Nr 566 Midterm Questions And Answers
What bpathogen bis bhighly bassociated bwith bCAP bin bgeneral bpopulation? b- bcorrect
banswers✔✔streptococcus bpneumoniae
Other bcommon bpathogens bwith bCAP b- bcorrect banswers✔✔atypical bbacteria
b(mycoplasma bpneumonia)
viruses b(influenza, brespiratory bsyncytial bvirus)
First bline btreatment bCAP bin bprevious bhealthy badults b- bcorrect
banswers✔✔Amoxicillin, bdoxycycline, bmacrolides b(DAM)
Treatment bof bCAP bin bpregnancy b- bcorrect banswers✔✔amoxicillin, bcephalosporins,
berythromycin b(ACE)
Treatment bfor bmycoplasma bpneumonia bin bthe bpediatric bpatient b- bcorrect
banswers✔✔Macrolides b(erythromycin, bclarithromycin, bazithromycin)
treatment bof bchlamydial bpneumonia bin binfant b- bcorrect banswers✔✔Erythromycin
bbase/ethylsuccinate
Broad bspectrum bantibiotics b- bwhen bto buse? b- bcorrect banswers✔✔empiric btherapy
When byou bdon't bknow bwhich bbacteria bit bis
more blikely bto bfacilitate bemergence bof bdrug-resistant borganisms band bsuperinfections
prescribe bthese bbefore bculture bresults bback
suspects bpatient bhas bUTI
Narrow bspectrum bantibiotics b- bwhen bto buse? b- bcorrect banswers✔✔When bthe
bpathogen bis bknown
Preferred
What bare bempiric bantibiotics? b- bcorrect banswers✔✔Broad bSpectrum bantibiotics bthat
bare bgiven bBEFORE bthe bresults bare bin bfor bcertain bcircumstances.
Also bcan bbe bprescribed bwhen bthe bNP bbelieves bit bis ba bcertain bdisease.
A)Prescription bfor ban bantibiotic bfor bsevere binfection bbased bon bknowledge
B)Prescription bof ban bantibiotic bfor bsevere binfection bbased bon bclinical bevaluation
C)Prescription bof bantibiotic bfor bsevere binfection bbased bon bmost blikely bcausative
bagent
, When bto bprescribe bempiric bantibiotics? b- bcorrect banswers✔✔E bfor bEmergency
E bfor benticpation
Embulatory bpatients
Pt bhas bsevere binfxn, binitiate btreatment bbefore btest bresults bavailable
How bto btreat bC bDiff b- bcorrect banswers✔✔Stop btaking bthe babx bthat bcaused bit
flagyl band bvancomycin
Drug bclass bknown bfor ball bdrugs bin bclass bto bpromote bdevelopment bof bC bdiff b-
bcorrect banswers✔✔cephalosporins b(especially bsecond bor bthird bgenerations)
Penicillin's bhave bcross-sensitivity bwith bwhich bdrug bclass? b- bcorrect
banswers✔✔cephalosporins
Can byou btake bpenicillin's bif bpregnant? b- bcorrect banswers✔✔Yes
Can byou bprescribe bcephalosporins bif bpregnant? b- bcorrect banswers✔✔yes
Patient beducation bneeded bfor bcephalosporins b- bcorrect banswers✔✔Can bpromote bC
bdiff, binstruct bpatients bto breport bincrease bin bstool bfrequency
Can byou bprescribe btetracyclines bin bpregnant bpatients b- bcorrect banswers✔✔No b-
bcan bcause btooth bstaining
Patient beducation bfor btetracyclines b- bcorrect banswers✔✔Photosensitivity. bAdvise
bpatients bto bavoid bprolonged bexposure bto bsunlight, bto bwear bprotective bclothing,
band bto bapply bsunscreen bto bexposed bskin/avoid btanning bbeds. b
Instruct bpatients bnot bto btake bthis bmedication btogether bwith bcalcium bsupplements,
bmilk bproducts, biron bsupplements, bmagnesium-containing blaxatives, band bmost
bantacids. b
Advise bpatients bto bnotify bthe bprovider bif bdiarrhea boccurs, bas bthis bis ban bindication
bof bpotentially blife-threatening bsuperinfection bof bthe bbowel.
Macrolides bpatient beducation b- bcorrect banswers✔✔increased brisk bof bTorsades bdue
bto bprolonged bQT
Which bmacrolide bis bok bfor bpregnancy? b- bcorrect banswers✔✔erythromycin
Aminoglycosides bpatient beducation b(ex. bgentamicin, btobramycin, bamikacin) b- bcorrect
banswers✔✔use bis bassociated bwith bototoxicity band bnephrotoxicity
Prescribing bsulfonamides bduring bpregnancy b- bcorrect banswers✔✔not bsafe
b(especially bin bfirst btrimester)- bcauses bbirth bdefects
What bpathogen bis bhighly bassociated bwith bCAP bin bgeneral bpopulation? b- bcorrect
banswers✔✔streptococcus bpneumoniae
Other bcommon bpathogens bwith bCAP b- bcorrect banswers✔✔atypical bbacteria
b(mycoplasma bpneumonia)
viruses b(influenza, brespiratory bsyncytial bvirus)
First bline btreatment bCAP bin bprevious bhealthy badults b- bcorrect
banswers✔✔Amoxicillin, bdoxycycline, bmacrolides b(DAM)
Treatment bof bCAP bin bpregnancy b- bcorrect banswers✔✔amoxicillin, bcephalosporins,
berythromycin b(ACE)
Treatment bfor bmycoplasma bpneumonia bin bthe bpediatric bpatient b- bcorrect
banswers✔✔Macrolides b(erythromycin, bclarithromycin, bazithromycin)
treatment bof bchlamydial bpneumonia bin binfant b- bcorrect banswers✔✔Erythromycin
bbase/ethylsuccinate
Broad bspectrum bantibiotics b- bwhen bto buse? b- bcorrect banswers✔✔empiric btherapy
When byou bdon't bknow bwhich bbacteria bit bis
more blikely bto bfacilitate bemergence bof bdrug-resistant borganisms band bsuperinfections
prescribe bthese bbefore bculture bresults bback
suspects bpatient bhas bUTI
Narrow bspectrum bantibiotics b- bwhen bto buse? b- bcorrect banswers✔✔When bthe
bpathogen bis bknown
Preferred
What bare bempiric bantibiotics? b- bcorrect banswers✔✔Broad bSpectrum bantibiotics bthat
bare bgiven bBEFORE bthe bresults bare bin bfor bcertain bcircumstances.
Also bcan bbe bprescribed bwhen bthe bNP bbelieves bit bis ba bcertain bdisease.
A)Prescription bfor ban bantibiotic bfor bsevere binfection bbased bon bknowledge
B)Prescription bof ban bantibiotic bfor bsevere binfection bbased bon bclinical bevaluation
C)Prescription bof bantibiotic bfor bsevere binfection bbased bon bmost blikely bcausative
bagent
, When bto bprescribe bempiric bantibiotics? b- bcorrect banswers✔✔E bfor bEmergency
E bfor benticpation
Embulatory bpatients
Pt bhas bsevere binfxn, binitiate btreatment bbefore btest bresults bavailable
How bto btreat bC bDiff b- bcorrect banswers✔✔Stop btaking bthe babx bthat bcaused bit
flagyl band bvancomycin
Drug bclass bknown bfor ball bdrugs bin bclass bto bpromote bdevelopment bof bC bdiff b-
bcorrect banswers✔✔cephalosporins b(especially bsecond bor bthird bgenerations)
Penicillin's bhave bcross-sensitivity bwith bwhich bdrug bclass? b- bcorrect
banswers✔✔cephalosporins
Can byou btake bpenicillin's bif bpregnant? b- bcorrect banswers✔✔Yes
Can byou bprescribe bcephalosporins bif bpregnant? b- bcorrect banswers✔✔yes
Patient beducation bneeded bfor bcephalosporins b- bcorrect banswers✔✔Can bpromote bC
bdiff, binstruct bpatients bto breport bincrease bin bstool bfrequency
Can byou bprescribe btetracyclines bin bpregnant bpatients b- bcorrect banswers✔✔No b-
bcan bcause btooth bstaining
Patient beducation bfor btetracyclines b- bcorrect banswers✔✔Photosensitivity. bAdvise
bpatients bto bavoid bprolonged bexposure bto bsunlight, bto bwear bprotective bclothing,
band bto bapply bsunscreen bto bexposed bskin/avoid btanning bbeds. b
Instruct bpatients bnot bto btake bthis bmedication btogether bwith bcalcium bsupplements,
bmilk bproducts, biron bsupplements, bmagnesium-containing blaxatives, band bmost
bantacids. b
Advise bpatients bto bnotify bthe bprovider bif bdiarrhea boccurs, bas bthis bis ban bindication
bof bpotentially blife-threatening bsuperinfection bof bthe bbowel.
Macrolides bpatient beducation b- bcorrect banswers✔✔increased brisk bof bTorsades bdue
bto bprolonged bQT
Which bmacrolide bis bok bfor bpregnancy? b- bcorrect banswers✔✔erythromycin
Aminoglycosides bpatient beducation b(ex. bgentamicin, btobramycin, bamikacin) b- bcorrect
banswers✔✔use bis bassociated bwith bototoxicity band bnephrotoxicity
Prescribing bsulfonamides bduring bpregnancy b- bcorrect banswers✔✔not bsafe
b(especially bin bfirst btrimester)- bcauses bbirth bdefects
