NR565/NR 565 Final Exam Questions with all Correct &
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The treatment goals when treating a UTI include:
1. eradication of infection organism
2. relief of symptoms
3. prevention of UTI recurrence
4. all of the above ✔Correct Answer-All of the above
Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile, with no use of
antibiotics in the previous 6 months and no drug allergies. An appropriate first-line antibiotic
choice for her would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Ceftriaxone
4. Levofloxacin ✔Correct Answer-Trimethoprim/sulfamethoxazole
Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile, and her only
drug allergy is sulfa, which gives her a rash. An appropriate first-line antibiotic choice for her
would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Ceftriaxone
4. Ciprofloxacin ✔Correct Answer-Ciprofloxacin
Juanita is a 28-year-old pregnant woman at 38 weeks' gestation who is diagnosed with a lower
urinary tract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy
for her UTI would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Amoxicillin
4. Ciprofloxacin ✔Correct Answer-Amoxicillin
,Which of the following patients may be treated with a 3-day course of therapy for their UTI?
1. Juanita, a 28 year old pregnant woman
2. Sally, a 16 year old healthy adolescent
3. Jamie, a 24 year old female
4. Suzie, a 26 year old diabetic ✔Correct Answer-Jamie, a 24 year old female
Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is generally healthy
and has no drug allergies. Appropriate initial therapy for her UTI would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Ceftriaxone
4. Ciprofloxacin ✔Correct Answer-Ceftriaxone
Monitoring for a healthy, nonpregnant adult patient being treated for a UTI is:
1. symptom resolution in 48 hours
2. follow up urine culture at completion of therapy
3. "test of cure" urinary analysis at completion of therapy
4. follow-up urine culture 2 months after completion of therapy ✔Correct Answer-Symptom
resolution in 48 hours
Monitoring for a child who has had a UTI is:
1. symptom resolution in 48 hours
2. follow up urine culture at completion of therapy
3. "test of cure" urinary analysis at completion of therapy
4. follow-up urine culture 2 months after completion of therapy ✔Correct Answer-Follow up
UC at completion of therapy
Monitoring for a pregannt woman who has had a UTI is:
1. symptom resolution in 48 hours
2. follow up urine culture at completion of therapy
3. "test of cure" urinary analysis at completion of therapy
4. follow-up urine culture every 2 weeks until delivery ✔Correct Answer-Follow up UC every 2
weeks until delivery
Along with antibiotic prescription, lifestyle education for a nonpregnant adult female who has
had a UTI includes:
1. increasing her intake of vitamin C containing OJ
2. voiding 10-15 min after sex
3. avoiding ingesting urinary irritants, such as asparagus
4. all of the above ✔Correct Answer-Voiding 10-15 min after sex
Lisa is a healthy non-pregnant adult woman who recently had a UTI. She is asking about
drinking cranberry juice to prevent recurrance of UTI. The Correct Answer is:
, 1. 16oz/day of cran juice cocktail will prevent UTIs.
2. 100% cran juice or cran juice extract may decrease UTIs in some patients.
3. there is no evidence that cran juice prevents UTIs.
4. cran juice only works to prevent UTIs in kids. ✔Correct Answer-100% cran juice or cran
juice extract may decrease UTIs in some patients
Factors that place a patient at risk of developing an antimicrobial-resistant organism include:
1. age over 50
2. school attendance
3. travel within the US
4. inappropriate use of antimicrobials ✔Correct Answer-4. inappropriate use of antimicrobials
infants and young children are at higher risk of developing abc-resistant infections due to:
1. developmental differences in pharmacokinetics of the abx of children
2. the fact that children this age are more likely to be in daycare or exposed to pathogens from
other children
3. parents of young kids insisting on preventive abx so they don't miss work when their kids are
sick
4. immunosuppression from the multiple vaccines they receive in the first 2 years of life
✔Correct Answer-2. the fact that children this age are more likely to be in daycare or exposed to
pathogens from other children
There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins
because:
1. renal excretion is similar in both classes of drugs
2. when these drug classes are metabolized in the liver they both produce resistant enzymes
3. both drug classes contain beta-lactam ring that is vulnerable to beta-lactamase-producing
organisms
4. there is not an issue with cross-resistance between the penicillins and cephalosporins
✔Correct Answer-3. both drug classes contain beta-lactam ring that is vulnerable to beta-
lactamase-producing organisms
Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic. He
says the last time he had penicillin he developed a red, blotchy rash. An appropriate antibiotic
to prescribe would be:
1. Penicillin VK, because his rash does not sound like a serious rash
2. Amoxicillin
3. Cefadroxil (Duricef)
4. Azithromycin ✔Correct Answer-4. Azithromycin
100% Verified Answers |Actual Complete Exam |Already
Graded A+
The treatment goals when treating a UTI include:
1. eradication of infection organism
2. relief of symptoms
3. prevention of UTI recurrence
4. all of the above ✔Correct Answer-All of the above
Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile, with no use of
antibiotics in the previous 6 months and no drug allergies. An appropriate first-line antibiotic
choice for her would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Ceftriaxone
4. Levofloxacin ✔Correct Answer-Trimethoprim/sulfamethoxazole
Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile, and her only
drug allergy is sulfa, which gives her a rash. An appropriate first-line antibiotic choice for her
would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Ceftriaxone
4. Ciprofloxacin ✔Correct Answer-Ciprofloxacin
Juanita is a 28-year-old pregnant woman at 38 weeks' gestation who is diagnosed with a lower
urinary tract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy
for her UTI would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Amoxicillin
4. Ciprofloxacin ✔Correct Answer-Amoxicillin
,Which of the following patients may be treated with a 3-day course of therapy for their UTI?
1. Juanita, a 28 year old pregnant woman
2. Sally, a 16 year old healthy adolescent
3. Jamie, a 24 year old female
4. Suzie, a 26 year old diabetic ✔Correct Answer-Jamie, a 24 year old female
Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is generally healthy
and has no drug allergies. Appropriate initial therapy for her UTI would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Ceftriaxone
4. Ciprofloxacin ✔Correct Answer-Ceftriaxone
Monitoring for a healthy, nonpregnant adult patient being treated for a UTI is:
1. symptom resolution in 48 hours
2. follow up urine culture at completion of therapy
3. "test of cure" urinary analysis at completion of therapy
4. follow-up urine culture 2 months after completion of therapy ✔Correct Answer-Symptom
resolution in 48 hours
Monitoring for a child who has had a UTI is:
1. symptom resolution in 48 hours
2. follow up urine culture at completion of therapy
3. "test of cure" urinary analysis at completion of therapy
4. follow-up urine culture 2 months after completion of therapy ✔Correct Answer-Follow up
UC at completion of therapy
Monitoring for a pregannt woman who has had a UTI is:
1. symptom resolution in 48 hours
2. follow up urine culture at completion of therapy
3. "test of cure" urinary analysis at completion of therapy
4. follow-up urine culture every 2 weeks until delivery ✔Correct Answer-Follow up UC every 2
weeks until delivery
Along with antibiotic prescription, lifestyle education for a nonpregnant adult female who has
had a UTI includes:
1. increasing her intake of vitamin C containing OJ
2. voiding 10-15 min after sex
3. avoiding ingesting urinary irritants, such as asparagus
4. all of the above ✔Correct Answer-Voiding 10-15 min after sex
Lisa is a healthy non-pregnant adult woman who recently had a UTI. She is asking about
drinking cranberry juice to prevent recurrance of UTI. The Correct Answer is:
, 1. 16oz/day of cran juice cocktail will prevent UTIs.
2. 100% cran juice or cran juice extract may decrease UTIs in some patients.
3. there is no evidence that cran juice prevents UTIs.
4. cran juice only works to prevent UTIs in kids. ✔Correct Answer-100% cran juice or cran
juice extract may decrease UTIs in some patients
Factors that place a patient at risk of developing an antimicrobial-resistant organism include:
1. age over 50
2. school attendance
3. travel within the US
4. inappropriate use of antimicrobials ✔Correct Answer-4. inappropriate use of antimicrobials
infants and young children are at higher risk of developing abc-resistant infections due to:
1. developmental differences in pharmacokinetics of the abx of children
2. the fact that children this age are more likely to be in daycare or exposed to pathogens from
other children
3. parents of young kids insisting on preventive abx so they don't miss work when their kids are
sick
4. immunosuppression from the multiple vaccines they receive in the first 2 years of life
✔Correct Answer-2. the fact that children this age are more likely to be in daycare or exposed to
pathogens from other children
There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins
because:
1. renal excretion is similar in both classes of drugs
2. when these drug classes are metabolized in the liver they both produce resistant enzymes
3. both drug classes contain beta-lactam ring that is vulnerable to beta-lactamase-producing
organisms
4. there is not an issue with cross-resistance between the penicillins and cephalosporins
✔Correct Answer-3. both drug classes contain beta-lactam ring that is vulnerable to beta-
lactamase-producing organisms
Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic. He
says the last time he had penicillin he developed a red, blotchy rash. An appropriate antibiotic
to prescribe would be:
1. Penicillin VK, because his rash does not sound like a serious rash
2. Amoxicillin
3. Cefadroxil (Duricef)
4. Azithromycin ✔Correct Answer-4. Azithromycin
