WEEK 1 & 2 PHARM EXAM QUESTIONS
WITH CORRECT ANSWERS
Aminoglycosides: Example medications - CORRECT ANSWER✔✔-
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amikacin, gentamicin, tobramycin, neomycin, streptomycin (the "-
| | | | | |
mycins")
Aminoglycosides: Primary mechanism of action - CORRECT
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ANSWER✔✔-Bactericidal; directly kills gram-negative bacteria such as
| | | | | | |
E. coli and Klebsiella
| | | |
Aminoglycosides: Primary ear side effect and assessment - CORRECT
| | | | | | | |
ANSWER✔✔-Ototoxicity (tinnitus, hearing loss); the nurse must ask
| | | | | | | |
about ringing in the ears at every single visit
| | | | | | | | |
Aminoglycosides: Primary renal side effect and labs to monitor -
| | | | | | | | |
CORRECT ANSWER✔✔-Nephrotoxicity; the nurse must monitor BUN,
| | | | | | |
creatinine, and total urine output (UOP)
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,Aminoglycosides: Rare neuromuscular side effect - CORRECT
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ANSWER✔✔-Neuromuscular blockade, which leads to severe muscle
| | | | | | |
weakness and paralysis risk
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Streptomycin: Pregnancy complication risk - CORRECT ANSWER✔✔-
| | | | | |
Causes permanent infant deafness when administered during
| | | | | |
pregnancy
|
Aminoglycosides: Dangerous loop diuretic interaction - CORRECT
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ANSWER✔✔-Combining with loop diuretics (like furosemide)
| | | | | |
significantly increases the risk of ototoxicity
| | | | | |
Aminoglycosides: Dangerous antibiotic interaction - CORRECT
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ANSWER✔✔-Combining with vancomycin significantly increases the risk
| | | | | | |
of nephrotoxicity
| |
Aminoglycosides: Dangerous surgical anesthesia interaction - CORRECT
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ANSWER✔✔-Interacts with anesthetics to increase neuromuscular
| | | | | |
paralysis risk; the nurse must alert the provider before surgery
| | | | | | | | | |
Carbapenems: Example medications - CORRECT ANSWER✔✔-
| | | | |
doripenem, ertapenem, imipenem-cilastatin, meropenem (the "-
| | | | |
penems")
, Carbapenems: Administration limitation - CORRECT ANSWER✔✔-
| | | | |
Intravenous (IV) or Intramuscular (IM) only due to exceptionally poor
| | | | | | | | |
|oral absorption
|
Carbapenems: Major central nervous system danger - CORRECT
| | | | | | |
ANSWER✔✔-Seizures; carries a high risk, particularly in patients with a
| | | | | | | | | |
known history of seizure disorders
| | | | |
Carbapenems: Critical anti-seizure medication interaction - CORRECT
| | | | | |
ANSWER✔✔-Decreases valproic acid levels, which directly causes a
| | | | | | | |
severe increase in seizure risk
| | | | |
Carbapenems: Critical allergy cross-sensitivity - CORRECT ANSWER✔✔-
| | | | | |
Cross-hypersensitivity exists with penicillins; always assess for a
| | | | | | |
penicillin allergy first
| | |
Cephalosporins: Example medications - CORRECT ANSWER✔✔-
| | | | |
cefazolin, cephalexin (Keflex), ceftriaxone (Rocephin), cefepime (the
| | | | | |
"ceph/cef" drugs)
| |
Cephalosporins: Structural precaution and cross-sensitivity - CORRECT
| | | | | |
ANSWER✔✔-Structurally similar to penicillins; the nurse must assess
| | | | | | | |
for a penicillin allergy before administration
| | | | | |
WITH CORRECT ANSWERS
Aminoglycosides: Example medications - CORRECT ANSWER✔✔-
| | | | |
amikacin, gentamicin, tobramycin, neomycin, streptomycin (the "-
| | | | | |
mycins")
Aminoglycosides: Primary mechanism of action - CORRECT
| | | | | |
ANSWER✔✔-Bactericidal; directly kills gram-negative bacteria such as
| | | | | | |
E. coli and Klebsiella
| | | |
Aminoglycosides: Primary ear side effect and assessment - CORRECT
| | | | | | | |
ANSWER✔✔-Ototoxicity (tinnitus, hearing loss); the nurse must ask
| | | | | | | |
about ringing in the ears at every single visit
| | | | | | | | |
Aminoglycosides: Primary renal side effect and labs to monitor -
| | | | | | | | |
CORRECT ANSWER✔✔-Nephrotoxicity; the nurse must monitor BUN,
| | | | | | |
creatinine, and total urine output (UOP)
| | | | | |
,Aminoglycosides: Rare neuromuscular side effect - CORRECT
| | | | | |
ANSWER✔✔-Neuromuscular blockade, which leads to severe muscle
| | | | | | |
weakness and paralysis risk
| | | |
Streptomycin: Pregnancy complication risk - CORRECT ANSWER✔✔-
| | | | | |
Causes permanent infant deafness when administered during
| | | | | |
pregnancy
|
Aminoglycosides: Dangerous loop diuretic interaction - CORRECT
| | | | | |
ANSWER✔✔-Combining with loop diuretics (like furosemide)
| | | | | |
significantly increases the risk of ototoxicity
| | | | | |
Aminoglycosides: Dangerous antibiotic interaction - CORRECT
| | | | |
ANSWER✔✔-Combining with vancomycin significantly increases the risk
| | | | | | |
of nephrotoxicity
| |
Aminoglycosides: Dangerous surgical anesthesia interaction - CORRECT
| | | | | |
ANSWER✔✔-Interacts with anesthetics to increase neuromuscular
| | | | | |
paralysis risk; the nurse must alert the provider before surgery
| | | | | | | | | |
Carbapenems: Example medications - CORRECT ANSWER✔✔-
| | | | |
doripenem, ertapenem, imipenem-cilastatin, meropenem (the "-
| | | | |
penems")
, Carbapenems: Administration limitation - CORRECT ANSWER✔✔-
| | | | |
Intravenous (IV) or Intramuscular (IM) only due to exceptionally poor
| | | | | | | | |
|oral absorption
|
Carbapenems: Major central nervous system danger - CORRECT
| | | | | | |
ANSWER✔✔-Seizures; carries a high risk, particularly in patients with a
| | | | | | | | | |
known history of seizure disorders
| | | | |
Carbapenems: Critical anti-seizure medication interaction - CORRECT
| | | | | |
ANSWER✔✔-Decreases valproic acid levels, which directly causes a
| | | | | | | |
severe increase in seizure risk
| | | | |
Carbapenems: Critical allergy cross-sensitivity - CORRECT ANSWER✔✔-
| | | | | |
Cross-hypersensitivity exists with penicillins; always assess for a
| | | | | | |
penicillin allergy first
| | |
Cephalosporins: Example medications - CORRECT ANSWER✔✔-
| | | | |
cefazolin, cephalexin (Keflex), ceftriaxone (Rocephin), cefepime (the
| | | | | |
"ceph/cef" drugs)
| |
Cephalosporins: Structural precaution and cross-sensitivity - CORRECT
| | | | | |
ANSWER✔✔-Structurally similar to penicillins; the nurse must assess
| | | | | | | |
for a penicillin allergy before administration
| | | | | |
