midterm review Flashcards
Which of the following are examples of bacteriostatic antibiotics?
a. Doxycycline
b. Penicillin
c. Cefazolin
d. Meropenem
Doxycycline
Which of the following are examples of bactericidal antibiotics?
a. Penicillins
b. Cephalosporins
c. Carbapenems
d. All of the above
All of the above
Dion is an 8 year old boy who comes to your clinic with complaints of fever and sore throat. You want to prescribe an antibiotic. 8. Which antibiotic is most appropriate? a. Tetracycline b. Levofloxacin c. Augmentin d. a & b
Augmentin
9. If Dion was prescribed \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, some known adverse effects may be tooth enamel dysplasia and bone growth irregularity. a. Doxycycline b. Levofloxacin c. Augmentin d. Cephalexin
Doxycycline
Carter has been diagnosed with community acquired pneumonia and his area has been
identified as having a 35% rate of resistance to macrolides. Which antibiotic is the best choice
for you to prescribe?
a. Azithromycin 500mg x 1 dose, then 250mg x 4 days
b. Clarithromycin 500mg q12h
c. Erythromycin 500mg q6h
d. Doxycycline 100mg q12h
Doxycycline 100mg q12h
Bacteriostatic antimicrobials are first line therapy for bacteremia.
a. True
b. False
false
Which of the following do NOT require renal adjustment?
a. Penicillin
b. Cefepime
c. Clindamycin
d. Vancomycin
Clindamycin
As concentrations of amikacin increases above the MIC, the rate and proportion of bacterial
death also increases. This pharmacodynamic property is referred to as________________.
a. Time dependent killing
b. Concentration dependent killing
c. Post antibiotic effect
d. Time independent killing
Concentration dependent killing
A single large dose of an aminoglycoside is considered to have better efficacy with less
toxicity than multiple daily doses.
a. True
b. False
true
Which of the following antimicrobials requires therapeutic drug monitoring (TDM)?
a. Ceftriaxone
b. Vancomycin
c. Gentamicin
d. b and c
b. Vancomycin
c. Gentamicin
Calvin is a 34 year old who was recently diagnosed with a urinary tract infection. You check
his chart for allergies, but notice that he has G6PD deficiency. Which agent should be avoided
based upon this information?
a. Ciprofloxacin
b. Nitrofurantoin
c. Trimethoprim/sulfamethoxazole
d. Vancomycin
Trimethoprim/sulfamethoxazole
The most common organism implicated in urinary tract infections is__________.
a. E. coli
b. Pseudomonas
c. Klebsiella
d. Proteus
E. coli
Daisy is a 35 year old woman who is in her 3rd trimester of pregnancy and tested positive
for a UTI. You are asked to prescribe an antibiotic. Which is your drug of choice?
a. nitrofurantoin
b. trimethoprim/sulfamethoxazole
c. amoxicillin/clavulanate
d. Ciprofloxacin
amoxicillin/clavulanate
Which antibiotic can cause hyperkalemia?
a. Nitrofurantoin
b. trimethoprim/sulfamethoxazole
c. amoxicillin/clavulanate
d. Ciprofloxacin
trimethoprim/sulfamethoxazole
The first cephalosporin to offer coverage against MRSA is ____________.
a. Ceftazidime
b. Ceftriaxone
c. Cefepime
d. Ceftaroline
Ceftaroline
Maria notices a bump on her arm that started out looking a spider bite is getting larger and is
now filled with pus. You look at it and decide to start empirical MRSA treatment.
Allergies: Penicillin- rash
Current medication list: sertraline (for depression), lisinopril (hypertension), HCTZ
You prescribe:
a. Doxycycline 100mg bid
b. Linezolid 600mg bid
c. Clindamycin 300mg q6h
d. trimethoprim/sulfamethoxazole 1 DS tab bid
e. Either a or c
Doxycycline 100mg bid
or
Clindamycin 300mg q6h
Which agent(s) are appropriate for healthcare associated MRSA?
a. Doxycycline, linezolid, vancomycin
b. Linezolid, vancomycin, clindamycin
c. Vancomycin, linezolid, daptomycin
d. Ceftaroline, clindamycin, doxycycline
Vancomycin, linezolid, daptomycin
Daniel, a 65 year old, comes in to refill his asthma medication. While checking his chart, you
notice that he has not been vaccinated. Which vaccines will you offer?
a. Influenza
b. Pneumococcal
c. Both a and b
d. Neither a or b
a. Influenza
and
b. Pneumococcal
Nancy is an asthmatic who has been short of breath and wheezing more often during
allergy season. She has been using her rescue inhaler more often. Nancy arrives at your office
appearing anxious and complains of palpitations. You ask how many inhalations she has taken
over the past 24 hours. She states that she has been taking 3 puffs every 4 hours. Which
inhaler is she most likely using?
a. Albuterol (SABA)
b. Formoterol (LABA)
c. Tiotropium (LAMA)
d. Theophylline
a. Albuterol (SABA)
What are some counselling points you would provide to you patient after you prescribe
formoterol/budesonide?
a. Rinse mouth with water after inhaler use
b. Clean inhaler regularly
c. Both a & b
d. Neither a or b
a. Rinse mouth with water after inhaler use
and
b. Clean inhaler regularly
Using an inhaled corticosteroid is always recommended when treating COPD.
a. True
b. False
false
Asthma is an airway disease that may be reversed.
a. True
b. False
true
COPD is an airway disease that may be reversed.
a. True
b. False
false
Which of the following are potential causes of hypertension?
a. Decreased release of vasodilators
b. Increased vascular stiffness
c. Both a & b
d. Neither a & b
a. Decreased release of vasodilators
and
b. Increased vascular stiffness
