Unit 6 MN553 Pharm Exam Questions and Answers

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. An appropriate antibiotic to prescribe would be: Questi ...

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. An appropriate antibiotic to prescribe would be: Question options: Penicillin VK, because his rash does not sound like a serious rash Amoxicillin Cefadroxil (Duricef) Azithromycin - ANSWER Azithromycin Nicholas has been diagnosed with type A influenza. Appropriate prescribing of oseltamivir (Tamiflu) would include: Question options: Starting oseltamivir within the first 48 hours of influenza symptoms Advising the patient he can stop the oseltamivir when his symptoms resolve Educating the patient that oseltamivir will cure influenza Prophylactic treatment of all family members - ANSWER Starting oseltamivir within the first 48 hours of influenza symptoms The drug of choice for treatment of primary or secondary syphilis is: Question options: Ceftriaxone IM Benzathine penicillin G IM Oral azithromycin Oral ciprofloxacin - ANSWER Benzathine penicillin G IM When treating suspected gonorrhea in a nonpregnant patient, the patient should be concurrently treated for chlamydia with: Question options: Azithromycin 1 gram PO x 1 Amoxicillin 500 mg PO x 1 Ciprofloxacin 500 mg PO x 1 Penicillin G 2.4 million units IM x 1 - ANSWER Azithromycin 1 gram PO x 1 Lila is 24 weeks pregnant and has been diagnosed with tuberculosis (TB). Treatment regimens for a pregnant patient with TB would include: Question options: Streptomycin Levofloxacin Kanamycin Pyridoxine - ANSWER Pyridoxine The principles of drug therapy for the treatment of tuberculosis include: Question options: Patients are treated with a drug to which M. tuberculosis is sensitive. Drugs need to be taken on a regular basis for a sufficient amount of time. Treatment continues until the patient's purified protein derivative is negative. All of the above - ANSWER Drugs need to be taken on a regular basis for a sufficient amount of time. Jaheem is a 10-year-old low-risk patient with sinusitis. Treatment for a child with sinusitis is: Question options: Amoxicillin Azithromycin Cephalexin Levofloxacin - ANSWER Amoxicillin Alyssa is a 15-month-old patient who has been on amoxicillin for 2 days for acute otitis media. She is still febrile and there is no change in her tympanic membrane examination. What would be the plan of care for her? Question options: Continue the amoxicillin for the full 10 days. Change the antibiotic to azithromycin. Change the antibiotic to amoxicillin/clavulanate. Change the antibiotic to trimethoprim/sulfamethoxazole. - ANSWER Change the antibiotic to amoxicillin/clavulanate. Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile, with no use of antibiotics in the previous 6 months and no drug allergies. An appropriate first-line antibiotic choice for her would be: Question options: Azithromycin Trimethoprim/sulfamethoxazole Ceftriaxone Levofloxacin - ANSWER Trimethoprim/sulfamethoxazole Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile, and her only drug allergy is sulfa, which gives her a rash. An appropriate first-line antibiotic choice for her would be: Question options: Azithromycin Trimethoprim/sulfamethoxazole Ceftriaxone Ciprofloxacin - ANSWER Ciprofloxacin Pong-tai is a 12-month-old child 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: Question options: Advise the parents that some diarrhea is normal with amoxicillin and recommend probiotics daily. Change the antibiotic to one that is less of a gastrointestinal irritant. Order stool cultures for suspected viral pathogens not treated by the amoxicillin. Recommend increased fluids and fiber in his diet. - ANSWER Advise the parents that some diarrhea is normal with amoxicillin and recommend probiotics daily. To prevent further development of antibacterial resistance it is recommended that fluoroquinolones be reserved for treatment of: Question options: Urinary tract infections in young women Upper respiratory infections in adults Skin and soft tissue infections in adults Community-acquired pneumonia in patients with comorbidities - ANSWER Community-acquired pneumonia in patients with comorbidities Treatment for suspected gonorrhea is: Question options: Ceftriaxone 250 mg IM x 1 Ceftriaxone 2 grams IM x 1 Ciprofloxacin 500 mg PO x 1 Doxycycline 100 mg bid x 7 days - ANSWER Ceftriaxone 250 mg IM x 1 If a woman presents with recurrent vulvovaginal candidiasis she may be treated with: Question options: Weekly intravaginal butoconazole for 3 months Fluconazole 150 mg PO daily x 7 doses then monthly for 6 months Weekly fluconazole 150 mg PO x 6 months Intravaginal tioconazole x 14 days - ANSWER Weekly fluconazole 150 mg PO x 6 months Bilal is a 5-year-old patient who has been diagnosed with tuberculosis. His treatment would include: Question options: Pyridoxine Ethambutol Levofloxacin Rifabutin - ANSWER Pyridoxine Isabella has confirmed tuberculosis and is placed on a 6-month treatment regimen. The 6-month regimen consists of: Question options: Two months of four-drug therapy (INH, rifampin, pyrazinamide, and ethambutol) followed by Four months of INH and rifampin Six months of INH with daily pyridoxine throughout therapy Six months of INH, rifampin, pyrazinamide, and ethambutol Any of the above - ANSWER Two months of four-drug therapy (INH, rifampin, pyrazinamide, and ethambutol) followed by Four months of INH and rifampin First-line therapy for a patient with acute otitis externa (swimmer's ear) and an intact tympanic membrane includes: Question options: Swim-Ear drops Ciprofloxacin and hydrocortisone drops Amoxicillin Gentamicin ophthalmic drops - ANSWER Ciprofloxacin and hydrocortisone drops The length of treatment for sinusitis in a low-risk patient should be: Question options: 5-7 days 7-10 days 14-21 days 7 days beyond when symptoms cease - ANSWER 5-7 days Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is generally healthy and has no drug allergies. Appropriate initial therapy for her UTI would be: Question options: Azithromycin Trimethoprim/sulfamethoxazole Ceftriaxone Ciprofloxacin - ANSWER Ceftriaxone Juanita is a 28-year-old pregnant woman at 38 weeks' gestation who is diagnosed with a lower urinary tract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy for her UTI would be: Question options: Azithromycin Trimethoprim/sulfamethoxazole Amoxicillin Ciprofloxacin - ANSWER Amoxicillin