Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

Nurs 615 Maryville University Exam 1 All Answers Available Correct and verified 100% 2024-, Exams of Nursing

Maryville CollegeNursing

Nurs 615 Maryville University Exam 1 All Answers Available Correct and verified 100% 2024-2025 Nurs 615 Maryville University Exam 1 All Answers Available Correct and verified 100% 2024-2025 Nurs 615 Maryville University Exam 1 All Answers Available Correct and verified 100% 2024-2025 Nurs 615 Maryville University Exam 1 All Answers Available Correct and verified 100% 2024-2025 Nurs 615 Maryville University Exam 1 All Answers Available Correct and verified 100% 2024-2025 Nurs 615 Maryville University Exam 1 All Answers Available Correct and verified 100% 2024-2025 Nurs 615 Maryville University Exam 1 All Answers Available Correct and verified 100% 2024-2025 Nurs 615 Maryville University Exam 1 All Answers Available Correct and verified 100% 2024-2025 Nurs 615 Maryville University Exam 1 All Answers Available Correct and verified 100% 2024-2025 Nurs 615 Maryville University Exam 1 All Answers Available Correct and verified 100% 2024-2025

Typology: Exams

2023/2024

Available from 09/16/2024

Examprof
Examprof 🇺🇸

4.1

(24)

2.8K documents

1 / 53

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Nurs 615 Maryville University Exam 1 All
Answers Available Correct and verified
100% 2024-2025
Nurs 615 Maryville University Exam 1 All
Answers Available Correct and verified
100% 2024-2025
Nurse practitioner prescriptive authority is regulated by:
1. The National Council of State Boards of Nursing
2. The U.S. Drug Enforcement Administration
3. The State Board of Nursing for each state
4. The State Board of Pharmacy - Answer = 3. The State Board of Nursing for each
state
The benefits to the patient of having an Advanced Practice Registered Nurse (APRN)
prescriber include:
1. Nurses know more about Pharmacology than other prescribers because they take it
both in their basic nursing program and in their APRN program.
2. Nurses care for the patient from a holistic approach and include the patient in
decision making regarding their care.
3. APRNs are less likely to prescribe narcotics and other controlled substances.
4. APRNs are able to prescribe independently in all states, whereas a physician's
assistant needs to have a physician supervising their practice. - Answer = 2. Nurses
care for the patient from a holistic approach and include the patient in decision making
regarding their care.
Clinical judgment in prescribing includes:
1. Factoring in the cost to the patient of the medication prescribed
2. Always prescribing the newest medication available for the disease process
3. Handing out drug samples to poor patients
4. Prescribing all generic medications to cut costs - Answer = 1. Factoring in the cost to
the patient of the medication prescribed
Criteria for choosing an effective drug for a disorder include:
1. Asking the patient what drug they think would work best for them
2. Consulting nationally recognized guidelines for disease management
3. Prescribing medications that are available as samples before writing a prescription
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28
pf29
pf2a
pf2b
pf2c
pf2d
pf2e
pf2f
pf30
pf31
pf32
pf33
pf34
pf35

Partial preview of the text

Download Nurs 615 Maryville University Exam 1 All Answers Available Correct and verified 100% 2024- and more Exams Nursing in PDF only on Docsity!

Answers Available Correct and verified

Nurs 615 Maryville University Exam 1 All

Answers Available Correct and verified

Nurse practitioner prescriptive authority is regulated by:

  1. The National Council of State Boards of Nursing
  2. The U.S. Drug Enforcement Administration
  3. The State Board of Nursing for each state
  4. The State Board of Pharmacy - Answer = 3. The State Board of Nursing for each state The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include:
  5. Nurses know more about Pharmacology than other prescribers because they take it both in their basic nursing program and in their APRN program.
  6. Nurses care for the patient from a holistic approach and include the patient in decision making regarding their care.
  7. APRNs are less likely to prescribe narcotics and other controlled substances.
  8. APRNs are able to prescribe independently in all states, whereas a physician's assistant needs to have a physician supervising their practice. - Answer = 2. Nurses care for the patient from a holistic approach and include the patient in decision making regarding their care. Clinical judgment in prescribing includes:
  9. Factoring in the cost to the patient of the medication prescribed
  10. Always prescribing the newest medication available for the disease process
  11. Handing out drug samples to poor patients
  12. Prescribing all generic medications to cut costs - Answer = 1. Factoring in the cost to the patient of the medication prescribed Criteria for choosing an effective drug for a disorder include:
  13. Asking the patient what drug they think would work best for them
  14. Consulting nationally recognized guidelines for disease management
  15. Prescribing medications that are available as samples before writing a prescription

Answers Available Correct and verified

  1. Following U.S. Drug Enforcement Administration guidelines for prescribing - Answer = 2. Consulting nationally recognized guidelines for disease management Nurse practitioner practice may thrive under health-care reform because of:
  2. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes
  3. The fact that nurse practitioners will be able to practice independently
  4. The fact that nurse practitioners will have full reimbursement under health-care reform
  5. The ability to shift accountability for Medicaid to the state level - Answer = 1. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes A patient's nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to prescribing because:
  6. Distribution of drugs to target tissue may be affected.
  7. The solubility of the drug will not match the site of absorption.
  8. There will be less free drug available to generate an effect.
  9. Drugs bound to albumin are readily excreted by the kidneys. - Answer = 1. Distribution of drugs to target tissue may be affected. Drugs that have a significant first-pass effect:
  10. Must be given by the enteral (oral) route only
  11. Bypass the hepatic circulation
  12. Are rapidly metabolized by the liver and may have little if any desired action
  13. Are converted by the liver to more active and fat-soluble forms - Answer = 3. Are rapidly metabolized by the liver and may have little if any desired action The route of excretion of a volatile drug will likely be the:
  14. Kidneys
  15. Lungs
  16. Bile and feces
  17. Skin - Answer = 2. Lungs Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage reservoir of the drug. Storage reservoirs:
  18. Assure that the drug will reach its intended target tissue

Answers Available Correct and verified

  1. Time between doses must be shortened
  2. Duration of action of the drug is too long - Answer = 2. Concentration will produce an adverse response Drugs that are receptor agonists may demonstrate what property?
  3. Irreversible binding to the drug receptor site
  4. Upregulation with chronic use
  5. Desensitization or downregulation with continuous use
  6. Inverse relationship between drug concentration and drug action - Answer = 3. Desensitization or downregulation with continuous use Drugs that are receptor antagonists, such as beta blockers, may cause:
  7. Downregulation of the drug receptor
  8. An exaggerated response if abruptly discontinued
  9. Partial blockade of the effects of agonist drugs
  10. An exaggerated response to competitive drug agonists - Answer = 2. An exaggerated response if abruptly discontinued Factors that affect gastric drug absorption include:
  11. Liver enzyme activity
  12. Protein-binding properties of the drug molecule
  13. Lipid solubility of the drug
  14. Ability to chew and swallow - Answer = 3. Lipid solubility of the drug Drugs administered via IV:
  15. Need to be lipid soluble in order to be easily absorbed
  16. Begin distribution into the body immediately
  17. Are easily absorbed if they are nonionized
  18. May use pinocytosis to be absorbed - Answer = 2. Begin distribution into the body immediately When a medication is added to a regimen for a synergistic effect, the combined effect of the drugs is:
  19. The sum of the effects of each drug individually
  20. Greater than the sum of the effects of each drug individually
  21. Less than the effect of each drug individually

Answers Available Correct and verified

  1. Not predictable, as it varies with each individual - Answer = 2. Greater than the sum of the effects of each drug individually Which of the following statements about bioavailability is true?
  2. Bioavailability issues are especially important for drugs with narrow therapeutic ranges or sustained-release mechanisms.
  3. All brands of a drug have the same bioavailability.
  4. Drugs that are administered more than once a day have greater bioavailability than drugs given once daily.
  5. Combining an active drug with an inert substance does not affect bioavailability. - Answer = 1. Bioavailability issues are especially important for drugs with narrow therapeutic Which of the following statements about the major distribution barriers (blood- brain or fetal-placental) is true?
  6. Water soluble and ionized drugs cross these barriers rapidly.
  7. The blood-brain barrier slows the entry of many drugs into and from brain cells.
  8. The fetal-placental barrier protects the fetus from drugs taken by the mother.
  9. Lipid-soluble drugs do not pass these barriers and are safe for pregnant women. - Answer = 2. The blood-brain barrier slows the entry of many drugs into and from brain cells. Drugs are metabolized mainly by the liver via phase I or phase II reactions. The purpose of both of these types of reactions is to:
  10. Inactivate prodrugs before they can be activated by target tissues
  11. Change the drugs so they can cross plasma membranes
  12. Change drug molecules to a form that an excretory organ can excrete
  13. Make these drugs more ionized and polar to facilitate excretion - Answer = 3. Change drug molecules to a form that an excretory organ can excrete Once they have been metabolized by the liver, the metabolites may be:
  14. More active than the parent drug
  15. Less active than the parent drug
  16. Totally "deactivated" so they are excreted without any effect
  17. All of the above - Answer = 4. All of the above All drugs continue to act in the body until they are changed or excreted. The ability of the body to excrete drugs via the renal system would be increased by:

Answers Available Correct and verified

  1. Half-life
  2. Phase II metabolism
  3. Reduced bioavailability time - Answer = 2. Half-life An agonist activates a receptor and stimulates a response. When given frequently over time, the body may:
  4. Upregulate the total number of receptors
  5. Block the receptor with a partial agonist
  6. Alter the drug's metabolism
  7. Downregulate the numbers of that specific receptor - Answer = 4. Downregulate the numbers of that specific receptor Drug antagonism is best defined as an effect of a drug that:
  8. Leads to major physiological and psychological dependence
  9. Is modified by the concurrent administration of another drug
  10. Cannot be metabolized before another dose is administered
  11. Leads to a decreased physiological response when combined with another drug - Answer = 2. Is modified by the concurrent administration of another drug Instructions to a client regarding self-administration of oral enteric-coated tablets should include which of the following statements?
  12. "Avoid any other oral medicines while taking this drug."
  13. "If swallowing this tablet is difficult, dissolve it in 3 ounces of orange juice."
  14. "The tablet may be crushed if you have any difficulty taking it."
  15. "To achieve best effect, take the tablet with at least 8 ounces of fluid." - Answer = 4. "To achieve best effect, take the tablet with at least 8 ounces of fluid." The major reason for not crushing a sustained-release capsule is that, if crushed, the coated beads of the drugs could possibly result in:
  16. Disintegration
  17. Toxicity
  18. Malabsorption
  19. Deterioration - Answer = 2. Toxicity Which of the following substances is the most likely to be absorbed in the intestines rather than in the stomach?
  20. Sodium bicarbonate

Answers Available Correct and verified

  1. Ascorbic acid
  2. Salicylic acid
  3. Glucose - Answer = 1. Sodium bicarbonate Which of the following variables is a factor in drug absorption?
  4. The smaller the surface area for absorption, the more rapidly the drug is absorbed.
  5. A rich blood supply to the area of absorption leads to better absorption.
  6. The less soluble the drug, the more easily it is absorbed.
  7. Ionized drugs are easily absorbed across the cell membrane. - Answer = 2. A rich blood supply to the area of absorption leads to better absorption. An advantage of prescribing a sublingual medication is that the medication is:
  8. Absorbed rapidly
  9. Excreted rapidly
  10. Metabolized minimally
  11. Distributed equally - Answer = 1. Absorbed rapidly Drugs that use CYP 3A4 isoenzymes for metabolism may:
  12. Induce the metabolism of another drug
  13. Inhibit the metabolism of another drug
  14. Both 1 and 2
  15. Neither 1 nor 2 - Answer = 3. Both 1 and 2 Therapeutic drug levels are drawn when a drug reaches steady state. Drugs reach steady state:
  16. After the second dose
  17. After four to five half-lives
  18. When the patient feels the full effect of the drug
  19. One hour after IV administration - Answer = 2. After four to five half-lives Upregulation or hypersensitization may lead to:
  20. Increased response to a drug
  21. Decreased response to a drug
  22. An exaggerated response if the drug is withdrawn
  23. Refractoriness or complete lack of response - Answer = 3. An exaggerated response if the drug is withdrawn

Answers Available Correct and verified

The therapeutic goals when prescribing include(s):

  1. Curative
  2. Palliative
  3. Preventive
  4. All of the above - Answer = 4. All of the above When determining drug treatment the NP prescriber should:
  5. Always use evidence-based guidelines
  6. Individualize the drug choice for the specific patient
  7. Rely on his or her experience when prescribing for complex patients
  8. Use the newest drug on the market for the condition being treated - Answer = 2. Individualize the drug choice for the specific patient Patient education regarding prescribed medication includes:
  9. Instructions written at the high school reading level
  10. Discussion of expected adverse drug reactions
  11. How to store leftover medication such as antibiotics
  12. Verbal instructions always in English - Answer = 2. Discussion of expected adverse drug reactions Passive monitoring of drug effectiveness includes:
  13. Therapeutic drug levels
  14. Adding or subtracting medications from the treatment regimen
  15. Ongoing provider visits
  16. Instructing the patient to report if the drug is not effective - Answer = 4. Instructing the patient to report if the drug is not effective Pharmacokinetic factors that affect prescribing include:
  17. Therapeutic index
  18. Minimum effective concentration
  19. Bioavailability
  20. Ease of titration - Answer = 3. Bioavailability Pharmaceutical promotion may affect prescribing. To address the impact of pharmaceutical promotion, the following recommendations have been made by the Institute of Medicine:

Answers Available Correct and verified

  1. Conflicts of interest and financial relationships should be disclosed by those providing education.
  2. Providers should ban all pharmaceutical representatives from their office setting.
  3. Drug samples should be used for patients who have the insurance to pay for them, to ensure the patient can afford the medication.
  4. Providers should only accept low-value gifts, such as pens and pads of paper, from the pharmaceutical representative. - Answer = 1. Conflicts of interest and financial relationships should be disclosed by those providing education. Under new U.S. Food and Drug Administration labeling, Pregnancy Categories will be:
  5. Strengthened with a new coding such as C+ or C- to discern when a drug is more or less toxic to the fetus
  6. Changed to incorporate a pregnancy risk summary and clinical considerations on the drug label
  7. Eliminated, and replaced with a link to the National Library of Medicine TOXNET Web site for in-depth information regarding pregnancy concerns
  8. Clarified to include information such as safe dosages in each trimester of pregnancy - Answer = 2. Changed to incorporate a pregnancy risk summary and clinical considerations on the drug label A comprehensive assessment of a patient should be holistic when trying to determine competence in drug administration. Which of the following factors would the NP omit from this type of assessment?
  9. Financial status
  10. Mobility
  11. Social support
  12. Sexual practices - Answer = 4. Sexual practices Elena Vasquez's primary language is Spanish, and she speaks very limited English. Which technique would be appropriate to use in teaching her about a new drug you have just prescribed?
  13. Use correct medical terminology because Spanish has a Latin base.
  14. Use a family member who speaks more English to act as an interpreter.
  15. Use a professional interpreter or a reliable staff member who can act as an interpreter.
  16. Use careful, detailed explanations. - Answer = 3. Use a professional interpreter or a reliable staff member who can act as an interpreter.

Answers Available Correct and verified

  1. Requires several dosage titrations so that missed doses can be replaced with lower doses to keep costs down 3.Has a tolerability profile with fewer of the adverse effects that are considered "irritating," such as nausea and dizziness
  2. Must be taken no more than twice a day - Answer = 3.Has a tolerability profile with fewer of the adverse effects that are considered "irritating," such as nausea and dizziness Factors in chronic conditions that contribute to nonadherence include:
  3. The complexity of the treatment regimen
  4. The length of time over which it must be taken
  5. Breaks in the usual daily routine, such as vacations and weekends
  6. All of the above - Answer = 4. All of the above While patient education about their drugs is important, information alone does not necessarily lead to adherence to a drug regimen. Patients report greater adherence when:
  7. The provider spent a lot of time discussing the drugs with them
  8. Their concerns and specific area of knowledge deficit were addressed
  9. They were given written material, such as pamphlets, about the drugs
  10. The provider used appropriate medical and pharmacological terms - Answer = 2. Their concerns and specific area of knowledge deficit were addressed Patients with psychiatric illnesses have adherence rates to their drug regimen between 35% and 60%. To improve adherence in this population, prescribe drugs:
  11. With a longer half-life so that missed doses produce a longer taper on the drug curve
  12. In oral formulations that are more easily taken
  13. That do not require frequent monitoring
  14. Combined with patient education about the need to adhere even when symptoms are absent - Answer = 1. With a longer half-life so that missed doses produce a longer taper on the drug curve Many disorders require multiple drugs to treat them. The more complex the drug regimen, the less likely the patient will adhere to it. Which of the following interventions will NOT improve adherence?
  15. Have the patient purchase a pill container with compartments for daily or multiple times-per-day dosing.
  16. Match the clinic appointment to the next time the drug is to be refilled.

Answers Available Correct and verified

  1. Write prescriptions for new drugs with shorter times between refills.
  2. Give the patient a clear drug schedule that the provider devises to fit the characteristic of the drug. - Answer = 4. Give the patient a clear drug schedule that the provider devises to fit the characteristic of the drug. Pharmacologic interventions are costly. Patients for whom the cost/benefit variable is especially important include:
  3. Older adults and those on fixed incomes
  4. Patients with chronic illnesses
  5. Patients with copayments for drugs on their insurance
  6. Patients on public assistance - Answer = 1. Older adults and those on fixed incomes Providers have a responsibility for determining the best plan of care, but patients also have responsibilities. Patients the provider can be assured will carry through on these responsibilities include those who:
  7. Are well-educated and affluent
  8. Have chronic conditions
  9. Self-monitor drug effects on their symptoms
  10. None of the above guarantee adherence - Answer = 4. None of the above guarantee adherence Monitoring adherence can take several forms, including:
  11. Patient reports from data in a drug diary
  12. Pill counts
  13. Laboratory reports and other diagnostic markers
  14. All of the above - Answer = 4. All of the above Factors that explain and predict medication adherence include:
  15. Social
  16. Financial
  17. Health system
  18. All of the above - Answer = 4. All of the above Cultural factors that must be taken into account when prescribing include(s):
  19. Who the decision maker is in the family regarding health-care decisions
  20. The patient's view of health and illness
  21. Attitudes regarding the use of drugs to treat illness

Answers Available Correct and verified

  1. Decreased elimination of opioids, leading to increased risk for addiction - Answer = 2. Largely unknown due to lack of studies of this population Pharmacokinetics among Asians are universal to all the Asian ethnic groups.
  2. True
  3. False - Answer = 2. False Alterations in drug metabolism among Asians may lead to:
  4. Slower metabolism of antidepressants, requiring lower doses
  5. Faster metabolism of neuroleptics, requiring higher doses
  6. Altered metabolism of omeprazole, requiring higher doses
  7. Slower metabolism of alcohol, requiring higher doses - Answer = 1. Slower metabolism of antidepressants, requiring lower doses Asians from Eastern Asia are known to be fast acetylators. Fast acetylators:
  8. Require acetylization in order to metabolize drugs
  9. Are unable to tolerate higher doses of some drugs that require acetylization
  10. May have a toxic reaction to drugs that require acetylization
  11. Require higher doses of drugs metabolized by acetylization to achieve efficacy - Answer = 4. Require higher doses of drugs metabolized by acetylization to achieve efficacy Hispanic native healers (curanderas):
  12. Are not heavily utilized by Hispanics who immigrate to the United States
  13. Use herbs and teas in their treatment of illness
  14. Provide unsafe advice to Hispanics and should not be trusted
  15. Need to be licensed in their home country in order to practice in the United States - Answer = 2. Use herbs and teas in their treatment of illness Michael asks you about why some drugs are over-the-counter and some are prescription. You explain that in order for a drug to be approved for over-the-counter use the drug must:
  16. Be safe and labeled for appropriate use
  17. Have a low potential for abuse or misuse
  18. Be taken for a condition the patient can reliably self-diagnose
  19. All of the above - Answer = 4. All of the above

Answers Available Correct and verified

In the United States, over-the-counter drugs are regulated by:

  1. No one. There is no oversight for over-the-counter medications.
  2. The U.S. Food and Drug Administration Center for Drug Evaluation and Research
  3. The U.S. Drug Enforcement Administration
  4. MedWatch - Answer = 2. The U.S. Food and Drug Administration Center for Drug Evaluation and Research As drugs near the end of their patent, pharmaceutical companies may apply for the drug to change to over-the-counter status in order to:
  5. Get a new patent for the over-the-counter form of the drug
  6. Lower the costs because most prescription benefit plans do not cover generics
  7. Market the drug to a whole new population, as they are able to market to patients instead of just providers
  8. Continue to make large profits from their blockbuster brand-name drug - Answer = 4. Continue to make large profits from their blockbuster brand-name drug New over-the-counter drug ingredients must undergo the U.S. Food and Drug Administration New Drug Application process, just as prescription drugs do.
  9. True
  10. False - Answer = 1. True The ailment that generates the greatest over-the-counter annual drug sales is:
  11. Constipation
  12. Cough and colds
  13. Heartburn
  14. Acute and chronic pain - Answer = 2. Cough and colds Common over-the-counter pain relievers such as acetaminophen or ibuprofen:
  15. Are always safer for the patient than prescription pain medication
  16. Are harmful if taken in higher than recommended amounts
  17. Have minimal interaction with prescription medications
  18. Should never be given to children unless recommended by their provider - Answer =
  19. Are harmful if taken in higher than recommended amounts When obtaining a drug history from Harold, he gives you a complete list of his prescription medications. He denies taking any other drugs, but you find that he occasionally takes aspirin for his arthritis flare ups. This is an example of:

Answers Available Correct and verified

  1. Immunosuppression from the multiple vaccines they receive in the first 2 years of life
  • Answer = 2. The fact that children this age are more likely to be in daycare and exposed to pathogens from other children Providers should use an antibiogram when prescribing. An antibiogram is:
  1. The other name for the Centers for Disease Control guidelines for prescribing antibiotics
  2. An algorithm used for prescribing antibiotics for certain infections
  3. The reference also known as the Pink Book, published by the Centers for Disease Control
  4. A chart of the local resistance patterns to antibiotics developed by laboratories - Answer = 4. A chart of the local resistance patterns to antibiotics developed by laboratories There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins because:
  5. Renal excretion is similar in both classes of drugs.
  6. When these drug classes are metabolized in the liver they both produce resistant enzymes.
  7. Both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase- producing organisms.
  8. There is not an issue with cross-resistance between the penicillins and cephalosporins. - Answer = 3. Both drug classes contain a 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:
  9. Penicillin VK, because his rash does not sound like a serious rash
  10. Amoxicillin
  11. Cefadroxil (Duricef)
  12. Azithromycin - Answer = 4. Azithromycin Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary tract infection. What would be the appropriate antibiotic to prescribe for her?
  13. Ciprofloxacin (Cipro)
  14. Amoxicillin (Trimox)
  15. Doxycycline

Answers Available Correct and verified

  1. Trimethoprim-sulfamethoxazole (Septra) - Answer = 2. Amoxicillin (Trimox) Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute otitis media. His parents call the clinic and say he has developed diarrhea. The appropriate action would be to:
  2. Advise the parents that some diarrhea is normal with amoxicillin and recommend probiotics daily.
  3. Change the antibiotic to one that is less of a gastrointestinal irritant.
  4. Order stool cultures for suspected viral pathogens not treated by the amoxicillin.
  5. Recommend increased fluids and fiber in his diet. - Answer = 1. Advise the parents that some diarrhea is normal with amoxicillin and recommend probiotics daily. Lauren is a 13-year-old child who comes to clinic with a 4-day history of cough, low- grade fever, and rhinorrhea. When she blows her nose or coughs the mucous is greenish-yellow. The appropriate antibiotic to prescribe would be:
  6. Amoxicillin
  7. Amoxicillin/clavulanate
  8. TMP/SMZ (Septra)
  9. None - Answer = 4. None Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old and has no residual cardiac problems. She is now 28 and is requesting prophylactic antibiotics for an upcoming dental visit. The appropriate antibiotic to prescribe according to current American College of Cardiology and American Heart Association guidelines is:
  10. None, no antibiotic is required for dental procedures
  11. Amoxicillin 2 grams 1 hour before the procedure
  12. Ampicillin 2 grams IM or IV 30 minutes before the procedure
  13. Azithromycin 1 gram 1 hour before the procedure - Answer = 1. None, no antibiotic is required for dental procedures To prevent further development of antibacterial resistance it is recommended that fluoroquinolones be reserved for treatment of:
  14. Urinary tract infections in young women
  15. Upper respiratory infections in adults
  16. Skin and soft tissue infections in adults
  17. Community-acquired pneumonia in patients with comorbidities - Answer = 4. Community-acquired pneumonia in patients with comorbidities