NR566 / NR 566 Midterm Exam Advanced Pharmacology for
Care of the Family
Expected Questions and Verified Answers
1. Community Acquired Pneumonia - Common Pathogens: -S. pneumoniae
-Mycoplasma spp.
-H. influenzae
-Staphylococcus aureus
2. Community Acquired Pneumonia - 1st line treatment for previously
healthy adults and what to give if 1st drug didn't work?: 1st line:
Amoxicillin, doxycycline and macrolide (Azithromycin)
Second choice: Levaquin (Fluroquinolones)
1/
9
,3. Treatment for M. Pneumoniae in pediatric patients?:
Macrolides: Azithromycin, Erythromycin, Clarithromycin
4. Treatment of community acquired pneumonia in pregnancy:
Amoxicillin, cephalosporins, or erythromycin
5. If someone has been treated w/ an antibiotic in the previous 90 days of
con- tracting CAP, a quinolone would be prudent choice to prescribe. Be
familiar with drug examples w/n the antibiotic class: "floxacin"
Genifloxacin Ciprofloxacin
6. Treatment of chlamydial pneumonia in an infant?: Erythromycin 12.5
mg/kg PO QID x 14 days
2/
9
, 7. When to use a broad-spectrum anitbiotic?: -before cultures result
-critically ill patient
-empiric therapy
-pathogen is unknown or multiple types of bacteria suspected
-Gram + cocci and Gram – Bacilli
8. Narrow-spectrum antibiotics: -active against only a few
species of mi- croogranisms
-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
9. Empiric antibiotics - What are they?: Broad spectrum antibiotics
-Ciprofloxacin, timethoprim/sulfamethoxazole, Amoxicillin
3/
9
Care of the Family
Expected Questions and Verified Answers
1. Community Acquired Pneumonia - Common Pathogens: -S. pneumoniae
-Mycoplasma spp.
-H. influenzae
-Staphylococcus aureus
2. Community Acquired Pneumonia - 1st line treatment for previously
healthy adults and what to give if 1st drug didn't work?: 1st line:
Amoxicillin, doxycycline and macrolide (Azithromycin)
Second choice: Levaquin (Fluroquinolones)
1/
9
,3. Treatment for M. Pneumoniae in pediatric patients?:
Macrolides: Azithromycin, Erythromycin, Clarithromycin
4. Treatment of community acquired pneumonia in pregnancy:
Amoxicillin, cephalosporins, or erythromycin
5. If someone has been treated w/ an antibiotic in the previous 90 days of
con- tracting CAP, a quinolone would be prudent choice to prescribe. Be
familiar with drug examples w/n the antibiotic class: "floxacin"
Genifloxacin Ciprofloxacin
6. Treatment of chlamydial pneumonia in an infant?: Erythromycin 12.5
mg/kg PO QID x 14 days
2/
9
, 7. When to use a broad-spectrum anitbiotic?: -before cultures result
-critically ill patient
-empiric therapy
-pathogen is unknown or multiple types of bacteria suspected
-Gram + cocci and Gram – Bacilli
8. Narrow-spectrum antibiotics: -active against only a few
species of mi- croogranisms
-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
9. Empiric antibiotics - What are they?: Broad spectrum antibiotics
-Ciprofloxacin, timethoprim/sulfamethoxazole, Amoxicillin
3/
9
