Medication practice question with
answers for FNP boards
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Medication practice question
with answers for FNP boards
Adult Streptococcal pharyngitis- 1st line
Penicillin 250 mg 4x daily
Penicillin 500 mg 2x daily
Adult Streptococcal pharyngitis- PCN allergy
Cephalosporins, clindamycin, and macrolides are alternatives for patients who are
allergic to penicillin
Pediatric Otitis Media - 1st line
amoxicillin or amoxicillin-clavulanate are first-line antibiotics
amoxicillin recommended if child has not received amoxicillin in past 30 days, no
purulent conjunctivitis, and is not allergic to penicillin
antibiotic with additional beta-lactamase coverage recommended if child has received
amoxicillin in past 30 days, has purulent conjunctivitis, or has history of recurrent AOM
unresponsive to amoxicillin
amoxicillin-clavulanate is recommended first-line antibiotic if additional beta-lactamase
coverage indicated
dosing
amoxicillin 80-90 mg/kg/day in 2 divided doses
amoxicillin-clavulanate given as amoxicillin 90 mg/kg/day plus clavulanate 6.4
mg/kg/day in 2 divided doses
Pediatric Otitis Media - PCN allergy
alternatives if allergic to penicillin
cefdinir 14 mg/kg/day once daily or in 2 divided doses
cefuroxime 30 mg/kg/day in 2 divided doses
cefpodoxime 10 mg/kg/day in 2 divided doses
ceftriaxone 50 mg/kg intramuscularly or IV once daily for 1 or 3 days
see also Penicillin allergy topic for information about children with severe penicillin
allergy
Bacterial sinusitis
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>10 days symptoms, double sickening, severe sickness.
Augmentin (preferred over amoxicillin)
5-10 days
500/125 3x daily
873/125 2x daily
Bacterial sinusitis- PCN allergic
Doxycycline 100 mg orally twice daily or 200 mg orally once daily
levofloxacin 500 mg orally once daily
moxifloxacin 400 mg orally once daily
Chlamydia - 1st line
first-line treatment for suspected or confirmed infections - either of
azithromycin 1 g orally in a single dose
doxycycline 100 mg orally twice daily for 7 days
for pregnant patients - azithromycin 1 g orally in a single dose is recommended first-line
agent
abstinence from sexual intercourse should be continued for 7 days after single-dose
regimen or after completion of 7-day regimen and until treatment of sexual partners
test of cure not routinely recommended except in cases of pregnancy, suspected
nonadherence, persistent symptoms, or suspected reinfection
screening for reinfection recommended for all patients 3 months after treatment
regardless of whether sex partners were treated
Chlamydia - 1st line - pregnant
for pregnant patients - azithromycin 1 g orally in a single dose is recommended first-line
agent
abstinence from sexual intercourse should be continued for 7 days after single-dose
regimen or after completion of 7-day regimen and until treatment of sexual partners
test of cure needed in pregnant patients!
Gonorrhea - 1st line
treat patients with gonococcal infection empirically for both Neisseria gonorrhoeae and
Chlamydia trachomatis
ceftriaxone 250 mg intramuscularly in a single dose
azithromycin 1 g orally in a single dose
PID treatment
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answers for FNP boards
written by
Killey
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At Stuvia, you will find the best notes, summaries, flashcards & other study material. Search for your
school or uni and find the study material you need.
www.stuvia.com
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Medication practice question
with answers for FNP boards
Adult Streptococcal pharyngitis- 1st line
Penicillin 250 mg 4x daily
Penicillin 500 mg 2x daily
Adult Streptococcal pharyngitis- PCN allergy
Cephalosporins, clindamycin, and macrolides are alternatives for patients who are
allergic to penicillin
Pediatric Otitis Media - 1st line
amoxicillin or amoxicillin-clavulanate are first-line antibiotics
amoxicillin recommended if child has not received amoxicillin in past 30 days, no
purulent conjunctivitis, and is not allergic to penicillin
antibiotic with additional beta-lactamase coverage recommended if child has received
amoxicillin in past 30 days, has purulent conjunctivitis, or has history of recurrent AOM
unresponsive to amoxicillin
amoxicillin-clavulanate is recommended first-line antibiotic if additional beta-lactamase
coverage indicated
dosing
amoxicillin 80-90 mg/kg/day in 2 divided doses
amoxicillin-clavulanate given as amoxicillin 90 mg/kg/day plus clavulanate 6.4
mg/kg/day in 2 divided doses
Pediatric Otitis Media - PCN allergy
alternatives if allergic to penicillin
cefdinir 14 mg/kg/day once daily or in 2 divided doses
cefuroxime 30 mg/kg/day in 2 divided doses
cefpodoxime 10 mg/kg/day in 2 divided doses
ceftriaxone 50 mg/kg intramuscularly or IV once daily for 1 or 3 days
see also Penicillin allergy topic for information about children with severe penicillin
allergy
Bacterial sinusitis
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>10 days symptoms, double sickening, severe sickness.
Augmentin (preferred over amoxicillin)
5-10 days
500/125 3x daily
873/125 2x daily
Bacterial sinusitis- PCN allergic
Doxycycline 100 mg orally twice daily or 200 mg orally once daily
levofloxacin 500 mg orally once daily
moxifloxacin 400 mg orally once daily
Chlamydia - 1st line
first-line treatment for suspected or confirmed infections - either of
azithromycin 1 g orally in a single dose
doxycycline 100 mg orally twice daily for 7 days
for pregnant patients - azithromycin 1 g orally in a single dose is recommended first-line
agent
abstinence from sexual intercourse should be continued for 7 days after single-dose
regimen or after completion of 7-day regimen and until treatment of sexual partners
test of cure not routinely recommended except in cases of pregnancy, suspected
nonadherence, persistent symptoms, or suspected reinfection
screening for reinfection recommended for all patients 3 months after treatment
regardless of whether sex partners were treated
Chlamydia - 1st line - pregnant
for pregnant patients - azithromycin 1 g orally in a single dose is recommended first-line
agent
abstinence from sexual intercourse should be continued for 7 days after single-dose
regimen or after completion of 7-day regimen and until treatment of sexual partners
test of cure needed in pregnant patients!
Gonorrhea - 1st line
treat patients with gonococcal infection empirically for both Neisseria gonorrhoeae and
Chlamydia trachomatis
ceftriaxone 250 mg intramuscularly in a single dose
azithromycin 1 g orally in a single dose
PID treatment
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