NR 566 MIDTERM EXAM (2 LATEST VERSIONS 2024-2025) /
NR566 MIDTERM EXAM REVIEW /LATEST ADVANCED
PHARMACOLOGY FOR CARE OF FAMILY|AGRADE
Community Acquired Pneumonia - Common Pathogens - correct answer --S. pneumoniae
-Mycoplasma spp.
-H. influenzae
-Staphylococcus aureus
Community Acquired Pneumonia - 1st line treatment for previously healthy adults and what to
give if 1st drug didn't work? - correct answer -1st line: Amoxicillin, doxycycline and macrolide
(Azithromycin)
Second choice: Levaquin (Fluroquinolones)
Treatment for M. Pneumoniae in pediatric patients? - correct answer -Macrolides:
Azithromycin, Erythromycin, Clarithromycin
Treatment of community acquired pneumonia in pregnancy - correct answer -Amoxicillin,
cephalosporins, or erythromycin
If someone has been treated w/ an antibiotic in the previous 90 days of contracting CAP, a
quinolone would be prudent choice to prescribe. Be familiar with drug examples w/n the
antibiotic class - correct answer -"floxacin"
Genifloxacin
Ciprofloxacin
Treatment of chlamydial pneumonia in an infant? - correct answer -Erythromycin 12.5 mg/kg
PO QID x 14 days
, When to use a broad-spectrum anitbiotic? - correct answer --before cultures result
-critically ill patient
-empiric therapy
-pathogen is unknown or multiple types of bacteria suspected
-Gram + cocci and Gram - Bacilli
Narrow-spectrum antibiotics - correct answer --active against only a few species of
microogranisms
-used when pathogen is known
-reduces risk of disruption of normal flora and development of antibiotic resistance
-preferred when possible
-Gram + cocci, Gram - bacilli, gram - aerobes, mycobacterium TB
Empiric antibiotics - What are they? - correct answer -Broad spectrum antibiotics
-Ciprofloxacin, timethoprim/sulfamethoxazole, Amoxicillin
When to prescribed empiric antibiotics - correct answer --patient has severe infection
-before test results are available
-based on clinical evaluation and knowledge of microbes that are most likely causing the
infection
C. Diff associated diarrhea - how to treat? - correct answer -Stop prior antibiotic and start
Vancomycin or Fidaxomicin or Metronidazole
Chart in Book
Drug class known for ALL drugs in class to promote development of C. Diff - correct answer --
Cephalosporins
NR566 MIDTERM EXAM REVIEW /LATEST ADVANCED
PHARMACOLOGY FOR CARE OF FAMILY|AGRADE
Community Acquired Pneumonia - Common Pathogens - correct answer --S. pneumoniae
-Mycoplasma spp.
-H. influenzae
-Staphylococcus aureus
Community Acquired Pneumonia - 1st line treatment for previously healthy adults and what to
give if 1st drug didn't work? - correct answer -1st line: Amoxicillin, doxycycline and macrolide
(Azithromycin)
Second choice: Levaquin (Fluroquinolones)
Treatment for M. Pneumoniae in pediatric patients? - correct answer -Macrolides:
Azithromycin, Erythromycin, Clarithromycin
Treatment of community acquired pneumonia in pregnancy - correct answer -Amoxicillin,
cephalosporins, or erythromycin
If someone has been treated w/ an antibiotic in the previous 90 days of contracting CAP, a
quinolone would be prudent choice to prescribe. Be familiar with drug examples w/n the
antibiotic class - correct answer -"floxacin"
Genifloxacin
Ciprofloxacin
Treatment of chlamydial pneumonia in an infant? - correct answer -Erythromycin 12.5 mg/kg
PO QID x 14 days
, When to use a broad-spectrum anitbiotic? - correct answer --before cultures result
-critically ill patient
-empiric therapy
-pathogen is unknown or multiple types of bacteria suspected
-Gram + cocci and Gram - Bacilli
Narrow-spectrum antibiotics - correct answer --active against only a few species of
microogranisms
-used when pathogen is known
-reduces risk of disruption of normal flora and development of antibiotic resistance
-preferred when possible
-Gram + cocci, Gram - bacilli, gram - aerobes, mycobacterium TB
Empiric antibiotics - What are they? - correct answer -Broad spectrum antibiotics
-Ciprofloxacin, timethoprim/sulfamethoxazole, Amoxicillin
When to prescribed empiric antibiotics - correct answer --patient has severe infection
-before test results are available
-based on clinical evaluation and knowledge of microbes that are most likely causing the
infection
C. Diff associated diarrhea - how to treat? - correct answer -Stop prior antibiotic and start
Vancomycin or Fidaxomicin or Metronidazole
Chart in Book
Drug class known for ALL drugs in class to promote development of C. Diff - correct answer --
Cephalosporins
