NURS 5334:Pharmacology 5334 Exam Questions &
Answers 2024/2025 Version Guaranteed Pass
Solutions.
Patient with vaginal candidiasis, what is the treatment?
Fluconazole 150mg po once
Treatment for uncomplicated cervical gonorrhea
Ceftriaxone, 250 mg IM once, plus azithromycin, 1 g PO once
Patient with tinea capitis, what is the TX?
Very difficult to treat topically
Griseofulium po 6-8 weeks
or
Terbinafine (Lamisil) po 2-4 weeks
Narrow Spectrum PCN
PCN G (procaine), PCN G (benzathine), PCN V
Bugs they fight: GRAM(+) cocci- 1st drug of choice against Strep (pneumonia, pharyngitis,
endocarditis) , Clostridium (tetanus, anthrax, gas gangrene)Neisseria, spirochete (syphilis)
Lauren comes into the clinic and is diagnosed with Trichomoniasis. The NP can prescribe:
Metronidazole, 2 g PO once or
Tinidazole, 2 g PO once
Penicillinase-resistant PCN
Oxacillin, Nafacillin, Dicloxacillin
Bugs they fight: Staph
Broad spectrum PCN
Ampicillin- ampiciliin/sulbactam (Unasyn)
Amoxicillin- amoxicillin/ER (Moxatog), Amoxicillin/Clavulanate(Augmentin)
,Bugs they fight: Good against GRAM (-)H. influenza, e-coli, proteus mirabilis, enterococci,
salmonella and shigella
Extended Spectrum PCNs
Piperacillin/tazobactam (Zosyn)
Bugs they fight: same as broad spectrum + pseudomonas, klebsiella, bacterial fragilis
Beta-lactamase inhibitors
clavulanic acid, sulbactam, tazobactam
**Can not be given on their own, only in combo with PCN's i.e.> Augmentin, Unasyn, Zoysn
Cephalosporin Generation 1
-cephalexin
-cephazolin
-cephadoxil
*Cephlasporinase will destroy*
Not the drug of choice for active infections- good for prophylaxis prior to sx
Cephlasporin (2nd generation)
Cefuroxime-most common
Bugs they fight: h.influenza (pneumonia), otitis sinusitis, res. tract infection
Cephlasporin (3rd generation)
Cefotaxime, Cefdinir, Cefixime, Cefodoxime, Ceftaazidime, Ceftibuten, Ceftriaxone
*Can penetrate CSF fluid*
Bugs they fight: Great against GRAM (-) bacteria causing meningitis, h.influenza, klebsiella,
proteus, salmonella
Cephlasporin (4th generation)
Cefepime-hospital associated pneumonia's & Ceftolozone/tozobactam (Zerbaxa)-
complicated UTI's and intraabdominal infections
Cephlasporin (5th generation)
, Ceftaroline (Teflaro)-MRSA
Cephalosporin and PCN
Cross allergy w/PCN
Carbapenems
Only 4: Imipenem, Meropenem, Ertrapenem, Doripenem
EXTREMELY broad spectrum, *only given IV*
not active against MRSA
Iminpenem-cilastatin
Most effective antibiotic against anaerobic bacteria
Highly effective against Gram (+/) cocci & bacilli
Meropenem
Bacterial meningitis-3m and up
Intraabdominal infections across ages
complicated skin infections
Ertrapenem (Invanz)
Pelvic infections
Community acquired pneumonia
Complicated UTIs
Abdomen/skin infections
Vancomycin treats
gram positive- staph aureus/epiderm, c.diff
Vancomycin AE
ototoxicity, nephrotoxicity, red man syndrome
Vancomycin main danger
Hosp/vent. pneumonia in pt w/ Crcl less than 50 as it increases mortality
Answers 2024/2025 Version Guaranteed Pass
Solutions.
Patient with vaginal candidiasis, what is the treatment?
Fluconazole 150mg po once
Treatment for uncomplicated cervical gonorrhea
Ceftriaxone, 250 mg IM once, plus azithromycin, 1 g PO once
Patient with tinea capitis, what is the TX?
Very difficult to treat topically
Griseofulium po 6-8 weeks
or
Terbinafine (Lamisil) po 2-4 weeks
Narrow Spectrum PCN
PCN G (procaine), PCN G (benzathine), PCN V
Bugs they fight: GRAM(+) cocci- 1st drug of choice against Strep (pneumonia, pharyngitis,
endocarditis) , Clostridium (tetanus, anthrax, gas gangrene)Neisseria, spirochete (syphilis)
Lauren comes into the clinic and is diagnosed with Trichomoniasis. The NP can prescribe:
Metronidazole, 2 g PO once or
Tinidazole, 2 g PO once
Penicillinase-resistant PCN
Oxacillin, Nafacillin, Dicloxacillin
Bugs they fight: Staph
Broad spectrum PCN
Ampicillin- ampiciliin/sulbactam (Unasyn)
Amoxicillin- amoxicillin/ER (Moxatog), Amoxicillin/Clavulanate(Augmentin)
,Bugs they fight: Good against GRAM (-)H. influenza, e-coli, proteus mirabilis, enterococci,
salmonella and shigella
Extended Spectrum PCNs
Piperacillin/tazobactam (Zosyn)
Bugs they fight: same as broad spectrum + pseudomonas, klebsiella, bacterial fragilis
Beta-lactamase inhibitors
clavulanic acid, sulbactam, tazobactam
**Can not be given on their own, only in combo with PCN's i.e.> Augmentin, Unasyn, Zoysn
Cephalosporin Generation 1
-cephalexin
-cephazolin
-cephadoxil
*Cephlasporinase will destroy*
Not the drug of choice for active infections- good for prophylaxis prior to sx
Cephlasporin (2nd generation)
Cefuroxime-most common
Bugs they fight: h.influenza (pneumonia), otitis sinusitis, res. tract infection
Cephlasporin (3rd generation)
Cefotaxime, Cefdinir, Cefixime, Cefodoxime, Ceftaazidime, Ceftibuten, Ceftriaxone
*Can penetrate CSF fluid*
Bugs they fight: Great against GRAM (-) bacteria causing meningitis, h.influenza, klebsiella,
proteus, salmonella
Cephlasporin (4th generation)
Cefepime-hospital associated pneumonia's & Ceftolozone/tozobactam (Zerbaxa)-
complicated UTI's and intraabdominal infections
Cephlasporin (5th generation)
, Ceftaroline (Teflaro)-MRSA
Cephalosporin and PCN
Cross allergy w/PCN
Carbapenems
Only 4: Imipenem, Meropenem, Ertrapenem, Doripenem
EXTREMELY broad spectrum, *only given IV*
not active against MRSA
Iminpenem-cilastatin
Most effective antibiotic against anaerobic bacteria
Highly effective against Gram (+/) cocci & bacilli
Meropenem
Bacterial meningitis-3m and up
Intraabdominal infections across ages
complicated skin infections
Ertrapenem (Invanz)
Pelvic infections
Community acquired pneumonia
Complicated UTIs
Abdomen/skin infections
Vancomycin treats
gram positive- staph aureus/epiderm, c.diff
Vancomycin AE
ototoxicity, nephrotoxicity, red man syndrome
Vancomycin main danger
Hosp/vent. pneumonia in pt w/ Crcl less than 50 as it increases mortality
