NR566/NR 566 Midterm study guide Questions with Verified
Answers (Correct Update)
Question 1: Common CAP pathogens
Answer: S. Pneumoniae (most common)
H. Influenzae (smokers/COPD) P. Aeruginosa (CF)
Question 2: CAP first line treatment
Answer: Macrolides, Doxycyline, Amoxicillin
Question 3: what to give if 1st CAP treatment doesn't work?
Answer: Respiratory Fluoroquinolone if not received abx in the past 3 months
Question 4: Mycoplasma pneumoniae
Answer: atypical pneumonia; commonly seen in children
Question 5: pediatric atypical pneumonia treatment
Answer: Macrolides (Erythromycin), if failed then Respiratory fluoroquinolone
Question 6: CAP treatment during pregnancy
Answer: Amoxicillin, cephalosporins, or Erythromycin
Question 7: Treatment of chlamydial pneumonia in infant
Answer: Macrolide (Azithromycin): 500mg orally on day 1 followed by 250 mg once daily on days 2-5
Question 8: When to use broad/empiric spectrum antibiotics?
Answer: Before cultures are resulted/ critically ill patient after first culture obtained, based on NP
knowledge of patient history, local susceptibility/geographic location
Question 9: When to use narrow spectrum antibiotics?
Answer: Used when the culture and sensitivity is resulted, and pathogen is known.
Question 10: how to treat C.diff
Answer: Stop the antibiotic that may have caused it
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, Question 11: 1st: Vancomycin 125 mg PO QID x 10 days.
Answer: 2nd: Metronidazole 500mg PO TID x 10 days
Question 12: Drug class known for ALL drugs in class to promote development of C. Diff
Answer: 2nd and 3rd generation Cephalosporins
Question 13: Penicillin: Cross-sensitivity reactions with which drug classes
Answer: Cephalosporins & Carbapenems (Allergy may be mild or severe)
Question 14: Safe penicillin during pregancy
Answer: Amoxicillin
Question 15: patient education for Cephalosporins
Answer: Report to provider any loose stools, complete full course of antibiotics, s/s of allergy
Question 16: Cephalosporins in pregnancy
Answer: All appear safe for use
Question 17: patient education for Tetracyclines
Answer: photosensitivity (wear sunscreen!), complete full course, s/s of allergy
Question 18: Tetracyclines in pregnancy
Answer: Can lead to fetal death; avoided for use
Question 19: Patient education for macrolides
Answer: Take with meals to avoid GI upset, contraindicated w/ warfarin
Question 20: Aminoglycoside patient teaching
Answer: Patients should report tinnitus, high-frequency hearing loss, persistent headache, nausea,
dizziness or vertigo
Question 21: sulfonamides patient teaching
Answer: Finish full course Increase fluid intake to 8-10 cups/day Take on empty stomach Avoid sun
exposure/wear sunscreen
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Answers (Correct Update)
Question 1: Common CAP pathogens
Answer: S. Pneumoniae (most common)
H. Influenzae (smokers/COPD) P. Aeruginosa (CF)
Question 2: CAP first line treatment
Answer: Macrolides, Doxycyline, Amoxicillin
Question 3: what to give if 1st CAP treatment doesn't work?
Answer: Respiratory Fluoroquinolone if not received abx in the past 3 months
Question 4: Mycoplasma pneumoniae
Answer: atypical pneumonia; commonly seen in children
Question 5: pediatric atypical pneumonia treatment
Answer: Macrolides (Erythromycin), if failed then Respiratory fluoroquinolone
Question 6: CAP treatment during pregnancy
Answer: Amoxicillin, cephalosporins, or Erythromycin
Question 7: Treatment of chlamydial pneumonia in infant
Answer: Macrolide (Azithromycin): 500mg orally on day 1 followed by 250 mg once daily on days 2-5
Question 8: When to use broad/empiric spectrum antibiotics?
Answer: Before cultures are resulted/ critically ill patient after first culture obtained, based on NP
knowledge of patient history, local susceptibility/geographic location
Question 9: When to use narrow spectrum antibiotics?
Answer: Used when the culture and sensitivity is resulted, and pathogen is known.
Question 10: how to treat C.diff
Answer: Stop the antibiotic that may have caused it
Page 1
, Question 11: 1st: Vancomycin 125 mg PO QID x 10 days.
Answer: 2nd: Metronidazole 500mg PO TID x 10 days
Question 12: Drug class known for ALL drugs in class to promote development of C. Diff
Answer: 2nd and 3rd generation Cephalosporins
Question 13: Penicillin: Cross-sensitivity reactions with which drug classes
Answer: Cephalosporins & Carbapenems (Allergy may be mild or severe)
Question 14: Safe penicillin during pregancy
Answer: Amoxicillin
Question 15: patient education for Cephalosporins
Answer: Report to provider any loose stools, complete full course of antibiotics, s/s of allergy
Question 16: Cephalosporins in pregnancy
Answer: All appear safe for use
Question 17: patient education for Tetracyclines
Answer: photosensitivity (wear sunscreen!), complete full course, s/s of allergy
Question 18: Tetracyclines in pregnancy
Answer: Can lead to fetal death; avoided for use
Question 19: Patient education for macrolides
Answer: Take with meals to avoid GI upset, contraindicated w/ warfarin
Question 20: Aminoglycoside patient teaching
Answer: Patients should report tinnitus, high-frequency hearing loss, persistent headache, nausea,
dizziness or vertigo
Question 21: sulfonamides patient teaching
Answer: Finish full course Increase fluid intake to 8-10 cups/day Take on empty stomach Avoid sun
exposure/wear sunscreen
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