Practice Nurse Prescribers, 5th edition Woo
Robinson Tes Bank Revised J
Chapter 1. Drugs Used in Treating Bacterial Diseases
Multiple Choice
Identify the choice tha bes completes the statemen or answers the question
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, 1. Factors that place a patient at risk of developing an antimicrobial-resistant organism
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include:
1. Age over 50 years J J J
2. School attendance 3. J J Travel within the U.S. J J J
4. Inappropriate use of antimicrobials
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2. Providers should use an antibiogram when prescribing. An antibiogram is:
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1. The other name for the Centers for Disease Control guidelines for prescribing
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antibiotics
2. An algorithm used for prescribing antibiotics for certain infections
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3. The reference also known as the Pink Book, published by the Centers for Disease
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Control
4. A chart of the local resistance patterns to antibiotics developed by laboratories
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3.Infants and young children are at higher risk of developing antibiotic-resistant
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infections due to:
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1. Developmental differences in pharmacokinetics of the antibiotics in children J J J J J J J J
2. The fact that children this age are more likely to be in daycare
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and exposed topathogens from other children
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3. Parents of young children insisting on preventive antibiotics so they
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don’t miss workwhen their child is sick
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4. Immunosuppression from the multiple vaccines they receive in the first 2 years of life J J J J J J J J J J J J J
4. There is often cross-sensitivity and cross-resistance between penicillins and
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cephalosporins because: J
1. Renal excretion is similar in both classes of drugs.
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2. When these drug classes are metabolized in the liver they both
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produce resistantenzymes. J
3. Both drug classes contain a beta-lactam ring that is vulnerable to
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, beta-lactamase-producing organisms. J
4. There is not an issue with cross-resistance between the penicillins and
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cephalosporins.
5. Jonathan has been diagnosed with strep throat and needs a prescription for an
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antibiotic. He saysthe last time he had penicillin he developed a red, blotchy rash.
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An appropriate antibiotic to prescribe would be:
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1. Penicillin VK, because his rash does not sound like a serious rash
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2. Amoxicillin
3. Cefadroxil (Duricef) J
4. Azithromycin
6. Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary tract
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infection. Whatwould be the appropriate antibiotic to prescribe for her?
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1. Ciprofloxacin (Cipro) J
2. Amoxicillin (Trimox) J
3. Doxycycline
4. Trimethoprim-sulfamethoxazole (Septra) J
, 7. Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute
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otitis media. His parentscall the clinic and say he has developed diarrhea. The
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appropriate action would be to: J J J J
1. Advise the parents that some diarrhea is normal with amoxicillin and
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recommend probioticsdaily. J
2. Change the antibiotic to one that is less of a gastrointestinal irritant.
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3. Order stool cultures for suspected viral pathogens not treated by the amoxicillin.
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4. Recommend increased fluids and fiber in his diet. J J J J J J J
8. Lauren is a 13-year-old child who comes to clinic with a 4-day history of cough,
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low-grade fever, andrhinorrhea. When she blows her nose or coughs the mucous is
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greenish-yellow. The appropriate antibiotic to prescribe would be: J J J J J J J
1. Amoxicillin
2. Amoxicillin/clavulanate
3. TMP/SMZ (Septra) J
4. None
9. Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old
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and has no residualcardiac problems. She is now 28 and is requesting prophylactic
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antibiotics for an upcoming dental visit.The appropriate antibiotic to prescribe
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according to current American College of Cardiology and American Heart
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Association guidelines is: J J
1. None, no antibiotic is required for dental procedures
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2. Amoxicillin 2 grams 1 hour before the procedure J J J J J J J