AGNP BOARD EXAM WITH ANSWERS – RESPIRATORY PRESCRIBING

AGNP BOARD EXAM WITH ANSWERS – RESPIRATORY PRESCRIBING (Questions 100) Question: Treatment of Bordetella pertussis in a patient with a hypersensitivity to macrolides is: doxycycline. clindamycin (Cleocin). metronidazole (Flagyl). sulfamethoxazole/trimethoprim (Bactrim). Correct Explanation: Sulfamethoxazole/trimethoprim (Bactrim) is an alternative choice for patients in whom a macrolide is contraindicated. Question: The mainstay of treatment in the management of mild and moderate croup is symptomatic relief that includes: antibiotics. beta-2 agonists. corticosteroids. Correct decongestants. Explanation: The mainstay of treatment in the management of mild and moderate croup is symptomatic relief, which includes corticosteroids (inhaled or oral). Antibiotics, beta-2 agonists and decongestants have not been studied, and their use is discouraged. Question: In adults with community-acquired pneumonia in which B-lactamase producing Haemophilus influenzae is identified as the causative organism, the outpatient treatment of choice is: amoxicillin (Amoxil). azithromycin (Zithromax). Cefixime (Suprax). Correct oseltamivir (Tamiflu). Explanation: The treatment of choice in adults with B-lactamase producing Haemophilus influenzae community acquired pneumonia is cefixime (Suprax). Amoxicillin is recommended in the presence of non-B-lactamase producing Haemophilus influenzae. Alternate antibiotics include fluoroquinolones (ie. moxifloxacin [Avelox]), doxycycline, azithromycin and clarithromycin. Question: A patient with sinusitis is treated with amoxicillin. Caution is advised with concomitant use of: lisinopril (Zestril). fexofenadine (Allegra).