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?
1.
Ciprofloxacin (Cipro)
2.
Amoxicillin (Trimox)
3.
Doxycycline
4.
Trimethoprim-sulfamethoxazole (Septra)
__1__
7.
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:
1.
Advise the parents that some diarrhea is normal with amoxicillin and recommend
probiotics daily.
2.
Change the antibiotic to one that is less of a gastrointestinal irritant.
3.
Order stool cultures for suspected viral pathogens not treated by the amoxicillin.
4.
Recommend increased fluids and fiber in his diet.
__4__
8.
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
antibiotic to prescribe would be:
1.
Amoxicillin
2.
Amoxicillin/clavulanate
3.
TMP/SMZ (Septra)
4.
None
__1__
9.
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:
1.
None, no antibiotic is required for dental procedures
2.
Amoxicillin 2 grams 1 hour before the procedure
3.
Ampicillin 2 grams IM or IV 30 minutes before the procedure
4.
Azithromycin 1 gram 1 hour before the procedure
__4__ 10.
To prevent further development of antibacterial resistance it is recommended that fluoroquinolones
be reserved for treatment of:
1.
Urinary tract infections in young women
2.
Upper respiratory infections in adults
3.
Skin and soft tissue infections in adults
4.
Community-acquired pneumonia in patients with comorbidities
__3__ 11.
Fluoroquinolones have a Black Box Warning regarding ________ even months after treatment.
1.
Renal dysfunction
2.
Hepatic toxicity
3.
Tendon rupture
4.
Development of glaucoma
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__2__ 12.
Janet was recently treated with clindamycin for an infection. She calls the advice nurse because she
is having frequent diarrhea that she thinks may have blood in it. What would be the appropriate care
for her?
