NSG 6005 WEEK 3 STUDY GUIDE
Chapter 24: Drugs Used in Treating Infectious Diseases
____ 1. Factors that place a patient at risk of developing an antimicrobial resistant organism
include: A. Age over 50 years B. School attendance
D. Inappropriate use of antimicrobials
____ 2. Infants and young children are at higher risk of developing antibiotic-resistant infections
due to:
B. Children this age are more likely to be in daycare and exposed to pathogens from other
children
____ 3. Providers should use an antibiogram when prescribing. An antibiogram is:
D. A chart of the local resistance patterns to antibiotics developed by laboratories
____ 4. There is often cross-sensitivity and cross-resistance between penicillins and
cephalosporins due to:
C. Both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase producing
organisms
____ 5. Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic.
He says the last time he had penicillin he developed a red, blotchy rash. The appropriate
antibiotic to prescribe would be:
D. Erythromycin
____ 6. Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary tract infection.
What would be the appropriate antibiotic to prescribe for her?
B. Amoxicillin (Trimox)
____ 7. Pong-tai is a 12 month old who is being treated with amoxicillin for acute otitis media.
His parents call the clinic and say he has developed diarrhea. The appropriate action would be to:
A. Advise the parents that some diarrhea is normal with amoxicillin and try feeding him yogurt
daily
, ____ 8. Lauren is a 13 year old who comes to clinic with a 4-day history of cough, low grade
fever, and rhinorrhea. When she blows her nose or coughs the mucous is greenish-yellow. The
appropriate antibiotic to prescribe would be:
A. Amoxicillin
B. Amoxicillin/clavulanate
C. TMP/SMZ (Septra)
D. None
____ 9. Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old and
has no residual cardiac problems. She is now 28 and is requesting prophylactic antibiotics for an
upcoming dental visit. The appropriate antibiotic to prescribe according to current American
College of Cardiology and the American Heart Association guidelines is:
A. No antibiotic required for dental procedures
____ 10. To prevent further development of antibacterial resistance it is recommended
fluoroquinolones be reserved for treatment of:
D. Community-acquired pneumonia in patients with comorbidities
____ 11. Fluoroquinolones have a Black Box warning regarding ____ even months after
treatment.
C. Tendon rupture
____ 12. Janet was recently treated with clindamycin for an infection. She calls the advice nurse
because she is having frequent diarrhea that she thinks may have blood in it. What would be the
appropriate care for her?
B. Assess for pseudomembranous colitis
____ 13. Keng has chronic hepatitis that has led to mildly impaired liver function. He has an
infection that would be best treated by a macrolide. Which would be the best choice for a patient
with liver dysfunction?
C. Erythromycin (E-mycin)
____ 14. Jamie has glucose-6-phosphate dehydrogenase deficiency (G6PD) and requires an
antibiotic. Which class of antibiotics should be avoided in this patient?
D. Sulfonamides
Chapter 24: Drugs Used in Treating Infectious Diseases
____ 1. Factors that place a patient at risk of developing an antimicrobial resistant organism
include: A. Age over 50 years B. School attendance
D. Inappropriate use of antimicrobials
____ 2. Infants and young children are at higher risk of developing antibiotic-resistant infections
due to:
B. Children this age are more likely to be in daycare and exposed to pathogens from other
children
____ 3. Providers should use an antibiogram when prescribing. An antibiogram is:
D. A chart of the local resistance patterns to antibiotics developed by laboratories
____ 4. There is often cross-sensitivity and cross-resistance between penicillins and
cephalosporins due to:
C. Both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase producing
organisms
____ 5. Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic.
He says the last time he had penicillin he developed a red, blotchy rash. The appropriate
antibiotic to prescribe would be:
D. Erythromycin
____ 6. Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary tract infection.
What would be the appropriate antibiotic to prescribe for her?
B. Amoxicillin (Trimox)
____ 7. Pong-tai is a 12 month old who is being treated with amoxicillin for acute otitis media.
His parents call the clinic and say he has developed diarrhea. The appropriate action would be to:
A. Advise the parents that some diarrhea is normal with amoxicillin and try feeding him yogurt
daily
, ____ 8. Lauren is a 13 year old who comes to clinic with a 4-day history of cough, low grade
fever, and rhinorrhea. When she blows her nose or coughs the mucous is greenish-yellow. The
appropriate antibiotic to prescribe would be:
A. Amoxicillin
B. Amoxicillin/clavulanate
C. TMP/SMZ (Septra)
D. None
____ 9. Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old and
has no residual cardiac problems. She is now 28 and is requesting prophylactic antibiotics for an
upcoming dental visit. The appropriate antibiotic to prescribe according to current American
College of Cardiology and the American Heart Association guidelines is:
A. No antibiotic required for dental procedures
____ 10. To prevent further development of antibacterial resistance it is recommended
fluoroquinolones be reserved for treatment of:
D. Community-acquired pneumonia in patients with comorbidities
____ 11. Fluoroquinolones have a Black Box warning regarding ____ even months after
treatment.
C. Tendon rupture
____ 12. Janet was recently treated with clindamycin for an infection. She calls the advice nurse
because she is having frequent diarrhea that she thinks may have blood in it. What would be the
appropriate care for her?
B. Assess for pseudomembranous colitis
____ 13. Keng has chronic hepatitis that has led to mildly impaired liver function. He has an
infection that would be best treated by a macrolide. Which would be the best choice for a patient
with liver dysfunction?
C. Erythromycin (E-mycin)
____ 14. Jamie has glucose-6-phosphate dehydrogenase deficiency (G6PD) and requires an
antibiotic. Which class of antibiotics should be avoided in this patient?
D. Sulfonamides
