1|Page
NRNP 6566 WEEK1-5 Midterm Exam LATEST
UPDATED COMPLETE SOLUTIONS GRADED
A+||NEWEST EXAM!!!
Community Acquired Pneumonia - Common Pathogens -
Answer--S. pneumoniae
-Mycoplasma spp.
-H. influenzae
-Staphylococcus aureus
Community Acquired Pneumonia - 1st line treatment for
previously healthy adults and what to give if 1st drug didn't
work? - Answer-1st line: Amoxicillin, doxycycline and
macrolide (Azithromycin)
Second choice: Levaquin (Fluroquinolones)
Treatment for M. Pneumoniae in pediatric patients? -
Answer-Macrolides: Azithromycin, Erythromycin,
Clarithromycin
Treatment of community acquired pneumonia in
pregnancy - Answer-Amoxicillin, cephalosporins, or
erythromycin
,2|Page
If someone has been treated w/ an antibiotic in the
previous 90 days of contracting CAP, a quinolone would
be prudent choice to prescribe. Be familiar with drug
examples w/n the antibiotic class - Answer-"floxacin"
Genifloxacin
Ciprofloxacin
Treatment of chlamydial pneumonia in an infant? -
Answer-Erythromycin 12.5 mg/kg PO QID x 14 days
When to use a broad-spectrum anitbiotic? - Answer--
before cultures result
-critically ill patient
-empiric therapy
-pathogen is unknown or multiple types of bacteria
suspected
-Gram + cocci and Gram - Bacilli
Narrow-spectrum antibiotics - Answer--active against only
a few species of microogranisms
-used when pathogen is known
, 3|Page
-reduces risk of disruption of normal flora and
development of antibiotic resistance
-preferred when possible
-Gram + cocci, Gram - bacilli, gram - aerobes,
mycobacterium TB
Empiric antibiotics - What are they? - Answer-Broad
spectrum antibiotics
-Ciprofloxacin, timethoprim/sulfamethoxazole, Amoxicillin
When to prescribed empiric antibiotics - Answer--patient
has severe infection
-before test results are available
-based on clinical evaluation and knowledge of microbes
that are most likely causing the infection
C. Diff associated diarrhea - how to treat? - Answer-Stop
prior antibiotic and start Vancomycin or Fidaxomicin or
Metronidazole
Chart in Book
NRNP 6566 WEEK1-5 Midterm Exam LATEST
UPDATED COMPLETE SOLUTIONS GRADED
A+||NEWEST EXAM!!!
Community Acquired Pneumonia - Common Pathogens -
Answer--S. pneumoniae
-Mycoplasma spp.
-H. influenzae
-Staphylococcus aureus
Community Acquired Pneumonia - 1st line treatment for
previously healthy adults and what to give if 1st drug didn't
work? - Answer-1st line: Amoxicillin, doxycycline and
macrolide (Azithromycin)
Second choice: Levaquin (Fluroquinolones)
Treatment for M. Pneumoniae in pediatric patients? -
Answer-Macrolides: Azithromycin, Erythromycin,
Clarithromycin
Treatment of community acquired pneumonia in
pregnancy - Answer-Amoxicillin, cephalosporins, or
erythromycin
,2|Page
If someone has been treated w/ an antibiotic in the
previous 90 days of contracting CAP, a quinolone would
be prudent choice to prescribe. Be familiar with drug
examples w/n the antibiotic class - Answer-"floxacin"
Genifloxacin
Ciprofloxacin
Treatment of chlamydial pneumonia in an infant? -
Answer-Erythromycin 12.5 mg/kg PO QID x 14 days
When to use a broad-spectrum anitbiotic? - Answer--
before cultures result
-critically ill patient
-empiric therapy
-pathogen is unknown or multiple types of bacteria
suspected
-Gram + cocci and Gram - Bacilli
Narrow-spectrum antibiotics - Answer--active against only
a few species of microogranisms
-used when pathogen is known
, 3|Page
-reduces risk of disruption of normal flora and
development of antibiotic resistance
-preferred when possible
-Gram + cocci, Gram - bacilli, gram - aerobes,
mycobacterium TB
Empiric antibiotics - What are they? - Answer-Broad
spectrum antibiotics
-Ciprofloxacin, timethoprim/sulfamethoxazole, Amoxicillin
When to prescribed empiric antibiotics - Answer--patient
has severe infection
-before test results are available
-based on clinical evaluation and knowledge of microbes
that are most likely causing the infection
C. Diff associated diarrhea - how to treat? - Answer-Stop
prior antibiotic and start Vancomycin or Fidaxomicin or
Metronidazole
Chart in Book
