Exam Review
- A patient is taking Levofloxacin to treat sinusitis. The patient calls the nurse practitioner to report pain just above the heel of the right foot. The nurse practitioner should:A)Change to ofloxacinB)Change to ciprofloxacinC)Discontinue the levofloxacinD)Reassure the patient that this is a common side effect
- When prescribing Trimethoprim-Sulfamethoxazole (TMP/SMX] to children, the nurse practitioner should recall that:A)Dosing is based on the trimethoprim component of the drugB)TMP/SMX should not be prescribed for children younger than 2 yearsC)Folic acid supplements must be given to children who take this medicationD)The medication should be given three or four times per day because of rapid metabolism
- A group of college students are traveling to a chloroquine-resistant malaria area for a mission trip. Which of the following medications can be used for both prevention and treatment of malaria in these students?A)Pyrimethamine [Daraprim]B)ArtemisininC)Atoraquone-proguanil [Malarone]D)Melarsoprol
- A 70 year old patient will begin taking Cefdinir [Omnicef] for an acute exacerbation of COPD. Before initiating therapy, the nurse practitioner should order:A)Liver function tests [LFTs)B)Coagulation studiesC)An EKGD)Data to enable the calculation of creatinine clearance
Exam Review
- Which medication should the APN NOT prescribe for a 38-year-old male athlete who runs marathons and has a skin abscessA)Levofloxacin (Levaquin)B)Clindamycin (Cleocin)C)DoxycyclineD)Trimethoprim-sulfamethoxazole (TMP-SMX) (Bactrim)
- Which of the following antibiotics exhibits a long post-antibiotic effect that permits once-daily dosing?A)GentamicinB)Penicillin GC)VancomycinD)Aztreonam (Azactam)
- 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?A)CiprofloxacinB)AmoxicillinC)DoxycyclineD)Trimethoprim-sulfamethoxazole
- Providers should use an antibiogram when prescribing. An antibiogram is:A)The other name for the CDC guidelines for prescribing antibioticsB)An algorithm used for prescribing antibiotics for certain infectionsC)The reference also known as the Pink Book, published by the CDCD)A chart of local resistance patterns to antibiotics developed by laboratories
Exam Review
- A patient with chronic hepatitis that has led to mildly impaired liver function has an infection that would be best treated by a macrolide. Which would be the best choice for this patient with liver dysfunction?A)Azithromycin (Zithromax)B)Clarithromycin (Biaxin)C)ErythromycinD)None of the above
- Children younger than 8 years of age should not receive tetracyclines because these agents:A)Cause rupture of the tendonsB)Deposit in tissues undergoing calcificationC)Do not cross into the cerebrospinal fluidD)Can cause aplastic anemia
- To prevent the development of peripheral neuropathy in patients taking isoniazid (INH) for tuberculosis the patient is also prescribedA)Niacin (vitamin B3)B)Pyridoxine (vitamin B6)C)Riboflavin (vitamin B2)D)Thiamine (vitamin B1)
- A patient is being discharged from the hospital on a 3 week course of Clindamycin. Which of the following potential adverse effects should be discussed with this patient?A)HyperbilirubinemiaB)NephrotoxicityC)Clostridium difficile diarrheaD)Pseudotumor cerebri
Exam Review
- A nurse practitioner is preparing to prescribe macrolide antibiotic for a patient who has a history of a prolonged QT interval on EKG. Which macrolide antibiotic should the NP prescribe?A)ErythromycinB)Azithromycin [Zithromax]C)Clarithromycin (Biaxin]D)Telithromycin [Ketek)
- Fluoroquinolones are considered to be which type of agent?A)BactericidalB)BacteriostaticC)CytotoxicD)Enteric
- A patient with otitis media is treated for 10 days with Amoxicillin. At the follow-up visit, the nurse practitioner notes bilateral erythematous, bulging tympanic membranes. The nurse practitioner should prescribe:A)IM injection of Penicillin G [Bicillin]B)Amoxicillin for 10 more daysC)Oral Dicloxacillin [Dynapen] for 10 daysD)Oral amoxicillin-clavulanate [Augmentin] for 10 days
- Jamie has glucose-6-phosphate dehydrogenase deficiency [G6PD) and requires an antibiotic. Which class of antibiotics should be avoided in this patient?A)PenicillinsB)MacrolidesC)CephalosporinsD)Sulfonamides
Exam Review
- An 18 year old female presents to the urgent care clinic with urinary frequency, urgency, and fever for the last 3 days. Based on symptoms and a UA, she is diagnosed with a UTI. Cultures reveal Enterococcus faecalis that is sensitive to all antibiotics usually tested for potential treatment. Which of the following is an appropriate oral option to treat the UTI in this patient?A)Cephalexin [Keflex]B)VancomycinC)Cefdinir [Omnicef]D)Amoxicillin
- The first line antibiotic for a patient with comorbidities (or who is immunosuppressed] who has pneumonia and can be treated as an outpatient would be:A)LevofloxacinB)AmoxicillinC)CiprofloxacinD)Cephalexin
- Which of the following is the primary method of B-lactam resistance with Streptococcus pneumoniae?A)Modification of target siteB)Decreased drug levels due to changes in permeabilityC)Decreased drug levels due to a efflux pumpD)Enzymatic inactivation
- Which of the following drugs is correctly matched with the appropriate adverse effect?A)Levofloxacin--hyperkalemiaB)Nitrofurantoin-pulmonary fibrosisC)Cotrimoxazole--hepatic encephalopathyD)Methenamine—nystagmus
Exam Review
- Voriconazole (Vfend ) has replaced Amphotericin B as the drug of choice to treat which condition?A)OnychomycosisB)Oropharyngeal candidiasisC)Tinea capitisD)Invasive aspergillosis
- Factors that place a patient at risk of developing an antimicrobial resistant organism include:A)Age over 50 yearsB)School attendanceC)Travel within the United StatesD)Inappropriate use of antimicrobials
- An adult female has been prescribed doxycycline for a chlamydial infection. She is healthy and her only other medication is an oral combined contraceptive. Education would include:A)She should use a back-up method of birth control (condom) until her next mensesB)Doxycycline may cause tendonitis and she should report any joint painC)Her partner will need treatment if her infection does not clear with the doxycyclineD)Doxycycline is used for a one-dose treatment of sexually transmitted infections (STIs); take the whole prescription at once
- John is a 4-week-old infant who has been diagnosed with Chlamydial pneumonia. An appropriate treatment for his pneumonia would be:A)LevofloxacinB)AmoxicillinC)ErythromycinD)Cephalexin