QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ 100%
GUARANTEED PASS
Causes of drug resistance - CORRECT ANSWER-Recent use of antibiotics
Over use of broad spectrum antibiotics
Age less than 2 years or greater than 65 years
Daycare center attendance
Exposure to young children
Multiple medical comorbidities
Immunosuppression
,True or false
Every antibiotic class has resistant organisms - CORRECT ANSWER-True
How can your identify local resistance patterns - CORRECT ANSWER-By monitoring the
antibiogram of the local laboratory
What vaccine has decreased resistance in older populations - CORRECT ANSWER-
Pneumococcal vaccine
Commitment - CORRECT ANSWER-Demonstrate dedication to and accountability for
optimizing antibiotic prescribing and patient safety
Action for policy and practice - CORRECT ANSWER-Implement at least one policy or practice to
improve antibiotic prescribing assess whether it is woking and modify as needed
Tracking and reporting - CORRECT ANSWER-Monitor antibiotic prescribing practices, and offer
regular feedback to clinicians or have clinicians assess their own antibiotic prescribing
practices themselves
Education and expertise - CORRECT ANSWER-Provide educational resources to clinicians and
patients on antibiotic prescribing and ensure access to needed expertise on optimizing
antibiotic prescribing
Core elements of antibiotic stewardship - CORRECT ANSWER-Commitment
Action for policy and practice
,Tracking and reporting
Education and expertise
Pharmacodynamics of beta-lactams (Penicillins) - CORRECT ANSWER-Inhibit the biosynthesis
of peptidoglycan bacterial cell wall
Natural penicillins are sensitive to what - CORRECT ANSWER-Streptococcus
Some Enterococcus
Some non-penicillinase producing Staphylococcus
Aminopenicillin sensitivity - CORRECT ANSWER-Greater activity against gram-negative
bacteria because of enhanced ability to penetrate the outer membrane organisms
What are beta-lactams used for - CORRECT ANSWER-Gram negative urinary and GI pathogens
•Escherichia coli, Proteus mirabilis, Salmonella, some Shigella species, and Enterococcus
faecalis; active against the common gram-negative respiratory pathogens Moraxella
catarrhalis (and Haemophilus influenzae type B)
How do you broden the spectrum of beta lactams - CORRECT ANSWER-Combine with beta-
lactamase inhibitors:
Clavulanate
Sulbactam
, Tazobactam
True or false
Few allergies are seen with beta-lactams - CORRECT ANSWER-False
May cause serious immediate allergic reactions
When will you seen an allergic reaction occur with beta lactams - CORRECT ANSWER-Within 2
to 30 minutes of administration
What does the typical beta-lactam rash look like - CORRECT ANSWER-Maculopapular
True or false
The beta lactam maculopapular rash is allergic in origin - CORRECT ANSWER-False
How often do rashes occur with beta-lactam use - CORRECT ANSWER-About 9% of the time
When do rashes associated with beta-lactam use typically present - CORRECT ANSWER-7-10
days into treatment
SE with beta lactam use - CORRECT ANSWER-Diarrhea
N/V