N677 UPDATED EXAMINATION RESOURCES
2026 DETAILED ANSWERS PROVIDED
⫸ AMINOGLYCOSIDES SIDE EFFECT ("omycin" or "amycin").
Answer: "SIN TO GIVE" TOXIC SIDE EFFECTS
*OTOTOXICITY
*NEPHROTOXICITY
⫸ AMINOGLYCOSIDE TREATS WHAT IN PRIMARY CARE?.
Answer: * OTITIS EXTERNA
*UTI
*PNA/RESPIRATORY TRACT INFECTION
*CONJUNCTIVITIS
⫸ Lincosamides (Clindamycin, Licomycin)- CAN CAUSE
PSEUDOMEMBRANEOUS COLITIS. Answer: Used for *serious
infections such as sepsis (blood infection) and bone infection.
Actions: Inhibits protein synthesis in susceptible bacteria, causing cell
death.
Contraindications and Cautions
Use with caution in patients with liver or kidney problems which
could interfere with the metabolism and excretion.
,Adverse Effects
*Severe GI reactions, including fatal *pseudomembranous colitis,
bone marrow suppression have occurred, limiting the usefulness.
metabolized in the liver, excreted in the urine and feces.
⫸ Fluoroquinolones- Ciprofloxacin, Levofloxacin- Community
Acquired Pneumonia w/ comorbidities. Answer: "IT IS A SIN ("acin")
TO GIVE"- BECAUSE IT IS TOXIC CAUSING OTOTOXICITY &
NEPHROTOXICITY & QT PROLONGATION
BBW: tendinitis, tendon rupture, and worsening of myasthenia gravis
(drooping eyelids, difficulty swallowing, impaired speech, etc.)
Major Side Effects: QT PROLONGATION, Pregnancy/Breastfeeding,
GI, Headache, Rash, Dizziness
Major Contraindications: Liver Dysfunction, Epilepsy
Monitoring Paramenter:
DD Interactions: Warfarin
DF Interactions: Dairy
, ⫸ Fluoroquinolones Black Box Warning (BBW)- Ciprofloxacin,
Levofloxacin. Answer: tendinitis, tendon rupture, and worsening of
myasthenia gravis (drooping eyelids, difficulty swallowing, impaired
speech, etc.)
⫸ Tetracycline-Doxycycline, Minocycline --- "cycline". Answer:
Major Side Effects: GI irritation, effects on bone and teeth,
superinfection, hepatotoxicity, renal toxicity, photosensitivity, Cause
yelow/gray teeth
Major Contraindications: do not give to pregnant women or children
before age 8 or damage to tooth enamel occurs, Sensitivity to UV
exposure
Monitoring Paramenter:
DD Interactions:
DF Interactions: Dairy
⫸ Penicillins- Ampicillin, Penicillin V K+ -- "cillin"- BROAD
SPECTRUM. Answer: Major Side Effects: Anaphylaxis, rash, hives,
angioedema, bronchospasm, Renal impairment, Superinfection
Major Contraindications: Sensitivity to Penicillins/Cephalosporins
2026 DETAILED ANSWERS PROVIDED
⫸ AMINOGLYCOSIDES SIDE EFFECT ("omycin" or "amycin").
Answer: "SIN TO GIVE" TOXIC SIDE EFFECTS
*OTOTOXICITY
*NEPHROTOXICITY
⫸ AMINOGLYCOSIDE TREATS WHAT IN PRIMARY CARE?.
Answer: * OTITIS EXTERNA
*UTI
*PNA/RESPIRATORY TRACT INFECTION
*CONJUNCTIVITIS
⫸ Lincosamides (Clindamycin, Licomycin)- CAN CAUSE
PSEUDOMEMBRANEOUS COLITIS. Answer: Used for *serious
infections such as sepsis (blood infection) and bone infection.
Actions: Inhibits protein synthesis in susceptible bacteria, causing cell
death.
Contraindications and Cautions
Use with caution in patients with liver or kidney problems which
could interfere with the metabolism and excretion.
,Adverse Effects
*Severe GI reactions, including fatal *pseudomembranous colitis,
bone marrow suppression have occurred, limiting the usefulness.
metabolized in the liver, excreted in the urine and feces.
⫸ Fluoroquinolones- Ciprofloxacin, Levofloxacin- Community
Acquired Pneumonia w/ comorbidities. Answer: "IT IS A SIN ("acin")
TO GIVE"- BECAUSE IT IS TOXIC CAUSING OTOTOXICITY &
NEPHROTOXICITY & QT PROLONGATION
BBW: tendinitis, tendon rupture, and worsening of myasthenia gravis
(drooping eyelids, difficulty swallowing, impaired speech, etc.)
Major Side Effects: QT PROLONGATION, Pregnancy/Breastfeeding,
GI, Headache, Rash, Dizziness
Major Contraindications: Liver Dysfunction, Epilepsy
Monitoring Paramenter:
DD Interactions: Warfarin
DF Interactions: Dairy
, ⫸ Fluoroquinolones Black Box Warning (BBW)- Ciprofloxacin,
Levofloxacin. Answer: tendinitis, tendon rupture, and worsening of
myasthenia gravis (drooping eyelids, difficulty swallowing, impaired
speech, etc.)
⫸ Tetracycline-Doxycycline, Minocycline --- "cycline". Answer:
Major Side Effects: GI irritation, effects on bone and teeth,
superinfection, hepatotoxicity, renal toxicity, photosensitivity, Cause
yelow/gray teeth
Major Contraindications: do not give to pregnant women or children
before age 8 or damage to tooth enamel occurs, Sensitivity to UV
exposure
Monitoring Paramenter:
DD Interactions:
DF Interactions: Dairy
⫸ Penicillins- Ampicillin, Penicillin V K+ -- "cillin"- BROAD
SPECTRUM. Answer: Major Side Effects: Anaphylaxis, rash, hives,
angioedema, bronchospasm, Renal impairment, Superinfection
Major Contraindications: Sensitivity to Penicillins/Cephalosporins
