TB
1. What is extremely resistant TB resistant to?
A: All Fluoroquinolones; Isoniazid [INH] and rifampin; and at least one of the injectable
second line drugs.
2. What is multidrug resistant TB?
A: Resistant to both Isoniazid (INH) and Rifampin
3. Which medications create problematic interactions with other HIV antiviral drugs?
A: Rifampin and Rifabutin
4. Treating one infection interferes with the treatment of the other in patients with both TB
and HIV. A: TRUE
5. John has HIV and has just been diagnosed with TB. What is the minimum amount of time
he will need therapy? A: 6 months
6. Which information should the nurse include when teaching a patient about INH therapy?
A: An adverse effect of isoniazid therapy is peripheral neuropathy, which can be
reversed with pyridoxine.
7. A group of college students are traveling to a chloroquine-resistant malaria area for a
mission trip. Which of the following medications can be used for both prevention and
treatment of malaria in these students?
A: Atoraquone-proguanil
8. Which information should be included when teaching about rifampin?
A: Rifampin can change the color of body fluids to reddish orange
9. Which TB medication can cause decrease in vision?
A: Ethambutol
STI
1. Linda has onychomycoses of the toenail. Which of the following is the appropriate
treatment? A: Terbinafine daily for 3 months
,2. Lisa is taking terbinafine daily for toenail fungus. Which of the following labs does the NP
need to monitor? A: Liver enzymes baseline and monthly
3. Jonathan has athlete's foot. Which of the following should be prescribed initially? A:
Terbinafine topical
4. Jade comes in with vaginal Candidiasis. What is the NP going to prescribe? A: Fluconazole
150 mg by month once
5. Sally comes in for the treatment of tinea capitis? What is the NP going to prescribe?
A: Grisofulvin by mouth daily
6. Brittany is a 23 year old female and culture is positive for bacterial vaginosis. Which of the
following would be the appropriate treatment?
A: Metronidazole gel 0.75% , one full applicator intravaginally once daily for 5 days
7. Randy is a 19 year old male and has been diagnosed with chlamydia. Which of the
following is the appropriate treatment?
A: Doxycycline 100 mg po twice daily for 7 days
8. Madeline is a 29 year old with genital herpes and would like suppressive therapy. Which of
the following is the appropriate treatment?
A: Valacyclovir 500 mg by mouth daily for 1 year
9. Treatment for an 18 year old non pregnant female with uncomplicated cervix infection with
gonorrhea and chlamydial infection has not been excluded is:
A: Ceftriaxon500 mg IM plus Doxycycline 100 mg po twice daily for 7 days
10.Jake a 34 year old male has primary syphilis. What is appropriate treatment? A: Benzathine
penicillin G (Bicillin LA) IM
11.Lauren a 22 year old female comes into the clinic and is diagnosed with Trichomoniasis. The
NP can prescribe: Check all that apply.
A: Metronidazole 500 by mouth twice daily for 7 days
B. Tinidazole 2 gram by mouth in a single dose
12.What do you tell the patient taking metronidazole about drinking alcohol? Check all that
apply.
A: Metronidazole can cause a disulferam-like reaction if taken with alcohol
, B: Alcohol must be avoided completely during treatment and for 72 hours after
treatment
13.Max is a 70 year old diabetic with shingles. What lab test would you want to order prior to
starting an antivral? A: BUN/Cr
14.Which of the following medications is used for herpes labialis? A: Penciclovir
15.Which of the following can be given if started within 48 hours of onset of flu symptoms.
Check all that apply.
A:
Oseltamavir
B: Zanamivir
16.Which of the following antivirals does the CDC no longer recommend for flu due to
resistance? A: Amantadine
17.What is the first drug given for HIV prophylaxis?
A: tenofovir/emtricitabine (Truvada)
18.All antiviral drugs used to treat HIV:
A: Are inducers or inhibitors of one or more CYP450 isoenzymes
19.What is the most common cause of resistance in HIV treatment?
A: Nonadherence to prescribed regimen
20.Which of the following statements regarding antiretroviral treatment are true? Check all
that apply.
A: Antiretroviral treatment is started immediately upon diagnosis
B. All regimens must include 2 NRTIs and another drug class
C. Protease inhibitors cause fat redistribution