Top 20 Drug-reference questions

Question 1

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

Answer 1

4. Azithromycin

Question 2

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?
1. Ciprofloxacin (Cipro)
2. Amoxicillin (Trimox)
3. Doxycycline
4. Trimethoprim-sulfamethoxazole (Septra)

Answer 2

2. Amoxicillin (Trimox)

Question 3

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:
1. Advise the parents that some diarrhea is normal with amoxicillin and recommend probiotics daily.
2. Change the antibiotic to one that is less of a gastrointestinal irritant.
3. Order stool cultures for suspected viral pathogens not treated by the amoxicillin.
4. Recommend increased fluids and fiber in his diet.

Answer 3

1. Advise the parents that some diarrhea is normal with amoxicillin and recommend probiotics daily.

Question 4

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:
1. Amoxicillin
2. Amoxicillin/clavulanate
3. TMP/SMZ (Septra)
4. None

Answer 4

4. None

Question 5

Jaheem is a 10-year-old low-risk patient with sinusitis. Treatment for a child with sinusitis is:
1. Amoxicillin
2. Azithromycin
3. Cephalexin
4. Levofloxacin

Answer 5

1. Amoxicillin

Question 6

Jacob has been diagnosed with sinusitis. He is the parent of a child in daycare. Treatment for sinusitis in an adult who has a child in daycare is:
1. Azithromycin 500 mg q day for 5 days
2. Amoxicillin-clavulanate 500 mg bid for 7 days
3. Ciprofloxacin 500 mg bid for 5 days
4. Cephalexin 500 mg qid for 5 days

Answer 6

2. Amoxicillin-clavulanate 500 mg bid for 7 days

Question 7

Alyssa is a 15-month-old patient who has been on amoxicillin for 2 days for acute otitis media. She is still febrile and there is no change in her tympanic membrane examination. What would be
the plan of care for her?
1. Continue the amoxicillin for the full 10 days.
2. Change the antibiotic to azithromycin.
3. Change the antibiotic to amoxicillin/clavulanate.
4. Change the antibiotic to trimethoprim/sulfamethoxazole.

Answer 7

3. Change the antibiotic to amoxicillin/clavulanate.

Question 8

35. Kasey fractured his ankle in two places and is asking for medication for his pain. The appropriate
    first-line medication would be:
36. Ibuprofen (Advil)
37. Acetaminophen with hydrocodone (Vicodin)
38. Oxycodone (Oxycontin)
39. Oral morphine (Roxanol)

Answer 8

2. Acetaminophen with hydrocodone (Vicodin)

Question 9

26. In choosing a benzodiazepam to treat anxiety the prescriber needs to be aware of the possibility of
    dependence. The benzo diazepam with the greatest likelihood of rapidly developing dependence
    is:
27. Chlordiazepoxide (Librium)
28. Clonazepam (Klonopin)
29. Alprazolam (Xanax)
30. Oxazepam (Serax)

Answer 9

3. Alprazolam (Xanax)

Question 10

29. Patients should be instructed regarding the rapid onset of zolpidem (Ambien) because:
30. Zolpidem should be taken just before going to bed.
31. Zolpidem may cause dry mouth and constipation.
32. Patients may need to double the dose for effectiveness.
33. They should stop drinking alcohol at least 30 minutes before taking zolpidem

Answer 10

1. Zolpidem should be taken just before going to bed.

Question 11

The first-line drug choice for a previously healthy adult patient diagnosed with community-acquired pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
3.Amoxicillin
4.Doxycyclin

Answer 11

2.Azithromycin

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Question 12

Samantha is 34 weeks pregnant and has been diagnosed with pneumonia. She is stable enough to be treated as an outpatient. What would be an appropriate antibiotic to prescribe?
1.Levofloxacin
2.Azithromycin
3.Amoxicillin
4.Doxycycline

Answer 12

2.Azithromycin

Question 13

Myles is a 2-year-old patient who has been diagnosed with acute otitis media. He is afebrile and has not been treated with antibiotics recently. First-line treatment for his otitis media would include:
1. Azithromycin
2. Amoxicillin
3. Ceftriaxone
4. Trimethoprim/sulfamethoxazole

Answer 13

2. Amoxicillin

Question 14

Giselle is a 14-year-old patient who presents to the clinic with symptoms consistent with mycoplasma pneumonia. What is the treatment for suspected mycoplasma pneumonia in an adolescent?
1. Ceftriaxone
2. Azithromycin
3. Ciprofloxacin
4. Levofloxacin

Answer 14

2. Azithromycin

Question 15

What is considered the order of statin strength from lowest effect to highest?
1. Lovastatin, Simvastatin, Rosuvastatin
2. Rosuvastatin, Lovastatin, Atorvastatin
3. Atorvastatin, Rosuvastatin, Simvastatin
4. Simvastatin, Atorvastatin, Lovastatin

Answer 15

1. Lovastatin, Simvastatin, Rosuvastatin

Question 16

Patient teaching related to amlodipine includes:
1. Increase calcium intake to prevent osteoporosis from a calcium blockade.
2. Do not crush the tablet; it must be given in liquid form if the patient has trouble swallowing it.
3. Avoid grapefruit juice as it affects the metabolism of this drug.
4. Rise slowly from a supine position to reduce orthostatic hypotension.

Answer 16

3. Avoid grapefruit juice as it affects the metabolism of this drug.

Question 17

Donald has been diagnosed with hyperlipidemia. Based on his lipid profile, atorvastatin is prescribed. Rhabdomyolysis is a rare but serious adverse response to this drug. Donald should be told to:
1. Become a vegetarian because this disorder is associated with eating red meat.
2. Stop taking the drug if abdominal cramps and diarrhea develop.
3. Report muscle weakness or tenderness and dark urine to his provider immediately.
4. Expect “hot flash” sensations during the first 2 weeks of therapy.

Answer 17

3. Report muscle weakness or tenderness and dark urine to his provider immediately.