NSC 830 ADVANCED
PHARMACOLOGY EXAM
A 75yo has been taking an abx and now complains of fullness or
ringing in his year. What class of abx is this an AE? - ANSWERS-
Vanc
Symptoms of bacterial rhino sinusitis - ANSWERS-Double sickening
nasal congestion
cough (worse at night due to drainage)
Facial pain (above or below eyes that worsen when patient leans
forward)
Toothache (Maxillary sinus)
Purulent drainage (nasal d/c alone is not a good predictor of bacterial
infection
High fever
You have a 33 yo female who has been taking an abx for the txt of TB
and comes in with complaints of red-orange body secretions. What
class of medication is the patient taking? - ANSWERS-Rifampin
How to treat rhino sinusitis? - ANSWERS-Augmentin x 10-14 days.
,1st line treatment for otitis media? - ANSWERS-Amoxicillin 80-90
mg/kg/day- if the patient hasn't previously been on amoxicillin in the
last 30 days.
2nd treatment option for otitis media is pt has recently been on
Amoxicillin? - ANSWERS-Augmentin
What are the definitive dx required for otitis media? - ANSWERS-
Moderate or severe bulging of TM or new onset otorrhea (drainage)
not due to otitis externa.
Mild bulging TM AND recent (<48hr) onset of otalgia (earache) or
intense redness of the TM.
A patient comes in to the office and needs Vancomycin to treat their
C-Diff, but due to their former NP over RX the medication, they are
now resistant to the class of medication. What other class of drug
could you write for? - ANSWERS-Oxazolindinones- Linezoild
A 18yo comes into the clinic with c/o of cold symptoms ( cough,
sneezing, congestion, and lethargy. What type of abx would you write
for this patient? - ANSWERS-NONE- this is more than likely viral.
A 10 yo male comes to the clinic with reports of a high fever and
tonsillar exudate. Would these symptoms indicated a strep swab? -
ANSWERS-Yes. The patient has to have 2 of the following to warrant
a strep screen for the c/o of sore throat.
, High Fever
Lack of Cough
Tonsillar Exudate
Tender anterior cervical adenopathy
A mom comes to the clinic with her 3 yo child who complains of right
ear pain x 2 days, no redness, drainage, or bulging TM noted. She is
insisting on an abx. What should you teach the mom? - ANSWERS-
Abx aren't indicated at this time, upon assessment of the child no
redness, drainage, or bulging on the TM noted. This should resolve in
2-7 days. You can treat the pain with OTC Tylenol or Motrin. Please
come back in week if symptoms don't improve and we will check
again.
Does acute bronchitis need abx? If so, which one? - ANSWERS-NO!!
Antitussives MOA - ANSWERS-Depresses the cough center in the
medulla oblongata
What are some uses for Antitussives - ANSWERS-Suppresses
NONPRODUCTIVE cough
Assist in sleep if PRODUCTIVE cough
Examples of Antitussives (Cough) - ANSWERS-Dextromethorphan
(Robitussin DM, Delsym)
PHARMACOLOGY EXAM
A 75yo has been taking an abx and now complains of fullness or
ringing in his year. What class of abx is this an AE? - ANSWERS-
Vanc
Symptoms of bacterial rhino sinusitis - ANSWERS-Double sickening
nasal congestion
cough (worse at night due to drainage)
Facial pain (above or below eyes that worsen when patient leans
forward)
Toothache (Maxillary sinus)
Purulent drainage (nasal d/c alone is not a good predictor of bacterial
infection
High fever
You have a 33 yo female who has been taking an abx for the txt of TB
and comes in with complaints of red-orange body secretions. What
class of medication is the patient taking? - ANSWERS-Rifampin
How to treat rhino sinusitis? - ANSWERS-Augmentin x 10-14 days.
,1st line treatment for otitis media? - ANSWERS-Amoxicillin 80-90
mg/kg/day- if the patient hasn't previously been on amoxicillin in the
last 30 days.
2nd treatment option for otitis media is pt has recently been on
Amoxicillin? - ANSWERS-Augmentin
What are the definitive dx required for otitis media? - ANSWERS-
Moderate or severe bulging of TM or new onset otorrhea (drainage)
not due to otitis externa.
Mild bulging TM AND recent (<48hr) onset of otalgia (earache) or
intense redness of the TM.
A patient comes in to the office and needs Vancomycin to treat their
C-Diff, but due to their former NP over RX the medication, they are
now resistant to the class of medication. What other class of drug
could you write for? - ANSWERS-Oxazolindinones- Linezoild
A 18yo comes into the clinic with c/o of cold symptoms ( cough,
sneezing, congestion, and lethargy. What type of abx would you write
for this patient? - ANSWERS-NONE- this is more than likely viral.
A 10 yo male comes to the clinic with reports of a high fever and
tonsillar exudate. Would these symptoms indicated a strep swab? -
ANSWERS-Yes. The patient has to have 2 of the following to warrant
a strep screen for the c/o of sore throat.
, High Fever
Lack of Cough
Tonsillar Exudate
Tender anterior cervical adenopathy
A mom comes to the clinic with her 3 yo child who complains of right
ear pain x 2 days, no redness, drainage, or bulging TM noted. She is
insisting on an abx. What should you teach the mom? - ANSWERS-
Abx aren't indicated at this time, upon assessment of the child no
redness, drainage, or bulging on the TM noted. This should resolve in
2-7 days. You can treat the pain with OTC Tylenol or Motrin. Please
come back in week if symptoms don't improve and we will check
again.
Does acute bronchitis need abx? If so, which one? - ANSWERS-NO!!
Antitussives MOA - ANSWERS-Depresses the cough center in the
medulla oblongata
What are some uses for Antitussives - ANSWERS-Suppresses
NONPRODUCTIVE cough
Assist in sleep if PRODUCTIVE cough
Examples of Antitussives (Cough) - ANSWERS-Dextromethorphan
(Robitussin DM, Delsym)
