal function if there is concern in
may be compromised
17 Which antibiotic class is most likely to be given to
someone with otitis media
if there are no contraindications?correct answer
Penicillin After 3 days of observation, start 10 days of
amoxicillin or amoxicillin/clavulanate. Information
found in the course module.
18. What is the likely causative agent for acute otitis
media?correct answer Streptococcus pneumoniae 19.
Third-generation drugs Cephalosporins are used to
treat bacterial infections in neonates as well as
infants.correct answer Cephalosporins
20. Used safely in infants with bacterial infections,
including syphilis, meningitis, and group A
streptococcus.correct answer Penicillins
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21. Approved to treat bacterial infections in infants
younger than 8 days. Dosing is based on weight and
length of gestation.correct answer Aminoglycosides
22. Used in infants younger than 2 months can cause
kernicterus, a potentially fatal condition.correct
answer Sulfonamides
23. Treatment of serious infections, including C. diff.
infection, infection with methicillin-resistant S.
aureus, and serious infections caused by susceptible
organisms in patients allergic to penicillin.correct
answer Vancomycin
24. Treatment of infections sensitive to this class,
acne, and periodontal disease.correct answer
Tetracyclines
25. Treatment of respiratory infections, infections
caused by H. pylori, disseminated Mycobacterium,
and as alternatives to penicillin in patients with
penicillin allergy.correct answer Macrolides