FNP ADULT HEALTH FINAL STUDY GUIDE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

FNP ADULT HEALTH FINAL STUDY GUIDE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 What is the recommended antibiotic therapy for previously healthy patients with no risk factors for drug-resistant S. pneumonia infection that have community acquired pneumonia (CAP)? - ANSWER Macrolide (Azithromycin, clarithomycin, or erythromycin) OR Doxycycline What is the recommended antibiotic therapy for patients with chronic comorbidites, such as chronic disease of heart, liver, lungs, or kidneys; diabetes, alcoholism, malignancies, immunospression, antimicrobial use within the last 3 months that have community acquired pneumonia? - ANSWER Respiratory fluoroquinolone (moxifloxacin, gemifloxacin or levofloxacin {750 mg}) OR beta lactam plus macrolide (preferably high-dose amoxicillin (1 to 3 times daily) or amoxicillin-clavulanate (2 tabs twice daily). Alternatives include ceftriaxone, cefpodoxime, and cefuroxime (500 mg, twice daily); with doxycycline as an alternative to the macrolide) What is the recommended antibiotic therapy for suspected pseudomonas aeruginosa infection? - ANSWER Antipneumococcal antipseudomonoal beta lactam (pipercillin-tazobactam, cefepime, meropenem, or imipenem-cilastatin) plus either ciprofloxacin or levofloxacin (750 mg dose) OR Antipneumococal antipseudomonoal beta-lactam plus an amino glycoside and azithromycin OR Antipneumonoccal antipseudomonal beta-lactam plus an amino glycoside and an antipneumococcal fluoroquinolone. Aztreonam plus an amino glycoside and an antipneumococcal fluoroquinolone for patients allergic to penicillin What is the recommended antibiotic therapy for suspected community acquired MRSA infection with community acquired pneumonia? - ANSWER Addition of vancomycin or linezolid When should you obtain a chest X ray on COPD patient? - ANSWER During a COPD exacerbation when attempting to rule out a concomitant pneumonia. What Pathogen is most commonly seen in COPD caused by bacteria? - ANSWER Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pneumoniae What is the preferred meds for Persistent asthma treatment? - ANSWER Low dose ICS; Low dose ICS plus LABA, or Medium dose ICS; Medium dose ICS plus LABA. What are examples of inhaled corticosteroids? - ANSWER Fluticasone (Flovent HFA) Budesonide (Pulmicort) Mometasone (Asmanex Twisthaler) Beclomethasone (Qvar) Ciclesonide (Alvesco) Flunisolide (Aerospan HFA)