FNP Board review Your Path to Success: Study Guides for All Testing Exams

1. Sulfonamide 2. Tetracycline 3. Macrolide 4. Beta-lactam A. Doxycycline B. Azithromycin C. Penicillin’s Trimethoprim-Sulfamethoxazole E. Cephalosporin F. Clarithromycin 1. Sulfonamide - Trimethoprim-Sulfamethoxazole (Bactrim) 2. Tetracycline - A. Doxycycline 3. Macrolide - B & F, Azithromycin and Clarithromycin 4. Beta-lactam - C & E, PCN and cephalosporin’s What are the three most common bugs in community-acquired pneumonia? Streptococcus pneumonia Mycoplasma pneumonia (atypical pathogen) Chlamydophila pneumonia (atypical pathogen) What is the treatment for CAP caused by Strep pneumo? Respiratory quinolone (e.g. Levofloxacin, moxifloxacin, gemifloxacin) OR high-dose amoxicillin OR amoxicillin with clavulanate What antibiotics are avoided in CAP caused by Strep pneumo due to high rates of resistance? Macrolides What is the treatment for CAP caused by Mycoplasma pneumonia? Macrolide OR doxycycline What antibiotics are avoided in CAP caused by atypical pathogens? Beta-lactams (ineffective) A 38-year old mother of two teenagers recently recovered from Mycoplasma pneumonia a couple of weeks ago. She asks if she should get the "pneumonia shot." She takes levothyroxine 88 mcg daily for hypothyroidism, but is otherwise healthy. How do you respond? A) No, it's too soon after your infection B) No, it's not indicated C) Yes, you can get it in about a month D) Yes you can get it today B) No, it's not indicated An otherwise healthy adult without immunocompromise or multiple comorbid conditions is not a "vulnerable population" The pneumonia vaccine does not prevent mycoplasma pneumonia According to GOLD, what is required to establish the diagnosis of COPD? Spirometry (FEV1/FVC ratio 70%) A 70-year old house painter reports a 4-week history of exertional dyspnea, chest tightness, and cough for the past 3 months. He has never smoked. What diagnoses are included in your differential? Select 4.