GALEN PHARM EXAM 4 QUESTIONS
AND ANSWERS GRADED A+ 2026
Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) - ANS Gentamycin
Gentamycin clinical use - ANS Used in gram negative sepsis & many life-threatening
infections.Inactive against anaerobic bacteria.
Gentamycin side effects - ANS GI upset, rash, visual disturbances, photosensitivity, dizziness,
weakness
gentamycin adverse reactions - ANS Nausea/ DiarrheaVery OTOTOXIC and
NEPHROTOXIC.(Loop diuretics ↑ototoxicity), Superinfection
gentamycin nursing implications - ANS Monitor for ↑BUN and SERUM CREATININE for
Nephrotoxicity. Monitor I & O, Monitor: Bun, CreatinineShould be given for NO LONGER than 10
days!!!
Penicillins"Cillins" protoypes (Obtain Culture and Sensitivity) - ANS Amoxicillin, Ampicillin
(can be given with food. NO Acidic fruits and juices.)
Amoxicillin & Ampicillin clinical use - ANS Broad Spectrum PCNUsed to treat gram + and gram
-, commonly used for respiratory infections, otitis media, H. Pylori, E. coli
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
, Amoxicillin & Ampicillin side effects - ANS GI disturbance, headaches, rash, stomatitis,
dizziness, anxiety, confusion
Amoxicillin & Ampicillin adverse reactions - ANS Thrombocytopenia, leukopenia,
angioedema, Hepatotoxicity
Amoxicillin & Ampicillin nursing implications - ANS ↓ effectiveness of Oral contraceptives,
assess for allergies to cephalosporins, asthma, Renal impairment Lab monitor: ALT, AST, BUN,
CreatinineMonitor for bleeding
Cephalosporins"Cefs" prototypes (Obtain Culture and Sensitivity) - ANS Ceftriaxone,
Cefpodoxime
Ceftriaxone & Cefpodoxime clinical use - ANS Third generation cephalosporin
Ceftriaxone & Cefpodoxime side effects - ANS GI upset, headaches, dizziness, rash, dyspepsia
Ceftriaxone & Cefpodoxime adverse reactions - ANS Bleeding, angioedema, hepatoxicity,
agranulocytosis, renal failure
Ceftriaxone & Cefpodoxime nursing implications - ANS Cross-sensitivity w/ penicillin.Give
WITH Food! Encourage patients to eat yogurt, buttermilk or use probiotics to avoid
superinfectionMonitor labs: ALT, AST, LDH, PT, INR
Tetracyclines prototype (Obtain Culture and Sensitivity) - ANS Doxycycline(Vibramycin)
Doxycycline(Vibramycin) clinical use - ANS Broad spectrum, low dose therapy used to tx
ACNESTD's, respiratory infections, UTI's
Doxycycline(Vibramycin) side effects - ANS GI upset, photosensitivity
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
AND ANSWERS GRADED A+ 2026
Aminoglycosides"Mycins" prototype (Obtain Culture and Sensitivity) - ANS Gentamycin
Gentamycin clinical use - ANS Used in gram negative sepsis & many life-threatening
infections.Inactive against anaerobic bacteria.
Gentamycin side effects - ANS GI upset, rash, visual disturbances, photosensitivity, dizziness,
weakness
gentamycin adverse reactions - ANS Nausea/ DiarrheaVery OTOTOXIC and
NEPHROTOXIC.(Loop diuretics ↑ototoxicity), Superinfection
gentamycin nursing implications - ANS Monitor for ↑BUN and SERUM CREATININE for
Nephrotoxicity. Monitor I & O, Monitor: Bun, CreatinineShould be given for NO LONGER than 10
days!!!
Penicillins"Cillins" protoypes (Obtain Culture and Sensitivity) - ANS Amoxicillin, Ampicillin
(can be given with food. NO Acidic fruits and juices.)
Amoxicillin & Ampicillin clinical use - ANS Broad Spectrum PCNUsed to treat gram + and gram
-, commonly used for respiratory infections, otitis media, H. Pylori, E. coli
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
, Amoxicillin & Ampicillin side effects - ANS GI disturbance, headaches, rash, stomatitis,
dizziness, anxiety, confusion
Amoxicillin & Ampicillin adverse reactions - ANS Thrombocytopenia, leukopenia,
angioedema, Hepatotoxicity
Amoxicillin & Ampicillin nursing implications - ANS ↓ effectiveness of Oral contraceptives,
assess for allergies to cephalosporins, asthma, Renal impairment Lab monitor: ALT, AST, BUN,
CreatinineMonitor for bleeding
Cephalosporins"Cefs" prototypes (Obtain Culture and Sensitivity) - ANS Ceftriaxone,
Cefpodoxime
Ceftriaxone & Cefpodoxime clinical use - ANS Third generation cephalosporin
Ceftriaxone & Cefpodoxime side effects - ANS GI upset, headaches, dizziness, rash, dyspepsia
Ceftriaxone & Cefpodoxime adverse reactions - ANS Bleeding, angioedema, hepatoxicity,
agranulocytosis, renal failure
Ceftriaxone & Cefpodoxime nursing implications - ANS Cross-sensitivity w/ penicillin.Give
WITH Food! Encourage patients to eat yogurt, buttermilk or use probiotics to avoid
superinfectionMonitor labs: ALT, AST, LDH, PT, INR
Tetracyclines prototype (Obtain Culture and Sensitivity) - ANS Doxycycline(Vibramycin)
Doxycycline(Vibramycin) clinical use - ANS Broad spectrum, low dose therapy used to tx
ACNESTD's, respiratory infections, UTI's
Doxycycline(Vibramycin) side effects - ANS GI upset, photosensitivity
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2