(Exam 2, 2025–2026) – Complete Questions and Answers
Introduction:
This document contains the full set of updated Exam 2 questions and
verified answers for Maryville University’s NURS 615 Advanced
Pathophysiology course (academic year 2025–2026). It
comprehensively covers pharmacology, disease mechanisms, and
clinical applications—ranging from antibiotic and antiviral therapy to
neuro, cardiovascular, endocrine, and renal pathophysiology. The
material is structured in a question-and-answer format for efficient
review and exam preparation, providing a concise yet detailed
overview aligned with the NURS 615 curriculum.
Exam Questions and Answers
What is the proper dosing of amoxicillin for dental surgery? ---
correct answer ---amoxicillin 2 grams (adults) and 50 mg/kg
(children)
Patient education for penicillin-induced diarrhea --- correct answer
---- Continue taking medication
- Increase water intake
- Eat yogurt or take probiotics to repopulate flora
Black Box Warning for Fluoroquinolones --- correct answer ---
Tendon rupture
,What infections should levofloxacin (Levaquin) be reserved for? ---
correct answer ---- Hospital-acquired pneumonia
- Community-acquired pneumonia with comorbidities
Why should fluoroquinolones not be used in children? --- correct
answer ---Impaired musculoskeletal development
Drug interactions for fluoroquinolones --- correct answer ----
warfarin (Coumadin)
What population should tetracylcine antibiotics be used for? Why? -
-- correct answer ---- Adolescents
- Treatment of acne and rosacea
Fluoroquinolone drug --- correct answer ---levofloxacin (Levaquin)
Tetracycline drug --- correct answer ---doxycycline
Why are tetracyclines contraindicated for pregnant women and
children? --- correct answer ---- Staining of developing teeth
- Impaired bone growth
,What foods should be avoided with tetracyclines? --- correct
answer ---- Dairy products
Inactivated by calcium ions
- Antacids and OTC heartburn drugs
Inactivated by aluminum, iron, and zinc
Adverse effects of tetracyclines --- correct answer ----
Photosensitivity
- Drug-induced lupus
- Hepatitis
- Microvascular fatty liver disease
-Tinnitus
- Competes for binding sites with Methotrexate (a cancer drug)
What antibiotics are protein synthesis inhibitors? --- correct
answer ---- Tetracyclines
- Macrolides
Adverse effects of doxycycline --- correct answer ---- Mostly GI in
nature (TIP: Take with food)
- Oral contraceptive interference
- Anorexia
, - Pseudotumor Cerebri
- Stevens-Johnson syndrome
- Toxic Epidermal Necrolysis
Action of Vancomycin --- correct answer ---- Bactericidal against
susceptible organisms
- Binds to cell wall resulting in cell death
Primary drug for treatment of MRSA --- correct answer ---
Vancomycin (IV)
When should vancomycin be given PO? --- correct answer ---
Treatment of c. diff. or pseudomembranous colitis
What is the dosage of doxycycline for Lyme's disease? --- correct
answer ---Doxycycline 100 mg PO Q12H for 21 days
What is the best route for administration of vancomycin? Why? ---
correct answer ---- IV via PICC line or implanted port
- Risk of thrombophlebitis if given via vein
What happens when vancomycin is administered too rapidly? ---
correct answer ---- Red Man Syndrome