NSC 830 Advanced Pharmacology Questions With Complete
Solutions
1st line treatment for otitis media? Correct Answers
Amoxicillin 80-90 mg/kg/day- if the patient hasn't previously
been on amoxicillin in the last 30 days.
2nd generation Cephalosporins.... Correct Answers Active
against gram + and -
Cefuroximine (Ceftin) PO
Cefprozil (Cefzil) PO
Used extensively:
Empiric txt (Causative agent unknown)
-Otitis media
- sinusitis
-UTI
-CA-PNA
2nd treatment option for otitis media is pt has recently been on
Amoxicillin? Correct Answers Augmentin
3rd generation Cephlasporins are actively most against.....
Correct Answers Gram - bacteria
A 10 yo male comes to the clinic with reports of a high fever
and tonsillar exudate. Would these symptoms indicated a strep
swab? Correct Answers Yes. The patient has to have 2 of the
following to warrant a strep screen for the c/o of sore throat.
High Fever
,Lack of Cough
Tonsillar Exudate
Tender anterior cervical adenopathy
A 18yo comes into the clinic with c/o of cold symptoms ( cough,
sneezing, congestion, and lethargy. What type of abx would you
write for this patient? Correct Answers NONE- this is more
than likely viral.
A 26yo pregnant patient comes to the office with acne. She
wants an abx to help clear up her skin. Would tetracycline be a
good option? Why or why not. Correct Answers No,
Tetracyclines are a Class D medication with pregnant patients.
Don't use while breastfeeding either.
A 56 yo male patient comes to the clinic with an URI, the
patient also has a hx of esophageal ulceration. You write the
patient for doxycycline. What is a teaching you would need to
have with the patient before they left the office? Correct
Answers Take medication with a glass of water and remain
upright after.
A 69 yo males needs to be treated for a respiratory disorder.
What class of medication would be best to give? Correct
Answers Fluoroquinolones
A 75yo has been taking an abx and now complains of fullness or
ringing in his year. What class of abx is this an AE? Correct
Answers Vanc
, A 85 yo male patient presents to the clinic with increased
urination and burning with urination. He has a Hx of MI, high
cholesterol, high blood pressure, and UTI. The patient currently
takes an 81mg ASA, 40mg simvastatin, and 25 mg lopressor.
You dx him with an uncomplicated UTI. You write him for
clarithomycin. What is something you would teach the patient?
Correct Answers To hold the statin until you complete the abx.
That Macrolides also may cause QT prolongation, ventricle
rhythms, and Torsades de pointes.
A child needs to be treated for a wound, ciprofloxican be a good
option? Why or why not? Correct Answers No, Cipro is a
fluoroquinolone and its contrindicated in patients less than 18 yo
due to (arthoropy and osteochondrosis-tested on animals)
A mom comes to the clinic with her 3 yo child who complains
of right ear pain x 2 days, no redness, drainage, or bulging TM
noted. She is insisting on an abx. What should you teach the
mom? Correct Answers Abx aren't indicated at this time, upon
assessment of the child no redness, drainage, or bulging on the
TM noted. This should resolve in 2-7 days. You can treat the
pain with OTC Tylenol or Motrin. Please come back in week if
symptoms don't improve and we will check again.
A patient comes in to the office and needs Vancomycin to treat
their C-Diff, but due to their former NP over RX the medication,
they are now resistant to the class of medication. What other
class of drug could you write for? Correct Answers
Oxazolindinones- Linezoild
Solutions
1st line treatment for otitis media? Correct Answers
Amoxicillin 80-90 mg/kg/day- if the patient hasn't previously
been on amoxicillin in the last 30 days.
2nd generation Cephalosporins.... Correct Answers Active
against gram + and -
Cefuroximine (Ceftin) PO
Cefprozil (Cefzil) PO
Used extensively:
Empiric txt (Causative agent unknown)
-Otitis media
- sinusitis
-UTI
-CA-PNA
2nd treatment option for otitis media is pt has recently been on
Amoxicillin? Correct Answers Augmentin
3rd generation Cephlasporins are actively most against.....
Correct Answers Gram - bacteria
A 10 yo male comes to the clinic with reports of a high fever
and tonsillar exudate. Would these symptoms indicated a strep
swab? Correct Answers Yes. The patient has to have 2 of the
following to warrant a strep screen for the c/o of sore throat.
High Fever
,Lack of Cough
Tonsillar Exudate
Tender anterior cervical adenopathy
A 18yo comes into the clinic with c/o of cold symptoms ( cough,
sneezing, congestion, and lethargy. What type of abx would you
write for this patient? Correct Answers NONE- this is more
than likely viral.
A 26yo pregnant patient comes to the office with acne. She
wants an abx to help clear up her skin. Would tetracycline be a
good option? Why or why not. Correct Answers No,
Tetracyclines are a Class D medication with pregnant patients.
Don't use while breastfeeding either.
A 56 yo male patient comes to the clinic with an URI, the
patient also has a hx of esophageal ulceration. You write the
patient for doxycycline. What is a teaching you would need to
have with the patient before they left the office? Correct
Answers Take medication with a glass of water and remain
upright after.
A 69 yo males needs to be treated for a respiratory disorder.
What class of medication would be best to give? Correct
Answers Fluoroquinolones
A 75yo has been taking an abx and now complains of fullness or
ringing in his year. What class of abx is this an AE? Correct
Answers Vanc
, A 85 yo male patient presents to the clinic with increased
urination and burning with urination. He has a Hx of MI, high
cholesterol, high blood pressure, and UTI. The patient currently
takes an 81mg ASA, 40mg simvastatin, and 25 mg lopressor.
You dx him with an uncomplicated UTI. You write him for
clarithomycin. What is something you would teach the patient?
Correct Answers To hold the statin until you complete the abx.
That Macrolides also may cause QT prolongation, ventricle
rhythms, and Torsades de pointes.
A child needs to be treated for a wound, ciprofloxican be a good
option? Why or why not? Correct Answers No, Cipro is a
fluoroquinolone and its contrindicated in patients less than 18 yo
due to (arthoropy and osteochondrosis-tested on animals)
A mom comes to the clinic with her 3 yo child who complains
of right ear pain x 2 days, no redness, drainage, or bulging TM
noted. She is insisting on an abx. What should you teach the
mom? Correct Answers Abx aren't indicated at this time, upon
assessment of the child no redness, drainage, or bulging on the
TM noted. This should resolve in 2-7 days. You can treat the
pain with OTC Tylenol or Motrin. Please come back in week if
symptoms don't improve and we will check again.
A patient comes in to the office and needs Vancomycin to treat
their C-Diff, but due to their former NP over RX the medication,
they are now resistant to the class of medication. What other
class of drug could you write for? Correct Answers
Oxazolindinones- Linezoild
