Saturday, May 19, 2012

Pre4 Infect

Examples of antibiotics in the cephalosporin class include:
A. azithromycin, clarithromycin, erythromycin
B. amoxicillin, nafcillin, pipercillin
C. cefazolin, cephalexin, ceftriaxone
D. amikacin, gentamicin, tobramycin

Match the drug to its main mechanism of action.

Penicillin
Sulfonamides
Aminoglycosides
Flouroquinolones         

a.  inhibit cell wall synthesis
b.  inhibit protein synthesis
c.  antimetabolite, competition for folate
d.  inhibit nucleic acid syntheisis

Penicillin - inhibit cell wall synthesis
Sulfonamides - antimetabolite, competition for folate
Amninoglycosides - inhibit protein synthesis
Fluoroquinolones - inhibit nucleic acid synthesis


A patient who has been on antibiotics for several weeks now has an infection with fungus and a bacteria resistant to the antibiotic which was previously taken. This patient is said to have:
A. Viralemia.
B. Prophylactic propagation
C. A super-infection.
D. Multimicrobial Supplantation Syndrome

Resistance to antibiotics can be minimized by:
A. early treatment of all viral infections.     
B. limiting use of prophylactic antibiotics.
C. teaching patients to stop taking the antibiotic when the symptoms of infection resolve.     
D. using broad spectrum antibiotics whenever possible     

What teaching is important for patients receiving a tetracyline antibiotic?
A. Narrow spectrum, superinfection unlikely.
B. Avoid exposure to sun.
C. Take with food or milk.
D. Safe to use in pregnancy.

The chemical structure that allows penicillin to kill bacteria is called the:
A. nitrogenous-sulfa junction
B. hydroxyl group
C. procaine derivative
D. beta-lactam ring

A patient is diagnosed with tuberculosis. Which treatment would most likely help?
A. azithromycin and clarithromycin
B. zidovudine and nelfinavir
C. isoniazid and rifampin
D. fluconazole and nystatin

A patient is infected with methicillin-resistant S. aureus in the lungs. Which would help?
A. IV methicillin     
B. oral vancomycin     
C. IV vancomycin      
D. inhaled methicillin     

Most antibiotic therapy lasts for 10 days. Zithromycin however is typically dosed for 1.----- days.
Fill in the blank using only a single number. If the text has more than one anser, either will be accepted. DO NOT put in both or any punctuation or words other than the numeric number (for example: 1 not one).

3, 4, or 5

You have good evidence that an antibiotic is working to resolve the infection when:
A. There is a fungal overgrowth in the mouth.
B. Antibiotic blood levels are in the therapeutic range.
C. The temperature and white blood cell count are normal.
D. The culture grows the bacteria you suspected to have cuased the infection.

Patient teaching for sulfonamides could include:
A. Maintain a 12 hour antibiotic free period each day to retain effectiveness.
B. Cut birth control pill dose in half to avoid toxicity from drug ineraction.
C. Avoid sun/tanning exposure while on drug due to risk of photosensitivity rash.
D. Take sulfonamide on an empty stomach to avoid gastrointestinal upset.

The cephalosporins are similar in structure and function to the:
A. aminoglycosides
B. penicillins
C. fluroquinolones
D. macrolides

Most patients being treated for TB will be taking medication for 1.----- months.

Fill in the blank using two numbers with the word "to" in between. Such as: 1 to 2, or 2 to 5. DO NOT put in any punctuation or other symbols or words.

6 to 12

A patient has developed a fungal infection in the groin. The drug of choice is:
A. oral vancomycin
B. oral voriconazole
C. topical moxifloxacin
D. topical nystatin

1 comment:

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