NURSING MSN 571 TEST 2| LATEST ANSWERS

NURSING MSN 571 TEST 2| LATEST ANSWERS 1. Nystatin is used for variety of conditions. Which one is it not used for? Onychomycosis (nail fungus) use oral antifungal drugs Lamisil (Nystatin is used to treat thrush, intestinal candidas, vaginal and oral candidas ) 2. Vulvovaginal candidiasis can be treated with all of the following except? Amoxicillin PO x 7 days. This infection is associated with DM. Use all of these--Fluconazole, miconazole, clontrimazole 3. Which of the following leukocyte types are associated with hypersensitivity reactions? ALL OF THE Above (eosinophils, basophils neutrophils) 4. A patient begins Bactrim DS notify PCP if she notices Steven Johnsons syndrome (Rash, skin disorder, looks like a burn, blisters, fever, flu like symptoms) Can be exacerbated by pneumonia, herpes, HIV 5. Itraconazole is given to a 25 year old male, instruct the patient to… report any signs of liver injury such as jaundice, dark urine, light stool color, loss of appetite, STOP medication. 6. Severe adverse reaction to fluoroquinolones is… tendon rupture. Caution in use with older people, CKD, steroids. Extreme muscle weakness in pt with MG 7. At which of the following ages would it be safe to prescribe a tetracycline? 8 and older 8. Select the term that refers to an antibiotic that inhibit bacterial growth? Bacteriaostatic 9. Metronidazole can have disulfiram like effect if combined with: ALCOHOL. 10. The use of antihistamines should be prescribed with caution with which patient? 75 yo (avoid 3rd trimester pregnancy, elderly) 11. Patient tells you she needs an antihistamine for seasonal allergies that will not make her drowsy. Which one will you avoid? Zyrtec 12. Which answer is true regarding cephalosporins? Beta-lactam antibiotic 13. your pt has Symptoms of serious gram – infection. You want to give a cephalosporin while waiting or lab results- which one do you give? 3rd generation (ancef) or later ( 1st generation is good for orthopedics or skin infections, cephalexin is the oral name) 14. Patient diagnosed with otitis media with a perforated eardrum. You want to prescribe an otic preparation. Which one is NOT appropriate? Acetic Acid Otic (give ofloxacin, ciprofloxacin/hydrocortisone, ciprofloxacin/dexamethasone) 15. A 20-year-old patient presents to the clinic with nodulocystic acne. You prescribe Isotretinoin. What are special considerations? ALL of the above- obtain baseline LFT, pregnancy test, patient should sign papers saying they will not get pregnant. 16. Which is classified as a medium strength glucocorticoid? Mometasone (Elocon) 17. which of the following is known to increase the serum concentration of penicillin? Probenecid (prolongs ½ life) 18. Your patient is allergic to penicillin and sulfa medications. Which antibiotic can be given safely to your patient? Azithromycin (macrolide) Z-pack 19. Which antibiotic class can have chelation occur during absorption if calcium supplements or milk products or antacids are taken concurrently? Tetracyclines (at least one hour before to 2 hr after) 20. Patient has psoriasis, you can give all except Vitamin E analogs (glucocorticoids, tars, methotrexate) 21. Which route of administration is most liely to lead to rapid anaphylaxis if it is use to administer penicillin? IV 22. Which tetracycline can be administered with meals or milk? Minocycline 23. Which antibiotic is considered first line therapy for pediatric community acquired pneumonia? Amoxicillin 24. Which antibiotic is recommended for treatment of chlamydia/ high dose macrolide Azithromycin 25. The type of sulfonamide used to treat burns is silver sulfadiazine, Silvadene cream. 26. a 19yof is diagnosed with bacterial vaginosis. What is a common tx prescribed as tx? Metronidazole (Flagyl) 27. your first line treatment for scabies would be all of the following except – Lindane Permethrin first line treatment, Crotamiton over 6 yrs old, Malathion 28. your patient has the flu. Which is antiviral is used to treat influenza? Oseltamivir 29. which of the following antihistamines is the most sedating? Diphenhydramine Fexofenadine (allegra) Lortadine (claritin) Azelastine 30. A patient is diagnosed with impetigo, which topical medication will you prescribe? mupirocin (Bactroban) caused by staph 31. histamine 2 blockers work as a prophylaxis for development of gastric ulcers by which of the following mechanism? Reduction in gastric acid secretion 32. a 60-year-old patient presents at your local clinic. You decide to prescribe an H2 receptor antagonist and need to consider that the patient is on several other medications. Which would you want to avoid prescribing first? Cimetidine (Tagamet) (warfarin, phenytoin, lidocaine) 33. which is an adverse reaction of long-term use of most PPIs? Hypomagnesemia, fractures, osteoporosis ALL OF THE ABOVE 34. which of the following drug therapies would you prescribe to treat H pylori infections? Two antibiotics, one PPI, bismuth (Pepto-Bismol) (Bacterial infection of stomach, localized non