NR 566 Midterm | Questions and verified Answers
complete Solutions | A+ Graded | 2026 Updates |
100% correct
Carbapenems - ANSWER- Patients using valproate to control seizures should not be placed on
imipenem.
Vancomycin - ANSWER- Use with caution in patients with renal impairment.
Cephalosporins - ANSWER- Contraindicated for patients with a history of allergic reactions to
this drug class or severe reactions to penicillin.
Tetracyclines - ANSWER- Contraindicated ind with s pregnant women and in children younger
than 8 years.
Macrolides - ANSWER- Use with caution in patients with QT prolongation.
Aminoglycosides - ANSWER- Used with caution in patients with renal impairment, preexisting
hearing impairment, and those receiving cytotoxic and neurotoxic drugs
Trimethoprim/Sulfam - ANSWER- Contraindicated for nursing mothers, pregnant women in
the first trimester and also those near term, and infants younger than 2 months.
Penicillin High Risk for Toxicity - ANSWER- Renal Impairment
Acutely ill
Very young
Very Old
Which patients should penicillins be used with extreme caution? - ANSWER- Patients with a
history of severe allergic reactions to cephalosporins, or carbapenems.
Cephalosporins - ANSWER- All appear to be safe for use in pregnancy
Penicillins - ANSWER- Although there are no well-controlled studies in pregnant women,
evidence we do have suggests there is no second or third trimester fetal risk.
Tetracyclines - ANSWER- Animal studies reveal that these drugs can cause fetal harm in
pregnancy. Thus this class of drugs should be avoided in during pregnancy.
, Aminoglycosides - ANSWER- There is evidence that use of this drug class in pregnancy can
harm the fetus so they should not be used.
Sulfonamides - ANSWER- Systemic drugs in this class may cause birth defects, especially if
taken during the first semester. If taken near term, the infant may develop kernicterus.
Acute otitis externa presents with what symptoms that differentiates it from otitis media to
determine diagnosis and treatment? - ANSWER- Rapid-onset ear pain that include pruritis.
What baseline data is needed to prescribe trimethoprim/sulfamethoxazole? (Select all that
apply) - ANSWER- 2 Establish an infection appropriate for this drug class exists Complete
blood count with white cell differential for prolonged therapy Renal function if there is concern
in may be compromised
Which antibiotic class is most likely to be given to someone with otitis media if there are no
contraindications? - ANSWER- Penicillin After 3 days of observation, start 10 days of
amoxicillin or amoxicillin/clavulanate. Information found in the course module.
What is the likely causative agent for acute otitis media? - ANSWER- Streptococcus
pneumoniae
Third-generation drugs Cephalosporins are used to treat bacterial infections in neonates as well
as infants. - ANSWER- Cephalosporins
Used safely in infants with bacterial infections, including syphilis, meningitis, and group A
streptococcus. - ANSWER- Penicillins
Approved to treat bacterial infections in infants younger than 8 days. Dosing is based on weight
and length of gestation. - ANSWER- Aminoglycosides
Used in infants younger than 2 months can cause kernicterus, a potentially fatal condition. -
ANSWER- Sulfonamides
Treatment of serious infections, including C. diff. infection, infection with methicillin-resistant S.
aureus, and serious infections caused by susceptible organisms in patients allergic to penicillin. -
ANSWER- Vancomycin
Treatment of infections sensitive to this class, acne, and periodontal disease. - ANSWER-
Tetracyclines
Treatment of respiratory infections, infections caused by H. pylori, disseminated
Mycobacterium, and as alternatives to penicillin in patients with penicillin allergy. - ANSWER-
Macrolides
complete Solutions | A+ Graded | 2026 Updates |
100% correct
Carbapenems - ANSWER- Patients using valproate to control seizures should not be placed on
imipenem.
Vancomycin - ANSWER- Use with caution in patients with renal impairment.
Cephalosporins - ANSWER- Contraindicated for patients with a history of allergic reactions to
this drug class or severe reactions to penicillin.
Tetracyclines - ANSWER- Contraindicated ind with s pregnant women and in children younger
than 8 years.
Macrolides - ANSWER- Use with caution in patients with QT prolongation.
Aminoglycosides - ANSWER- Used with caution in patients with renal impairment, preexisting
hearing impairment, and those receiving cytotoxic and neurotoxic drugs
Trimethoprim/Sulfam - ANSWER- Contraindicated for nursing mothers, pregnant women in
the first trimester and also those near term, and infants younger than 2 months.
Penicillin High Risk for Toxicity - ANSWER- Renal Impairment
Acutely ill
Very young
Very Old
Which patients should penicillins be used with extreme caution? - ANSWER- Patients with a
history of severe allergic reactions to cephalosporins, or carbapenems.
Cephalosporins - ANSWER- All appear to be safe for use in pregnancy
Penicillins - ANSWER- Although there are no well-controlled studies in pregnant women,
evidence we do have suggests there is no second or third trimester fetal risk.
Tetracyclines - ANSWER- Animal studies reveal that these drugs can cause fetal harm in
pregnancy. Thus this class of drugs should be avoided in during pregnancy.
, Aminoglycosides - ANSWER- There is evidence that use of this drug class in pregnancy can
harm the fetus so they should not be used.
Sulfonamides - ANSWER- Systemic drugs in this class may cause birth defects, especially if
taken during the first semester. If taken near term, the infant may develop kernicterus.
Acute otitis externa presents with what symptoms that differentiates it from otitis media to
determine diagnosis and treatment? - ANSWER- Rapid-onset ear pain that include pruritis.
What baseline data is needed to prescribe trimethoprim/sulfamethoxazole? (Select all that
apply) - ANSWER- 2 Establish an infection appropriate for this drug class exists Complete
blood count with white cell differential for prolonged therapy Renal function if there is concern
in may be compromised
Which antibiotic class is most likely to be given to someone with otitis media if there are no
contraindications? - ANSWER- Penicillin After 3 days of observation, start 10 days of
amoxicillin or amoxicillin/clavulanate. Information found in the course module.
What is the likely causative agent for acute otitis media? - ANSWER- Streptococcus
pneumoniae
Third-generation drugs Cephalosporins are used to treat bacterial infections in neonates as well
as infants. - ANSWER- Cephalosporins
Used safely in infants with bacterial infections, including syphilis, meningitis, and group A
streptococcus. - ANSWER- Penicillins
Approved to treat bacterial infections in infants younger than 8 days. Dosing is based on weight
and length of gestation. - ANSWER- Aminoglycosides
Used in infants younger than 2 months can cause kernicterus, a potentially fatal condition. -
ANSWER- Sulfonamides
Treatment of serious infections, including C. diff. infection, infection with methicillin-resistant S.
aureus, and serious infections caused by susceptible organisms in patients allergic to penicillin. -
ANSWER- Vancomycin
Treatment of infections sensitive to this class, acne, and periodontal disease. - ANSWER-
Tetracyclines
Treatment of respiratory infections, infections caused by H. pylori, disseminated
Mycobacterium, and as alternatives to penicillin in patients with penicillin allergy. - ANSWER-
Macrolides
