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QUESTIONS WITH DETAILED VERIFIED ANSWERS
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Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is generally
healthy and has no drug allergies. Appropriate initial therapy for her UTI would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Ceftriaxone
4. Ciprofloxacin - ANSWER - Ceftriaxone
Monitoring for a healthy, nonpregnant adult patient being treated for a UTI is:
1. symptom resolution in 48 hours
2. follow up urine culture at completion of therapy
3. "test of cure" urinary analysis at completion of therapy
4. follow-up urine culture 2 months after completion of therapy - ANSWER - Symptom
resolution in 48 hours
Monitoring for a child who has had a UTI is:
1. symptom resolution in 48 hours
2. follow up urine culture at completion of therapy
3. "test of cure" urinary analysis at completion of therapy
4. follow-up urine culture 2 months after completion of therapy - ANSWER - Follow up
UC at completion of therapy
pg. 1
,Monitoring for a pregnant woman who has had a UTI is:
1. symptom resolution in 48 hours
2. follow up urine culture at completion of therapy
3. "test of cure" urinary analysis at completion of therapy
4. follow-up urine culture every 2 weeks until delivery - ANSWER - Follow up UC every
2 weeks until delivery
Along with antibiotic prescription, lifestyle education for a nonpregnant adult female who
has had a UTI includes:
1. increasing her intake of vitamin C containing OJ
2. voiding 10-15 min after sex
3. avoiding ingesting urinary irritants, such as asparagus
4. all of the above - ANSWER - Voiding 10-15 min after sex
Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary tract infection.
What would be the appropriate antibiotic to prescribe for her?
1. Ciprofloxacin (Cipro)
2. Amoxicillin (Trimix)
3. Doxycycline
4. Trimethoprim-sulfamethoxazole (Setra) - ANSWER - 2. Amoxicillin (Trimix)
Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute otitis
media. His parents call the clinic and say he has developed diarrhea. The appropriate
action would be to:
1. Advise the parents that some diarrhea is normal with amoxicillin and recommend
probiotics daily.
2. Change the antibiotic to one that is less of a gastrointestinal irritant.
3. Order stool cultures for suspected viral pathogens not treated by the amoxicillin.
pg. 2
,4. Recommend increased fluids and fiber in his diet. - ANSWER - 1. Advise the parents
that some diarrhea is normal with amoxicillin and recommend probiotics daily.
Lauren is a 13-year-old child who comes to clinic with a 4-day history of cough, low-
grade fever, and rhinorrhea. When she blows her nose or coughs the mucous is
greenish-yellow. The appropriate antibiotic to prescribe would be:
1. Amoxicillin
2. Amoxicillin/clavulanate
3. TMP/SMZ (Setra)
4. None - ANSWER - 4. None
Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old
and has no residual cardiac problems. She is now 28 and is requesting prophylactic
antibiotics for an upcoming dental visit. The appropriate antibiotic to prescribe according
to current American College of Cardiology and American Heart Association guidelines
is:
1. None, no antibiotic is required for dental procedures
2. Amoxicillin 2 grams 1 hour before the procedure
3. Ampicillin 2 grams IM or IV 30 minutes before the procedure
4. Azithromycin 1 gram 1 hour before the procedure - ANSWER - 1. None, no antibiotic
is required for dental procedures
To prevent further development of antibacterial resistance it is recommended that
fluoroquinolone be reserved for the treatment of:
1. UTI in young women
2. URI in adults
3. skin and soft tissue infections in adults
4. CA-PNA in patients with comorbidities - ANSWER - 4. CA-PNA in patients with
comorbidities
Fluoroquinolone have a black box warning regarding _______ even months after
treatment.
pg. 3
, 1. renal dysfunction
2. hepatic toxicity
3. tendon rupture
4. development of glaucoma - ANSWER - 3. tendon rupture
Janet was recently treated with clindamycin for an infection. She calls the advice nurse
because she is having frequent diarrhea that she thinks may have blood in it. What
would be the appropriate care for her?
1. Encourage increased fluids and fiber.
2. Assess her for pseudomembranous colitis.
3. Advise her to eat yogurt daily to help restore her gut bacteria.
4. Start her on an antidiarrheal medication. - ANSWER - 2. Assess her for
pseudomembranous colitis.
Keng has chronic hepatitis that has led to mildly impaired liver function. He has an
infection that would be best treated by a macrolide. Which would be the best choice for
a patient with liver dysfunction?
1. Azithromycin (Zithromax)
2. Clarithromycin (Biaxin)
3. Erythromycin (E-mycin)
4. None of the above - ANSWER - 3. Erythromycin (E-mycin)
Jamie has glucose-6-phosphate dehydrogenase deficiency (G6PD) and requires an
antibiotic. Which class of antibiotics should be avoided in this patient?
1. Penicillin’s
2. Macrolides
3. Cephalosporins
4. Sulfonamides - ANSWER - 4. Sulfonamides
pg. 4