Naplex - Infectious Disease (ID) Real Exam Questions With Accurate Solution Rated A+

Naplex - Infectious Disease (ID) Real
Exam Questions With Accurate Solution
Rated A+

- True or false: Carbapenems (ex. ertapenem) are typically broad spectrum. -
CORRECT ANSWER-- True! (cover gram-positive and gram-negative anaerobes)



(ex. ertapenem (Invanz), imipenem (Primaxin), doripenem (Doribax), meropenem
(Merrem))



- Bactrim works best ________ (taken with food or on an empty stomach). - CORRECT
ANSWER-- Bactrim works best "on an empty stomach". (take with a full glass of water,
and counsel patient that Bactrim increases photosensitivity, so be careful out in the sun)



- The generic name for VFEND is ___________. - CORRECT ANSWER-- The generic
name for VFEND is "voriconazole". (this medication can cause vision changes and
hepatotoxicity) (also, take voriconazole on an EMPTY STOMACH 1 hour before or after
a meal)



(voriconazole is the drug of choice for Aspergillosis)



- All tetracyclines should be AVOIDED in children under ___ years old due to
discoloration of teeth and bone retardation. - CORRECT ANSWER-- All tetracyclines
should be AVOIDED in children under "8" years old due to discoloration of teeth and
bone retardation.



- Outpatient community acquired pneumonia in healthy individuals is typically treated
with a macrolide antibiotic, usually _________ (drug), or _________ (drug) can be used
as an alternative. - CORRECT ANSWER-- Outpatient community acquired pneumonia
in healthy individuals is typically treated with a macrolide antibiotic, usually
"azithromycin", or "doxycycline" can be used as an alternative.

,- True or false: Once-daily extended-interval dosing of aminoglycosides is cost effective
and helps to reduce nephrotoxicity risk. - CORRECT ANSWER-- True! (the dosing for
both tobramycin and gentamicin is 4-7 mg/kg/day)



(for amikacin, the dosing is 15 mg/kg/day)



- Phenazopyridine is a urinary analgesic used in UTI treatment and can be purchased
OTC under the brand name _________. - CORRECT ANSWER-- Phenazopyridine is a
urinary analgesic used in UTI treatment and can be purchased OTC under the brand
name "Azo". (do NOT use for more than 2-3 days) (also, this medication can cause a
harmless red-orange discoloration of the urine and may stain clothing)



(if the pain does NOT subside after 2 days of taking phenazopyridine, the patient should
contact their physician to seek further care)



- True or false: Cephalexin (Keflex) can be safely used during pregnancy to treat a UTI.
- CORRECT ANSWER-- True!



- If vancomycin is infused too quickly, it can cause __________. - CORRECT
ANSWER-- If vancomycin is infused too quickly, it can cause "Redman's syndrome".
(erythematous rash, large drop in blood pressure, pruritis, angioedema, dyspnea)



- Isoniazid is a hepatic enzyme ________ (inducer or inhibitor) and should be taken on
an empty stomach. - CORRECT ANSWER-- Isoniazid is a hepatic enzyme "inhibitor"
and should be taken on an empty stomach. (monitor liver function and vision changes)
(the oral solution can be stored at room temperature)



- The _______ (1st or 3rd) generation cephalosporins have strong Gram-positive
coverage. - CORRECT ANSWER-- The "1st" generation cephalosporins have strong
Gram-positive coverage.



(1st generation include cephalexin (Keflex), cefadroxil (Duricef), and cefazolin (Ancef))



The three 1st generation cephalosporins:

, - __________

- __________

- __________ - CORRECT ANSWER-The three 1st generation cephalosporins:

- "Cephalexin (Keflex)"

- "Cefadroxil (Duricef)"

- "Cefazolin (Ancef)" --> IV only



(the 1st generation cephalosporins have good Gram-positive coverage and weak Gram-
negative coverage)



- Bactrim SS contains __________ and Bactrim DS contains ___________. -
CORRECT ANSWER-- Bactrim SS contains "80 mg TMP/400 mg SMX" and Bactrim
DS contains "160 mg TMP/800 mg SMX". (the dosing is always written based on the
trimethoprim (smaller) component)



- When dosing Bactrim, the dosing is always based on the _______ (TMP or SMX)
component. - CORRECT ANSWER-- When dosing Bactrim, the dosing is always based
on the "trimethoprim (TMP)" component.



- Aztreonam is only effective against Gram-______ (negative or positive) organisms. -
CORRECT ANSWER-- Aztreonam is only effective against Gram-"negative" organisms.



- Pyrazinamide is used in the treatment of __________. - CORRECT ANSWER--
Pyrazinamide is used in the treatment of "tuberculosis". (it can cause hepatotoxicity and
is contraindicated in patients with acute gout)



- If a patient is getting 2 g vancomycin infused IV, it should be infused over a minimum
of ______ (time). - CORRECT ANSWER-- If a patient is getting 2 g vancomycin infused
IV, it should be infused over a minimum of "2 hours". (often, the infusion will be given
over a longer period)



- Oritavancin and dalbavancin are both approved to treat MRSA and MSSA; oritavancin
is given as a ____-time dose and dalbavancin is given as a ____-time dose. -
CORRECT ANSWER-- Oritavancin and dalbavancin are both approved to treat MRSA