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Exam (elaborations)

MN553 Unit 6 Exam Questions and Correct Answers Latest Update 2025 Already Passed

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MN553 Unit 6 Exam Questions and Correct Answers Latest Update 2025 Already Passed Causes of drug resistance - Answers Recent use of antibiotics Over use of broad spectrum antibiotics Age less than 2 years or greater than 65 years Daycare center attendance Exposure to young children Multiple medical comorbidities Immunosuppression True or false Every antibiotic class has resistant organisms - Answers True How can your identify local resistance patterns - Answers By monitoring the antibiogram of the local laboratory What vaccine has decreased resistance in older populations - Answers Pneumococcal vaccine Commitment - Answers Demonstrate dedication to and accountability for optimizing antibiotic prescribing and patient safety Action for policy and practice - Answers Implement at least one policy or practice to improve antibiotic prescribing assess whether it is woking and modify as needed Tracking and reporting - Answers Monitor antibiotic prescribing practices, and offer regular feedback to clinicians or have clinicians assess their own antibiotic prescribing practices themselves Education and expertise - Answers Provide educational resources to clinicians and patients on antibiotic prescribing and ensure access to needed expertise on optimizing antibiotic prescribing Core elements of antibiotic stewardship - Answers Commitment Action for policy and practice Tracking and reporting Education and expertise Pharmacodynamics of beta-lactams (Penicillins) - Answers Inhibit the biosynthesis of peptidoglycan bacterial cell wall Natural penicillins are sensitive to what - Answers Streptococcus Some Enterococcus Some non-penicillinase producing Staphylococcus Aminopenicillin sensitivity - Answers Greater activity against gram-negative bacteria because of enhanced ability to penetrate the outer membrane organisms What are beta-lactams used for - Answers Gram negative urinary and GI pathogens •Escherichia coli, Proteus mirabilis, Salmonella, some Shigella species, and Enterococcus faecalis; active against the common gram-negative respiratory pathogens Moraxella catarrhalis (and Haemophilus influenzae type B) How do you broden the spectrum of beta lactams - Answers Combine with beta-lactamase inhibitors: Clavulanate Sulbactam Tazobactam True or false Few allergies are seen with beta-lactams - Answers False May cause serious immediate allergic reactions When will you seen an allergic reaction occur with beta lactams - Answers Within 2 to 30 minutes of administration What does the typical beta-lactam rash look like - Answers Maculopapular True or false The beta lactam maculopapular rash is allergic in origin - Answers False How often do rashes occur with beta-lactam use - Answers About 9% of the time When do rashes associated with beta-lactam use typically present - Answers 7-10 days into treatment SE with beta lactam use - Answers Diarrhea N/V True or false Adding clavulanate to beta lactams increases the risk of diarrhea - Answers True

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MN553 Unit 6 Exam Questions and Correct Answers Latest Update 2025 Already Passed

Causes of drug resistance - Answers Recent use of antibiotics



Over use of broad spectrum antibiotics



Age less than 2 years or greater than 65 years



Daycare center attendance



Exposure to young children



Multiple medical comorbidities



Immunosuppression

True or false




Every antibiotic class has resistant organisms - Answers True

How can your identify local resistance patterns - Answers By monitoring the antibiogram of the local
laboratory

What vaccine has decreased resistance in older populations - Answers Pneumococcal vaccine

Commitment - Answers Demonstrate dedication to and accountability for optimizing antibiotic
prescribing and patient safety

Action for policy and practice - Answers Implement at least one policy or practice to improve antibiotic
prescribing assess whether it is woking and modify as needed

Tracking and reporting - Answers Monitor antibiotic prescribing practices, and offer regular feedback to
clinicians or have clinicians assess their own antibiotic prescribing practices themselves

,Education and expertise - Answers Provide educational resources to clinicians and patients on antibiotic
prescribing and ensure access to needed expertise on optimizing antibiotic prescribing

Core elements of antibiotic stewardship - Answers Commitment



Action for policy and practice



Tracking and reporting



Education and expertise

Pharmacodynamics of beta-lactams (Penicillins) - Answers Inhibit the biosynthesis of peptidoglycan
bacterial cell wall

Natural penicillins are sensitive to what - Answers Streptococcus



Some Enterococcus



Some non-penicillinase producing Staphylococcus

Aminopenicillin sensitivity - Answers Greater activity against gram-negative bacteria because of
enhanced ability to penetrate the outer membrane organisms

What are beta-lactams used for - Answers Gram negative urinary and GI pathogens



•Escherichia coli, Proteus mirabilis, Salmonella, some Shigella species, and Enterococcus faecalis; active
against the common gram-negative respiratory pathogens Moraxella catarrhalis (and Haemophilus
influenzae type B)

How do you broden the spectrum of beta lactams - Answers Combine with beta-lactamase inhibitors:



Clavulanate

, Sulbactam



Tazobactam

True or false



Few allergies are seen with beta-lactams - Answers False



May cause serious immediate allergic reactions

When will you seen an allergic reaction occur with beta lactams - Answers Within 2 to 30 minutes of
administration

What does the typical beta-lactam rash look like - Answers Maculopapular

True or false



The beta lactam maculopapular rash is allergic in origin - Answers False

How often do rashes occur with beta-lactam use - Answers About 9% of the time

When do rashes associated with beta-lactam use typically present - Answers 7-10 days into treatment

SE with beta lactam use - Answers Diarrhea



N/V

True or false



Adding clavulanate to beta lactams increases the risk of diarrhea - Answers True



Can lead to C.diff

Beta lactam drug category during pregnancy - Answers Category B

Clinical use for beta lactams - Answers Commonly prescribed for infections seen in primary care

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