Along with antibiotic prescription, lifestyle education for a nonpregnant adult female who
has had a UTI includes:
1. increasing her intake of vitamin
... [Show More] C containing OJ
2. voiding 10-15 min after sex
3. avoiding ingesting urinary irritants, such as asparagus
4. all of the above ----------- Correct Answer ---------- Voiding 10-15 min after sex
Which nutritional deficiencies are associated with long term use of PPIs? ----------
Correct Answer ---------- Hypocalcemia, hypomagnesia, and B12.
What are the risks of short-term use of PPIs? ---------- Correct Answer ---------- Risk of
community associated pneumonia (CAP)
What pt education can you provide a patient for ICS use? --------- Correct Answer --------
-- Rinse d/t oropharyngeal candidiasis and dysphonia (hoarseness, difficulty speaking).
What patient teaching can a provider give when prescribing a PPI? --------- Correct
Answer ---------- Hypomagnesia symptoms: muscle cramps, tremors, cramps, and
palpitations. Check Mg levels periodically especially in the elderly. Get enough calcium
and VIT D. call if having diarrhea (Cdiff)
What patient teaching can a provider give when prescribing an H2RA? --------- Correct
Answer ---------- Report lethargy, solmnolance, restlessness, confusion or hallucinations.
(CNS effects). Teach about possible reduced libido, impotence, gynecomastia,
pneumonia. P.594 Cimetidine interacts with CYP system so check with pt if they are
taking warfarin, phenytoin, theophylline, lidocaine.
A patient presents with a complaint of reflux and constipation. He states that he drinks
enough water, and admits he has gained 30lbs. He also states that he has been having
"reflux" type symptoms. What are your next steps for education? --------- Correct Answer
---------- Educate that weight gain can promote reflux symptoms, ask about any otc use
such as antacids which may cause constipation.
zollinger-Ellison syndrome is due to a _______producing tumor. Treatment is long-term
therapy of what medication class? --------- Correct Answer ---------- gastrin.......PPI's
•A patient who takes NSAIDS almost daily for arthritic pain and refuses to try another
medication is at risk for an NSAID-induced ulcer. The provider states,
1. I will put you on Misoprostol once daily
2. If you reduced the NSAID to 4 times a week, that should help prevent an ulcer
3. I will start you a PPI to prevent an ulcer
4. An H2RA will help prevent an ulcer. --------- Correct Answer ---------- a PPI is the firstline choice, Misoprostol can cause diarrhea.
A young woman who was in a car accident 4 months ago takes NSAIDS for pain-related
injuries. She has been dx with an ulcer and taking Misoprostol. She also has found out
she is pregnant. What is the providers next steps? --------- Correct Answer ----------
Switch her to a PPI d/t possible miscarriage.
A patient comes into the clinic with complaints of bloating and abdominal pain for a few
weeks. What are appropriate options for treatment?
1.Test for H.Pylori
3. Start patient on a bland diet
2. Lifestyle modifications and H2RA 4. Order endoscopy --------- Correct Answer ----------
Lifestyle mod H2RA
Which medication is safe for use in pregnancy? ---------- Correct Answer ----------
Esomeprazole (PPI - Nexium) and Ranitidine (Zantac).
Do not use Cytotec (Misoprostol): ---------- Correct Answer ---------- Because
prostaglandins stimulation uterine contractions and the use of this medication during
pregnancy has caused partial or complete expulsion of the developing fetus.
Lisa is a healthy non-pregnant adult woman who recently had a UTI. She is asking
about drinking cranberry juice to prevent recurrance of UTI. The correct answer is:
1. 16oz/day of cran juice cocktail will prevent UTIs.
2. 100% cran juice or cran juice extract may decrease UTIs in some patients.
3. there is no evidence that cran juice prevents UTIs.
4. cran juice only works to prevent UTIs in kids. ----------- Correct Answer ---------- 100%
cran juice or cran juice extract may decrease UTIs in some patients
Factors that place a patient at risk of developing an antimicrobial-resistant organism
include:
1. age over 50
2. school attendance
3. travel within the US
4. inappropriate use of antimicrobials ----------- Correct Answer ---------- 4. inappropriate
use of antimicrobials
infants and young children are at higher risk of developing abc-resistant infections due
to:
1. developmental differences in pharmacokinetics of the abx of children
2. the fact that children this age are more likely to be in daycare or exposed to
pathogens from other children
3. parents of young kids insisting on preventive abx so they don't miss work when their
kids are sick
4. immunosuppression from the multiple vaccines they receive in the first 2 years of life
----------- Correct Answer ---------- 2. the fact that children this age are more likely to be in
daycare or exposed to pathogens from other children
There is often cross-sensitivity and cross-resistance between penicillins and
cephalosporins because:
1. renal excretion is similar in both classes of drugs
2. when these drug classes are metabolized in the liver they both produce resistant
enzymes
3. both drug classes contain beta-lactam ring that is vulnerable to beta-lactamaseproducing organisms
4. there is not an issue with cross-resistance between the penicillins and cephalosporins
----------- Correct Answer ---------- 3. both drug classes contain beta-lactam ring that is
vulnerable to beta-lactamase-producing organisms
Jonathan has been diagnosed with strep throat and needs a prescription for an
antibiotic. He says the last time he had penicillin he developed a red, blotchy rash. An
appropriate antibiotic to prescribe would be:
1. Penicillin VK, because his rash does not sound like a serious rash
2. Amoxicillin
3. Cefadroxil (Duricef)
4. Azithromycin ----------- Correct Answer ---------- 4. Azithromycin
The treatment goals when treating a UTI include:
1. eradication of infection organism
2. relief of symptoms
3. prevention of UTI recurrence
4. all of the above ----------- Correct Answer ---------- All of the above
Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile, with
no use of antibiotics in the previous 6 months and no drug allergies. An appropriate firstline antibiotic choice for her would be:
1. Azithromycin
2. Trimethoprim/sulfamethoxazole
3. Ceftriaxone
4. Levofloxacin ----------- Correct Answer ---------- Trimethoprim/sulfamethoxazole
Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile, and
her only drug allergy is sulfa, which gives her a rash. An appropriate first-line antibiotic
choice for her would be:
1. Azithromycin [Show Less]