Mid Term Pharm MSN571

Mid Term Pharm MSN571 Mid Term Pharm MSN571 1. Which is required for red blood cell production ● All ● Iron ● Folate ● Vitamin B12 2. A female patient has an iron deficiency anemia and GI bleed has been ruled out. You will: ● Refer the patient to hematologist ● Prescribe ferrous sulfate 325mg po TID and schedule the patient to return in 1 month for a repeat CBC, serum iron and TIBC ● Prescribe iron dextran 50mg IM weekly for 4 weeks and schedule weekly office visits for injections. ● Schedule the patient to return in 6 months for additional guaiac stool testing. 3. Most clinically used opioids analgesics are selective for which type of opioid receptor? ● alpha ● delta ● mu ● beta ● kappa 4. Which is true about morphine ● It does not cause tolerance with prolong use ● It promotes nausea and vomiting through direct stimulation of the chemoreceptor trigger zone of the medulla ● It does not cause urinary retention and hesitancy ● Respiratory depression is rare 12. Which of the following medications is a fluroquinolone antibiotic? ● Azithromycin ● Ciprofloxacin ● Penicillin ● Amikacin 13. Which of the following terms best describes the mechanism of action of metoprolol? ● Alpha 1 antagonist effects ● Beta 1 selective ( beta-1-adrenergic receptor inhibitor) ● Nonselective Beta with Alpha blocking ● Nonselective Alpha blockers 14. Which antibiotic class disrupts metabolism in bacteria and is often combined with trimethoprim? ● Aminoglycosides ● Cephalosporins ● Macrolides ● Fluoroquinolones ● Sulfonamides 15. Which of the following group of antibiotics has a beta-lactam ring in the molecular structure? ● Cephalosporins ● Fluoroquinolones ● Macrolides ● Sulfonamides ● Tetracycline 16. Which of the following drug classes should be avoided in peptic ulcer disease? ● Avoid antibiotics ● Avoid NSAIDS ● Avoid diuretics ● Avoid proton pump inhibitors 17. Fluroquinolones antibiotics are most likely indicated in which of the following conditions? ● Follicular conjunctivitis ● GERD ● Asthma ● Genital Infections 18. Which antibiotics binds to the 505 subunit of the bacterial ribosome and could most likely result in the development of pseudomembranous colitis? ● Tetracycline ● Clindamycin ● Amoxicillin ● Vancomycin 19. Beta Lactamase inhibitors are often indicated in which if the following? ● May decrease absorption of medications ● First dose effect ● Often combined with penicillin antibiotics ● Delayed absorption of oral drugs 20. A patient who takes multiple antibiotics starts to experience diarrheal stool. If the stool sample tests positive for C-Diff which antibiotic, would you prescribe? Metronidazole Gemifloxacin Daptomycin Rifaximin 21. Children younger than 8 years of age should not receive tetracyclines because these agents Can cause aplastic anemia Cause rupture of tendons Do not cross into the cerebrospinal fluid Deposits in tissues undergoing calcification 22. Which patient condition would be a contradiction for the administration of the clindamycin? Diabetes Mellitus Ulcerative Colitis Arthritis Skin infection 23. A child with an ear infection is not responding to treatment with amoxicillin. What alternative medication will the provider order? Amoxicillin-clavulanic acid Penicillin G Ampicillin Nafcillin 24. Every antibiotic drug class has resistant organisms that influence prescribing decisions. True False 25. The dosage of Amoxicillin for the treatment of pediatric acute otitis media is Amoxicillin 50mg/kg/day Amoxicillin 90mg/kg/day Amoxicillin 25mg/kg/day Amoxicillin 150mg/kg/day 26. Which antibiotic is i