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NR 568 Week 4 Midterm Exam

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NR 568 Week 4 Midterm Exam

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1. What is the causative agent for general population CAP?
a. Strep. Pneumoniae

2. What is the causative agent for smokers and COPD CAP?
a. H. Influenzae

3. What is the causative agent for CF CAP?
a. Pseudomonas aeruginosa

4. What is the causative agent for atypical CAP?
a. Mycoplasma pneumoniae

5. What are the first line treatment options for CAP?
a. Macrolides
b. Doxycycline
c. Amoxicillin

6. Which is the gold standard diagnostic test for CAP?
a. CXR

7. When is it appropriate to prescribe a Fluoroquinolone for CAP?
a. For medication resistance (Failed with macrolides/doxycycline/amoxicillin)

8. What is the treatment for chlamydial pneumoniae?
a. Macrolide (Azithromycin)

9. When is empirical use of antibiotics used?
a. Critically ill
b. Hospitalized
c. Ambulatory patients based on S&S PO

10. When are targeted antibiotics used?
a. Once microbiology (culture) results are available

11. When are becterioCIDAL agents preferred?
a. Immunocompromised
b. Critically ill

12. When are basterioSTATIC agents preferred?
a. Stable/ambulatory

13. What are broad-spectrum medications?
a. Target WIDE number of bacteria (gram +/-)
b. Usually used as empiric treatment

, 14. What are narrow-spectrum medications?
a. Effective against specific bacteria type
b. Used when pathogen is known

15. What are the narrow-spectrum antibiotics?
a. Glycosamide—Vancomycin

16. If a patient is allergic to PCN which abx class would you use?
a. Cephalosporins
b. Carbapenems
c. Aminoglycosides
***Other Beta-Lactams

17. If a patient is allergic to sulfa drugs which abx would you use?
a. Nitrofurantoin

18. How do you TREAT C. diff?
a. Flagyl and Vancomycin

19. Which abx are likely to CAUSE C. diff?
a. Cephalosporins
b. Clindamycin (Lincosamide)
c. Fluoroquinolones
d. Some PCN

20. Which abx require renal dosing adjustments?
a. Cephalexin
b. Amoxicillin
c. Ciprofloxacin
d. Levofloxacin
e. Nitrofurantoin
f. Bactrim
g. Zosyn

21. What types of infections are usually viral, and do not warrant abx agents?
a. Common cold
b. Sinusitis
c. Bronchitis
d. Some ear/eye infections
e. Viral infections (Flu, COVID, Herpes, etc.)

22. What does taking Voriconazole and Phenobarbital (CYP450) do?
a. Reduces the drug levels of Voriconazole

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