Complete Solutions
56 yo F presents to the clinic w/productive cough. CXR shows
RLL infiltrates. What is the tx plan based on diagnosis? Correct
Answers Amoxicillin plus azithromycin for CAP
Adverse effects for Lorcaserin Correct Answers Headache,
back pain, decrease in lymphocytes and URI
Pt w DM can experience increase in hypoglycemic events
less common but serious include blood dry arias, cognitive
impairment, psychiatric disorders, priapism, pulmonary
hypertension and valvular HD
Adverse effects of montelukast Correct Answers Nuro
psychiatric effects including agitation aggression hallucinations
depression insomnia restlessness and suicidal thinking of
behavior
Adverse effects of naltrexone/bupropion Correct Answers N,
V, HA, dizziness, insomnia
increase BP dry mouth diarrhea abd discomfort anx fatigue risk
of suicide
Adverse effects one taking ivermectin Correct Answers Pruritis
Rash fever lymph node tenderness and bone and joint pain
Known as Mazzotti reaction
Adverse effects when taking mebendazole Correct Answers
Bone marrow suppression and liver impairment
,Adverse effects when taking moxidectin Correct Answers Flu
like symptoms of the Mazzotti response Associated with death
of the microfilariae failure during the first week
Adverse effects when taking parental pamoate Correct Answers
In neonate it can cause potentially fatal gasping syndrome
Adverse reactions for itraconazole Correct Answers Cardiac
suppression and liver toxicity because if it's negative inotropic
actions it should not be used for superficial fungal infections in
patients with heart failure history of heart failure or other
indications of ventricular dysfunction
Anthelmintic Monitoring Correct Answers Albendazole liver
function and CBC with diff
Mebendazole Liver function CBC with diff and renal function
Praziquantel liver function
Ivermectin and moxidectin Ophthalmological exam if abnormal
at baseline
Stool sample one to three weeks for proof of cure
Antibiotic Classes and examples of infectious disease drugs
Correct Answers ß-Lactams : penicillins
-Penicillin G, V
-Nafcillin, oxacillin, dicloxacillin
-ampicillin, amoxicillin
-piperacillin
-combo-amp/sulbactam(unasyn), amox/clav (augmentin),
pip/taco (zosyn)
B-lactation: cephalosporin
, -cephalexin (keflex)
-cefoxitin (mefoxin)
-cefotaxime (claforan)
-cefepime (maxipime)
-ceftaroline (teflaro)
Fluoroquinolones
-ciprofloxacin (cipro)
-ofloxacin (floxin)
-levofloxacin (levaquin)
-moxifloxacin (avelox)
Tetracyclines and Macrolides
-tetracycline, doxycycline
-erythromycin, azithromycin(zithromax), clarithromycin
(Biaxin)
Sulfonamides, Trimethoprim, and Nitrofurantoin
-sulfadiazine, sulfamethoxazole(bactrim)
-trimethoprim (primsol)
-TMP/SMZ: trimethoprim/sulfamethoxazole
-nitrofurantoin (macrodantin)
Antibiotics that need therapeutic monitoring Correct Answers
Vancomyosin and aminoglycosides
Antibiotics that should be avoided during pregnancy Correct
Answers Fluoroquinolones and tetracyclines
Antibiotics that should be avoided in elderly with a creatinine
clearance less than 30 mL per minute Correct Answers Cipro
and nitrofurantoin