WORKBOOK 2026 PATIENT ASSESSMENT AND
DIAGNOSTIC DECISION MAKING
◉ Joanna had a small ventricle septal defect (VSD) repaired when
she was 3 years old and has no residual cardiac problems. She is
now 28 and is requesting prophylactic antibiotics for an upcoming
dental visit. The appropriate antibiotic to prescribe according to
current American College of Cardiology and American Heart
Association guidelines is:.
Answer: None, no antibiotic is required for dental procedures
◉ to prevent further development of antibacterial resistance it is
recommended that fluoroquinolones be reserved for treatment of:.
Answer: community-acquired pneumonia in patients with
comorbidities
◉ Fluoroquinolones have Black box warning regarding ________ even
months after treatment.
Answer: tendon rupture
◉ Janet was recently treated with clindamycin for an infection. She
calls the advice nurse because she is having frequent diarrhea that
,she thinks may have blood in it. What would be the appropriate care
for her?.
Answer: Asses her for pseudomembranous colitis
◉ Keng has chronic hepatitis that has led to mildly impaired liver
function. He has an infection that would be best treated by a
macrolide. Which would be the best choice for a patient with liver
dysfunction?.
Answer: Erythromycin (E-mycin)
◉ Jamie has glucose-6-phosphate dehydrogenase deficiency (G6PD)
and requires an antibiotic. Which class of antibiotics should be
avoided in this patient?.
Answer: sulfonamides
◉ if a patient is allergic to sulfonamide antibiotics, he or she will
most likely have cross-sensitivity to:.
Answer: all of the above
◉ Tetracyclines such as minocycline are safe to use in.
Answer: adolescents
◉ tetracycline's should not be prescribed to children younger than 8
years due to:.
, Answer: adverse effects on bone growth
◉ Nicole is a 16-year-old female who is taking minocycline for acne.
She comes to the clinic complaining of a headache. What would be
the plan of care?.
Answer: Evaluate her pseudotremor cerebri
◉ Patricia has been prescribed doxycycline for a chlamydia
infection. She is healthy and her only medication is an oral combined
contraceptive. Patricia's education would include:.
Answer: Use a back-up method of birth control (condom) until her
next menses
◉ to prevent the development of peripheral neuropathy in patients
taking isoniazid for tuberculosis the patient is also prescribed:.
Answer: Pyridoxine (vitamin B6)
◉ Sadie is an 82-year-old patient who has herpes zoster (shingles)
and would benefit from an antiviral such as valacyclovir. Prior to
prescribing valacyclovir she will need an assessment of:.
Answer: renal function
◉ When prescribing acyclovir, patients should be educated
regarding the:.