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1. What substance should never be mixed with antibiotics?
Correct Answer: Alcohol
2. Should a patient stop antibiotics once symptoms improve?
Correct Answer: No. The full course must be completed.
3. What infections does vancomycin treat?
Correct Answer: MRSA; Clostridioides difficile (C. diff)
4. Which laboratory values must be monitored during vancomycin therapy?
Correct Answer: BUN and Creatinine
5. Which symptoms should be reported immediately while taking vancomycin?
Correct Answer: Vertigo; Tinnitus
6. When should vancomycin trough levels be drawn?
Correct Answer: 15–30 minutes before the next dose
7. What is the therapeutic range for vancomycin?
Correct Answer: 10–20 mcg/mL
8. How often should the IV site be assessed during vancomycin infusion?
Correct Answer: Every 30 minutes for pain, redness, or swelling
,9. Signs of vancomycin allergy
Correct Answer: Angioedema; Wheezing; Hives
10. What causes Red Man Syndrome?
Correct Answer: Rapid infusion of vancomycin
11. Signs and symptoms of Red Man Syndrome
Correct Answer: Flushing and itching of the head, neck, face, and upper trunk
12. Which medication should not be administered with vancomycin?
Correct Answer: Neomycin
13. Common side effects of vancomycin
Correct Answer: Nephrotoxicity; Ototoxicity; Red Man Syndrome; Burning at
IV site
14. Indications for tetracycline and doxycycline
Correct Answer: Acne; Rocky Mountain spotted fever; STDs; Lyme disease
15. Contraindications for -cycline medications
Correct Answer: Pregnancy; Children under 8 years
16. What precaution should patients take in sunlight while on -cycline drugs?
Correct Answer: Wear sunscreen (risk of photosensitivity)
17. What contraceptive teaching is required for patients taking -cycline drugs?
Correct Answer: Use alternative birth control (oral contraceptives may be
ineffective)
18. How should -cycline medications be taken?
Correct Answer: On an empty stomach with a full glass of water
19. What should patients do after taking -cycline drugs?
, Correct Answer: Remain upright for 30 minutes
20. What substances should be avoided with -cycline drugs?
Correct Answer: Dairy; Calcium; Iron; Antacids
21. What effect do -cycline drugs have on teeth?
Correct Answer: Yellow staining (permanent in young children)
22. Side effects of -cycline drugs
Correct Answer: Photosensitivity; Hepatotoxicity; GI upset
23. What infection may result from -cycline use?
Correct Answer: C. difficile
24. What effect do penicillins have on oral contraceptives?
Correct Answer: Reduce effectiveness
25. Which antibiotics commonly have cross-allergy?
Correct Answer: Penicillins and Cephalosporins
26. Should penicillins and cephalosporins be taken with food?
Correct Answer: Yes, to reduce GI upset
27. What infection may result from penicillin or cephalosporin use?
Correct Answer: C. difficile
28. Adverse effect of penicillin
Correct Answer: Bleeding
29. Common side effect of cephalosporins
Correct Answer: Diarrhea
30. Which labs should be monitored with -thromycin medications?
, Correct Answer: ALT and AST
31. Which medication should be used cautiously with -thromycin drugs?
Correct Answer: Acetaminophen
32. What effect can -thromycin drugs have on teeth?
Correct Answer: Yellow staining
33. What is cyclosporine primarily used for?
Correct Answer: Prevention of organ transplant rejection (lifelong therapy);
Blocks T-cell activation
34. Major adverse effects of cyclosporine
Correct Answer: Bone marrow suppression (infection and bleeding risk)
35. What should be monitored in patients taking cyclosporine?
Correct Answer: Kidney labs; Liver labs; WBC (<4000 report); Platelets; Signs
of bleeding
36. Is cyclosporine safe during pregnancy?
Correct Answer: No
37. Common side effect of cyclosporine that does NOT require reporting
Correct Answer: Gingival hyperplasia
38. Patient teaching for cyclosporine
Correct Answer: Avoid grapefruit juice; Avoid crowds; No live vaccines; Use
soft toothbrush; Use birth control
39. What conditions do TNF inhibitors treat?
Correct Answer: Cancers and autoimmune diseases
40. What should be reported while taking TNF inhibitors?