and Answers.
Factors that place a patient at risk of developing an antimicrobial-resistant organism include: -
Answer Inappropriate use of antimicrobials
Infants and young children are at higher risk of developing antibiotic- resistant infections due to:
- Answer the fact that children this age are more likely to be in daycare and exposed to
pathogens from other children
Providers should use an antibiogram when prescribing. An antibiogram is: - Answer A chart of
the local resistance patterns to antibiotics developed by laboratories
there is often cross-sensitivity and cross-resistance between penicillin's and cephalosporin's
because: - Answer both drugs classes contain a beta-lactam ring that is vulnerable to beta-
lactamase-producing organisms
Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic. He
says the last time he had penicillin he developed a red, blotchy rash. An appropriate antibiotic
to prescribe would be: - Answer Azithromycin
Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary tract infection. What
would be the appropriate antibiotic to prescribe for her? - Answer amoxicillin (Trimox)
Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute otitis media. His
parents call the clinic and say he has developed diarrhea. The appropriate action would be to: -
Answer Advise the parents that some diarrhea is normal with amoxicillin and recommend
probiotics daily
Lauren is a 13-year-old child who comes to clinic with a 4-day history of cough, low-grade fever,
and rhinorrhea. When she blows her nose or coughs the mucous is greenish-yellow. The
appropriate antibiotic to prescribe would be: - Answer None
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