NR 566 MIDTERM STUDY GUIDE EXAM
WITH CORRECT QUESTIONS AND
ANSWERS
Common CAP pathogens - CORRECT-ANSWERSS. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
CAP first line treatment - CORRECT-ANSWERSMacrolides, Doxycyline,
Amoxicillin
what to give if 1st CAP treatment doesn't work? - CORRECT-
ANSWERSRespiratory Fluoroquinolone if not received abx in the past 3 months
Mycoplasma pneumoniae - CORRECT-ANSWERSatypical pneumonia;
commonly seen in children
pediatric atypical pneumonia treatment - CORRECT-ANSWERSMacrolides
(Erythromycin), if failed then Respiratory fluoroquinolone
,CAP treatment during pregnancy - CORRECT-ANSWERSAmoxicillin,
cephalosporins, or Erythromycin
Treatment of chlamydial pneumonia in infant - CORRECT-ANSWERSMacrolide
(Azithromycin): 500mg orally on day 1 followed by 250 mg once daily on days 2-
5
When to use broad/empiric spectrum antibiotics? - CORRECT-ANSWERSBefore
cultures are resulted/ critically ill patient after first culture obtained, based on NP
knowledge of patient history, local susceptibility/geographic location
When to use narrow spectrum antibiotics? - CORRECT-ANSWERSUsed when the
culture and sensitivity is resulted, and pathogen is known.
how to treat C.diff - CORRECT-ANSWERSStop the antibiotic that may have
caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days
, address hydration
Drug class known for ALL drugs in class to promote development of C. Diff -
CORRECT-ANSWERS2nd and 3rd generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes - CORRECT-
ANSWERSCephalosporins & Carbapenems
(Allergy may be mild or severe)
Safe penicillin during pregancy - CORRECT-ANSWERSAmoxicillin
patient education for Cephalosporins - CORRECT-ANSWERSReport to provider
any loose stools, complete full course of antibiotics, s/s of allergy
Cephalosporins in pregnancy - CORRECT-ANSWERSAll appear safe for use
patient education for Tetracyclines - CORRECT-ANSWERSphotosensitivity (wear
sunscreen!), complete full course, s/s of allergy
Tetracyclines in pregnancy - CORRECT-ANSWERSCan lead to fetal death;
avoided for use
WITH CORRECT QUESTIONS AND
ANSWERS
Common CAP pathogens - CORRECT-ANSWERSS. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
CAP first line treatment - CORRECT-ANSWERSMacrolides, Doxycyline,
Amoxicillin
what to give if 1st CAP treatment doesn't work? - CORRECT-
ANSWERSRespiratory Fluoroquinolone if not received abx in the past 3 months
Mycoplasma pneumoniae - CORRECT-ANSWERSatypical pneumonia;
commonly seen in children
pediatric atypical pneumonia treatment - CORRECT-ANSWERSMacrolides
(Erythromycin), if failed then Respiratory fluoroquinolone
,CAP treatment during pregnancy - CORRECT-ANSWERSAmoxicillin,
cephalosporins, or Erythromycin
Treatment of chlamydial pneumonia in infant - CORRECT-ANSWERSMacrolide
(Azithromycin): 500mg orally on day 1 followed by 250 mg once daily on days 2-
5
When to use broad/empiric spectrum antibiotics? - CORRECT-ANSWERSBefore
cultures are resulted/ critically ill patient after first culture obtained, based on NP
knowledge of patient history, local susceptibility/geographic location
When to use narrow spectrum antibiotics? - CORRECT-ANSWERSUsed when the
culture and sensitivity is resulted, and pathogen is known.
how to treat C.diff - CORRECT-ANSWERSStop the antibiotic that may have
caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days
, address hydration
Drug class known for ALL drugs in class to promote development of C. Diff -
CORRECT-ANSWERS2nd and 3rd generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes - CORRECT-
ANSWERSCephalosporins & Carbapenems
(Allergy may be mild or severe)
Safe penicillin during pregancy - CORRECT-ANSWERSAmoxicillin
patient education for Cephalosporins - CORRECT-ANSWERSReport to provider
any loose stools, complete full course of antibiotics, s/s of allergy
Cephalosporins in pregnancy - CORRECT-ANSWERSAll appear safe for use
patient education for Tetracyclines - CORRECT-ANSWERSphotosensitivity (wear
sunscreen!), complete full course, s/s of allergy
Tetracyclines in pregnancy - CORRECT-ANSWERSCan lead to fetal death;
avoided for use
