antibiotic quiz Flashcards

1
Q

Which of the following is not classified as a beta-lactam?
a)Penicillins
b)Cephalosporins
c)Carbapenems
d)Macrolides

A

Macrolides

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2
Q

Which penicillin is effective against pseudomonas?
a)Aqueous PCN G
b)Piperacillin
c)Amoxicillin
d)Methicillin

A

Piperacillin

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3
Q

What is the spectrum of activity for a 5th generation cephalosporin?
a)Gram positive anaerobes and some serious gram negative organisms (h. flu)
b)Gram positive anaerobes only
c)Gram positive organisms specifically MRSA
d)Gram positive AND negative aerobes
Serious gram negative

A

c

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4
Q

What is the spectrum of activity for imipenem?
a) Beta-lactamase producing bacteria
b)Empiric therapy
c)Gram negative bacteria
d)MRSA

A

b
imipenem=Carbapenems

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5
Q

Which antibiotic is effective against MRSA? (SATA)
a)Cyclic lipopeptides
b)5th generation cephalosporins
c)Clindamycin
d)Glycopeptides

A

a, b, d

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6
Q

Which of the following medications has a black box warning for tendon rupture?
a)Gemifloxacin
b)Metronidazole
c)Vancomycin
d)Amoxicillin

A

Gemifloxacin

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7
Q

Ceftriaxone (Rocephin®) is effective against:
a) Serious gram positive infections like MRSA (5th gen CS, cyclic lipo+glycopeptides)
b) H. flu and gram negative bacteria
c) Beta-lactamase producing bacteria
d)Gram positive and gram negative bacteria

A

H. flu and gram negative bacteria

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8
Q

What is fidaxomicin (dificid) used to treat?
a)MRSA
b)H. flu
c)C. dif
d)Pseudomonas

A

C.dif

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9
Q

Which of the following antibiotics are good for treating MRSA? SATA
a. Daptomycin (Cubicin)
b. Tetracycline
c. Ceftaroline (Teflaro)
d. Cefazolin (Ancef)
e. Vancomycin

A

a, c, e

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10
Q

A patient is in the hospital taking antibiotics for acute sinusitis. During the stay, the patient develops
tendonitis. Which antibiotic do you expect is prescribed to the patient?

a. Moxifloxacin
b. Daptomycin (Cubicin) -cyclic lipopeptides, MRSA, g+, no pneumonia
c. Vancomycin -red man sydrome, glycopeptides
d. Neomycin -aminoglycosides

A

a

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11
Q

Which of the following cephalosporins can a patient be prescribed while waiting on the culture and sensitivity results?
a. Cefadroxil (Duracef)
b. Cefepime (Maxipime)
c. Cefdinir (Omnicef)
Ceftaroline (Teflaro)

A

b

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12
Q

It was discovered that a patient has an H. flu infection, which antibiotic will be prescribed?
a. Cephalexin (Keflex)
b. Daptomycin (Cubicin
c. Cefuroxime (Zinacef)
d. Fidamoxicin (Dificid)

A

C 2nd
-useful for respiratory infections

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13
Q

A patient states that they are allergic to penicillin. Which of the following medications can they NOT
take?

a. Cephalexin (Keflex) -beta lactam, 1st gen
b. Aztreonam (Azactam) mono bactam, can safely give with penicillin allergy
c. Ciprofloxacin (Cipro) -floroquinilone
d. Ertapenem (Inavanz) -beta lactam, carbapenem
e. Azithromycin (Zithromax) -macrolides

A

a, d
b, can safely give with penicillin allergy

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14
Q

Using antibiotics after culture and sensitivity is known as

A

Prophylactic Therapy

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15
Q

Using antibiotics to prevent an infection from occurring is known as

A

Empiric Therapy

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16
Q

Antibiotics used after culture and sensitivity known

A

Definitive/Directed Therapy

17
Q

What is the spectrum for activity of a carbapenem?
a. Empiric therapy
b. Beta-lactamase producing bacteria
c. MRSA
d. Gram negative bacteria
e. C. diff

A

a

18
Q

Which of the following agents can be given to a patient with a type I penicillin allergy who
requires treatment of a gram negative aerobe?

a. Cefazolin (Ancef®, Kefzol®)
b. Vancomycin (Vibativ®)
c. Aztreonam (Azactam®)
d. Ceftaroline (Teflaro®)

A

c

19
Q

** The class of antibiotics that is potent against gram negative bacteria is:**
a. Fluoroquinolones
b. Cyclic lipopeptides
c. Tetracyclines
d. SMX-TMP
e. Aminoglycosides

A

a

20
Q

Which of the following agents is effective against MRSA? SATA
a. Telavancin (Vibativ®)
b. Daptomycin (Cubicin®)
c. Cefepime (Maxipime®)
d. Ceftaroline (Teflaro®)
e. Cefotaxime (Claforan®)
f. Cloxacillin
g. Cefadroxil (Duracef®)

A

a, b, d,

21
Q

What statement is not true regarding glycopeptides?
a. Potentially nephrotoxic and ototoxic
b. Powerful gram negative agents gram positive bacteria, MRSA and pcn-resistant strep.
c. Can cause pruritus and flushing on the upper part of the body
d. Effective against MRSA

A

d

22
Q

** The class of medications that have a black box warning for tendon rupture**
a. Fluoroquinolones
b. Macrolides
c. Clindamycin
d. Aminoglycosides
e. Fidaxomicin (Dificid)

A

a. Fluoroquinolones

23
Q

The spectrum of activity of the macrolides is:
a. Gram negative bacteria
b. Gram positive bacteria
c. Gram positive and negative bacteria

A

c

24
Q

** Which medication should not be used in treatment of pneumonia?**
a. Daptomycin (Cubicin®)
b. ciprofloxacin (Cipro®)
c. clarithromycin (Biaxin®)
d. Vancomycin (Vancocin)

A

a

25
Q

which medication is bactericidal only in high doses?
a. Clindamycin
b. Doxycycline
c. Minocycline
d. Azithromycin

A

c

26
Q

Which of the following agents is exclusively used for the treatment of Clostridium difficile
infections?

a. Aminopenicillin
b. Levofloxacin (Levaquin®)
c. Tobramycin
d. Fidaxomicin (Dificid®)

A

d

d

27
Q

Affective against H flu

A

Aminopenicillin
2nd
3rd

28
Q

G + only

A

Penicillinase-resistant
1st
glycopeptides

29
Q

Gram - only

A

3rd
Monobactams

30
Q

bacteriostatic

A

Macrolides
Clindamycin
Tetracycline

31
Q

Bactericidal drags

A

All penicillin
Fluroquinolones
SMX-TMP