CLINICAL SCRIPT SOLVED QUESTIONS
VERIFIED ANSWERS A+
◉ penicillins.
Answer: MOA: inhibit bacterial wall synthesis by binding to and
activating enzymes that are essential for cell wall function
effective against gram positive bacteria
- strep throat
- ear infections
- syphillis
◉ cephalosporins.
Answer: MOA: inhibit cell wall synthesis
broad spectrum, effective against pos and neg bacteria, later generations
are more effective against gram neg
treat respiratory infections, UTIs, skin infections, bacterial meningitis,
pneumonia
◉ cephalosporin generations.
Answer: 1 - cephalexin
2 - cefuroxime
,3 - ceftriaxone
4 - cefepime
◉ macrolides.
Answer: MOA: inhibit bacterial protein synthesis
effective against primarily gram pos but some gram neg
erythromycin, azithromycin, clarithromycin
treat respiratory infections, bronchitis, pna, skin infections, STIs
◉ flouroquinolones.
Answer: MOA: inhibit bacterial DNA synthesis
broad spectrum +/-
ciprofloxacin, levofloxacin, moxifloxacin
UTIs, GI infections, respiratory infections, skin infections
Risk of tendon rupture! Last resort abx
,◉ tetracyclines.
Answer: MOA: inhibit bacterial synthesis
broad spectrum +/-
tetracycline, doxycycline, minocycline
acne, respiratory infections, lyme, rocky mountain spotted fever, STIs
don't use in kids <8 y.o. unless RMSF
◉ aminoglycosides.
Answer: MOA: inhibit bacterial protein synthesis
gram negative bacteria
tobramicin, gentamicin, amikacin
treat sepsis, pna, UTIs, often in combo with another med
risk of ototoxicity, nephrotoxicity, neuromuscular blockade
◉ sulfonamides.
, Answer: MOA: inhibits synthesis of folic acid in bacteria
gram + and some gram neg
bactrim, sulfamethoxazole
UTIs, ear infections, PNA
◉ Live attenuated vaccines.
Answer: MMR, varicella, nasal flu, rotavirus, yellow fever, smallpox
can cause fever and rash - normal!
must be given on the same day or at least 4 weeks apart, too close
together can interfere with effectiveness
AVOID in pregnancy and immunocompromised
do not give before 1 year old
◉ When do you start giving flu vaccine?.
Answer: 6 months old
◉ Do you vaccinate if the child is ill or febrile?.