PHARMACOLOGY FOR CARE OF
FAMILY EXAM
What bacteria causes 80% of uncomplicated UTIs? - ANSWERS-E.
coli
What BMI is bariatric surgery considered? - ANSWERS-35 or more
Common procedures:
-Gastric Bypass Surgery (Roux-en-Y procedure)
-Laparoscopic implantation of an adjustable gastric band
What can clindamycin promote that can be fatal? - ANSWERS-severe
C-diff, a condition that can be fatal
What can Gentamicin cause in infants? - ANSWERS-if used in
pregnancy, Gentamicin cause irreversible hearing loss in infant
What can Sulfonamides cause in infants? - ANSWERS-can produce
kernicterus, a severe neurologic disorder caused by displacement of
bilirubin from plasma proteins
,What can sulfonamides cause in infants? - ANSWERS-in infants
younger than 2 months can cause kernicterus
What can tetracyclines cause in infants and children? - ANSWERS-
staining of teeth
What can we advise out patients to do to avoid GI effects when taking
Nitrofurantoin? - ANSWERS-take with milk or meals
What can whipworm cause in children? - ANSWERS-Infestation can
cause iron deficiency anemia and impaired cognitive development
What class of antibiotic should we avoid prescribing if a patient has a
severe PCN allergy? - ANSWERS-cephalosporins
What class of antibiotics does Aztroenam belong to? - ANSWERS-
Monobactams
What classes of antibiotics are resistant to C-diff? - ANSWERS-
aminoglycosides or cephalosporins
What do we need to be aware of in our female patients of child
bearing age with clindamycin? - ANSWERS-may decrease oral
contraceptive activity
,What drug schedule are Phentermine and Diethylpropion under? -
ANSWERS-Schedule IV
What education for doxycycline and minocycline should we give our
patients? - ANSWERS-Avoid calcium/iron supplements, antacids,
magnesium/milk products as will chelate drug into nonabsorbable
form
Adverse effects:
-irritate GI tract
-discolor teeth (avoid <8yrs old)
-superinfection
-hepatic/renal toxicity
-sunburn easily
-diarrhea may indicate a potentially life-threatening -superinfection of
the bowel
-high-dose intravenous therapy has been associated with -severe liver
damage
What is a safe alternative for severe PCN allergy? - ANSWERS-
vancomycin, erythromycin, and clindamycin
What is antibiotic stewardship? - ANSWERS-plan to combat
antimicrobial resistance
, What is doxycycline and minocycline used for? - ANSWERS-
periodontal disease
What is first-line treatment for H. Pylori? - ANSWERS-
What is Fosomycin approved for? - ANSWERS-approved for single-
dose therapy in women with uncomplicated urinary tract infections
What is narrow vs broad spectrum antibiotics? - ANSWERS--narrow-
spectrum antibiotics are active against only a few species of
microorganisms
-broad-spectrum antibiotics are active against a wide variety of
microbes
What is one major concern about the efficacy of sulfonamides? -
ANSWERS-resistance is especially high among gonococci,
meningococci, streptococci, and shigellae
What is role of topiramate in weight loss? - ANSWERS-Increases
satiety
What is the black box warning for alfa interferons? - ANSWERS-
cause/worsen life-threatening behaviors, serious neuropsychiatric
conditions
What is the black box warning for Cidofovir? - ANSWERS--severe
renal impairment and can cause neutropenia