MSN 571 Mid Term Pharm Exam Questions and Answers New Update 2023/2024

MSN 571 Mid Term Pharm Exam • Fluroquinolones antibiotics are most likely indicated in which of the following conditions? ● Follicular conjunctivitis ● GERD ● Asthma ● Genital Infections • Which antibiotics binds to the 505 subunit of the bacterial ribosome and could most likely result in the development of pseudomembranous colitis? ● Tetracycline ● Clindamycin ● Amoxicillin ● Vancomycin • Beta Lactamase inhibitors are often indicated in which if the following? ● May decrease absorption of medications ● First dose effect ● Often combined with penicillin antibiotics ● Delayed absorption of oral drugs • A patient who takes multiple antibiotics starts to experience diarrheal stool. If the stool sample tests positive for C-Diff which antibiotic, would you prescribe? Metronidazole Gemifloxacin Daptomycin Rifaximin • Children younger than 8 years of age should not receive tetracyclines because these agents Can cause aplastic anemia Cause rupture of tendons Do not cross into the cerebrospinal fluid Deposits in tissues undergoing calcification • Which patient condition would be a contradiction for the administration of the clindamycin? Diabetes Mellitus Ulcerative Colitis Arthritis Skin infection • A child with an ear infection is not responding to treatment with amoxicillin. What alternative medication will the provider order? Amoxicillin-clavulanic acid Penicillin G Ampicillin Nafcillin • Every antibiotic drug class has resistant organisms that influence prescribing decisions. True False • The dosage of Amoxicillin for the treatment of pediatric acute otitis media is Amoxicillin 50mg/kg/day Amoxicillin 90mg/kg/day Amoxicillin 25mg/kg/day Amoxicillin 150mg/kg/day • Which antibiotic is in the macrolide class? Minocycline (Minocin) Nitrofurantoin ( Macrobid) Clarithromycin ( Biaxin) Trimethoprim • Contraindications to hepatitis B vaccination is: All pregnant and lactating women Previous severe hypersensitivity or anaphylaxis A history of poliomyelitis Mild viral illness • Treatment for fungal infections of the toenails (onychomycosis) includes Miconazole Cream Oral Griseofulvin Mupirocin Cream Ketoconazole Cream • Which is required for red blood cell production ● All ● Iron ● Folate ● Vitamin B12 • A female patient has an iron deficiency anemia and GI bleed has been ruled out. You will: ● Refer the patient to hematologist ● Prescribe ferrous sulfate 325mg po TID and schedule the patient to return in 1 month for a repeat CBC, serum iron and TIBC ● Prescribe iron dextran 50mg IM weekly for 4 weeks and schedule weekly office visits for injections. ● Schedule the patient to return in 6 months for additional guaiac stool testing. • Most clinically used opioids analgesics are selective for which type of opioid receptor? ● alpha ● delta ● mu ● beta ● kappa • Which is true about morphine ● It does not cause tolerance with prolong use ● It promotes nausea and vomiting through direct stimulation of the chemoreceptor trigger zone of the medulla ● It does not cause urinary retention and hesitancy ● Respiratory depression is rare • Which of the following medications is a fluroquinolone antibiotic? ● Azithromycin ● Ciprofloxacin ● Penicillin ● Amikacin • Which of the following terms best describes the mechanism of action of metoprolol? ● Alpha 1 antagonist effects ● Beta 1 selective ( beta-1-adrenergic receptor inhibitor) ● Nonselective Beta with Alpha blocking ● Nonselective Alpha blockers