MSN 571 Mid Term Pharm Exam
• Fluroquinolones antibiotics are most likely indicated in which of the following conditions?
● Follicular
... [Show More] conjunctivitis
● GERD
● Asthma
● Genital Infections
• Which antibiotics binds to the 505 subunit of the bacterial ribosome and could most likely result in the development of pseudomembranous colitis?
● Tetracycline
● Clindamycin
● Amoxicillin
● Vancomycin
• Beta Lactamase inhibitors are often indicated in which if the following?
● May decrease absorption of medications
● First dose effect
● Often combined with penicillin antibiotics
● Delayed absorption of oral drugs
• A patient who takes multiple antibiotics starts to experience diarrheal stool. If the stool sample tests positive for C-Diff which antibiotic, would you prescribe?
Metronidazole Gemifloxacin Daptomycin Rifaximin
• Children younger than 8 years of age should not receive tetracyclines because these agents Can cause aplastic anemia
Cause rupture of tendons
Do not cross into the cerebrospinal fluid Deposits in tissues undergoing calcification
• Which patient condition would be a contradiction for the administration of the clindamycin?
Diabetes Mellitus Ulcerative Colitis Arthritis
Skin infection
• A child with an ear infection is not responding to treatment with amoxicillin. What alternative medication will the provider order?
Amoxicillin-clavulanic acid Penicillin G
Ampicillin Nafcillin
• Every antibiotic drug class has resistant organisms that influence prescribing decisions.
True False
• The dosage of Amoxicillin for the treatment of pediatric acute otitis media is Amoxicillin 50mg/kg/day
Amoxicillin 90mg/kg/day
Amoxicillin 25mg/kg/day Amoxicillin 150mg/kg/day
• Which antibiotic is in the macrolide class?
Minocycline (Minocin) Nitrofurantoin ( Macrobid) Clarithromycin ( Biaxin) Trimethoprim
• Contraindications to hepatitis B vaccination is:
All pregnant and lactating women
Previous severe hypersensitivity or anaphylaxis A history of poliomyelitis
Mild viral illness
• Treatment for fungal infections of the toenails (onychomycosis) includes Miconazole Cream
Oral Griseofulvin Mupirocin Cream Ketoconazole Cream
• Which is required for red blood cell production
● All
● Iron
● Folate
● Vitamin B12
• A female patient has an iron deficiency anemia and GI bleed has been ruled out. You will:
● Refer the patient to hematologist
● Prescribe ferrous sulfate 325mg po TID and schedule the patient to return in 1 month for a repeat CBC, serum iron and TIBC
● Prescribe iron dextran 50mg IM weekly for 4 weeks and schedule weekly office visits for injections.
● Schedule the patient to return in 6 months for additional guaiac stool testing.
• Most clinically used opioids analgesics are selective for which type of opioid receptor?
● alpha
● delta
● mu
● beta
● kappa
• Which is true about morphine
● It does not cause tolerance with prolong use
● It promotes nausea and vomiting through direct stimulation of the chemoreceptor trigger zone of the medulla
● It does not cause urinary retention and hesitancy
● Respiratory depression is rare
• Which of the following medications is a fluroquinolone antibiotic?
● Azithromycin
● Ciprofloxacin
● Penicillin
● Amikacin
• Which of the following terms best describes the mechanism of action of metoprolol?
● Alpha 1 antagonist effects
● Beta 1 selective ( beta-1-adrenergic receptor inhibitor)
● Nonselective Beta with Alpha blocking
● Nonselective Alpha blockers
• Which antibiotic class disrupts metabolism in bacteria and is often combined with trimethoprim?
● Aminoglycosides
● Cephalosporins
● Macrolides
● Fluoroquinolones
● Sulfonamides
• Which of the following group of antibiotics has a beta-lactam ring in the molecular structure?
● Cephalosporins
● Fluoroquinolones
● Macrolides
● Sulfonamides
● Tetracycline
• Which of the following drug classes should be avoided in peptic ulcer disease?
● Avoid antibiotics
● Avoid NSAIDS
● Avoid diuretics
● Avoid proton pump inhibitors
• In which of the following the human papillomavirus (HPV) vaccine is not recommended A 25 year old who did not finish the vaccine series as a teen
Men who have sex with men [Show Less]