Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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A 77-year-old woman was started on antibiotics for pneu-
monia treatment. After 3 days of antibiotic therapy, the
serum creatinine doubled. Which of the following antibi-
otics is most likely responsible for this increase in serum
creatinine? C. Tobramycin
A. Doxycycline
B. Clarithromycin
C. Tobramycin
D. Linezolid
A 24-year-old pregnant woman was diagnosed with com-
munity-acquired pneumonia and will be managed in the
outpatient setting. Which antibiotic is a safe option for this
patient to treat her pneumonia?
A. Azithromycin
A. Azithromycin
B. Doxycycline
C. Fidaxomicin
D. Gentamicin
Parents of a 1-month-old baby are told their child de-
veloped "gray baby syndrome." Which of the following
antibiotics did the baby likely receive?
A. Tobramycin D. Chloramphenicol
B. Linezolid
C. Erythromycin
D. Chloramphenicol
Aminoglycosides are commonly used for their concentra-
tion-dependent bactericidal activity against which group
of organisms? B. Gram-negative aerobes
A. Gram-positive aerobes
B. Gram-negative aerobes
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Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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C. Gram-positive anaerobes
D. Gram-negative anaerobes
An 18-year-old male college student presents to the
emergency room with a fever of 103°F and stitt neck for
the past 3 h. After a lumbar puncture and Gram stain,
the diagnosis of meningococcal meningitis is established.
Unfortunately, his college did not require students to have
the meningococcal vaccine. What prophylaxis should be
D. Rifampin
given to his close contacts in the dorm?
A. Benzathine penicillin G
B. Ceftriaxone
C. Penicillin
D. Rifampin
E. Trimethoprim-sulfamethoxazole
A 26-year-old sexually active HIV-negative man presents
to his primary care physician with a nonpruritic macu-
lopapular rash on his palms. He reports that about 6
weeks ago, he developed a onpainful ulcer on his penis
that healed spontaneously. He is injected with a single
dose of benzathine penicillin G intramuscularly and sent
home. What, if anything, should have been done ditter-
ently for this patient's care?
C. Nothing--the course of action taken is entirely appro-
A. A ditterent antibiotic class should have been used
priate
B. A ditterent preparation of penicillin G (not benzathine)
should have been used
C. Nothing--the course of action taken is entirely appro-
priate
D. Penicillin V should have been given instead of penicillin
G
E. The first shot should have been followed with a second
dose 1 week later
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Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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A 32-year-old G2P1001 woman at 36 weeks gestation
presents to the emergency room with a high fever. The
fever started 2 days ago and has progressively worsened.
It has been associated with chills, nausea, vomiting, and
full body aches. The resident suggests starting trimetho-
prim-sulfamethoxazole as part of the empiric coverage of
her infection until blood cultures return. What side ettect
D. Kernicterus
would be a contraindication to starting trimethoprim-sul-
famethoxazole in a pregnant woman?
A. Cartilage damage in fetus
B. Discoloration of teeth
C. Gray baby syndrome
D. Kernicterus
E. Ototoxicity
A 21-year-old woman college student presents to an ur-
gent care clinic with vaginal discharge for the past 3
days. The whitish discharge has a foul odor. A wet prep
of the discharge shows squamous cells surrounded by
rod-shaped bacteria. The addition of KOH produces a
posiitve whitt test. What is the most appropriate for this
C. Metroniadazole
patient?
A. Ceftriaxone
B. Doxycycline
C. Metroniadazole
D. Penicillin
E. Trimethoprim-sulfamethoxazole
A 24-year-old sexually active woman presents with vagi-
nal itching and a greenish, frothy vaginal discharge. Her
boyfriend is asymptomatic. She is prescribed with metro-
niadazole for Trichomonas infection. Which of the follow-
ing is involved in metroniadazole's action?
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A. Blocking folic acid synthesis
B. Disruption of DNA
C. Inhibition of PBPs B. Disruption of DNA
D. Inhibition of ribosomes
E. Inhibition of topoisomerase
A 24-year-old woman comes to the emergency depart-
ment presenting with flank pain and high fever. The pain
and fever have been associated with dysuria and in-
creased frequency of urination. She is diagnosed with
pyelonephritis and placed on IV antibiotics. After a couple
of days, she develops ringing in her ears and feels un-
balanced on her feet. What antibiotic was she most likely C. Gentamicin
given?
A. Ceftriaxone
B. Ciprofloxacin
C. Gentamicin
D. Trimethoprim-sulfamethoxazole
E. Tetracycline
A 22-year-old African American man who is a college
student plans to travel to Africa for a semester of study
abroad. A university student health physician prescribes a
drug for malaria prophylaxis starting 2 weeks before the
trip. Soon after starting the regimen, the patient develops
scleral icterus. Which drug was he most likely given? C. Chloroquine
A. Amoxicillin
B. Atovaquone
C. Chloroquine
D. Doxycycline
E. Mefloquine
A 12-year-old boy with meningitis is hospitalized on the
pediatrics floor to receive intravenous antibiotics. He is