Final MN 650 Specialized Pharmacology

Final MN 650 Specialized Pharmacology for the AGACNP || Already Graded A+.

Question : Common infections in the Geriatrics

Correct answer: MRSA- (uncommon from animals)

Question : Assess body systems function level prior to

prescribing ABX therapy

Correct answer: (i.e. renal function).

Question : Antifungals metabolize through the

Correct answer: Liver

Question : ▪An antibiogram is:

Correct answer: overall profile of antimicrobial susceptibility

testing results of a specific microorganism to a battery of antimicrobial drugs

Question : Cultures and sensitivity tell you

Correct answer: Tells you:

-Identifies bacteria/fungus present -Sensitivity results based on data

Question : Cultures and sensitivity DONT tell you:

Correct answer: -Infection vs. colonization vs. contamination

-You would not treat colonization or contamination -Which ABX to use.

Question : MIC (Minimum inhibitory concentration)

Correct answer: min. concentration of an ABX needed to

inhibit proliferation & is important for definitive TX.

Question : ▪You are reviewing a report on a urine culture of a

55 year old female with pyelonephritis. A culture was done which has revealed growth of Ecoli Susceptibility testing show minimum inhibitory concentration (MIC) score of 1 for Ciprofloxacin 2 for Levafloxacin 4 for Ceftriaxone and 16 for Nitrofurantoin. Considering the MIC score the most appropriate antibiotic to prescribe would be ciprofloxacin.

Correct answer: Chose lower MIC score

Question : Fluroquinolones (ex: ciprofloxacin) are most

associated with causing:

Correct answer: pseudomembranous colitis.

Question : S/S of pseudomembranous colitis

Correct answer: recent ABX use followed by diarrhea with

possible blood

Question : To prevent further development of ABX

resistance, it is recommended that fluoroquinolones be

reserved for treatment of:

Correct answer: CAP with comorbidities.

Question : If your patient is allergic to sulfonamides, they

most likely will have a cross-sensitivity to:

Correct answer: loop diuretics, sulfonylureas, & thiazide

diuretics.

Question : If you patient cannot reliably take PO ABX, ___ or

___ would be an appropriate treatment option.

Correct answer: IM or IV

Question : Prebiotics are recommended to be co-administered

with:

Correct answer: ABX

Question : Rx half-life is longer in:

Correct answer: older adults (watch for atypical reactions)

Question : Monitor liver enzymes when on __ tx.

Correct answer: long term antifungal tx

Question : Patients taking isoniazid for TB may experience

peripheral neuropathy. To prevent, prescribe:

Correct answer: pyridoxine (vit B6).