NR 565 FINALEXAM NEWEST 2024
QUESTIONS AND DETAILED CORRECT
ANSWERS INCLUDING RATIONALES
(GRADED A+)
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?
Ciprofloxacin (Cipro)
Amoxicillin (Trimox)
Doxycycline
Trimethoprim-sulfamethoxazole (Septra) - ANSWER-2. Amoxicillin
(Trimox)
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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:
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-1.
Advise the parents that some diarrhea is normal with amoxicillin
and recommend probiotics daily.
Lauren is a 13-year-old child 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
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antibiotic to prescribe would be:
Amoxicillin
Amoxicillin/clavulanate
TMP/SMZ (Septra)
None - ANSWER-4. None
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 American Heart
Association guidelines is:
None, no antibiotic is required for dental procedures
Amoxicillin 2 grams 1 hour before the procedure
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Ampicillin 2 grams IM or IV 30 minutes before the procedure
Azithromycin 1 gram 1 hour before the procedure - ANSWER-1.
None, no antibiotic is required for dental procedures
To prevent further development of antibacterial resistance it is
recommended that fluoroquinolone be reserved for the treatment
of:
UTI in young women
URI in adults
skin and soft tissue infections in adults
CA-PNA in patients with comorbidities - ANSWER-4. CA-PNA in
patients with comorbidities
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