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NR 566 midterm Exam

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 65 pages. Originally published on StudyMerit.

Pages
65
Academic year
2025/2026
Language
English

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NR566 Adv. Pharm Midterm Questions 1) Which ABO requires the following monitoring? CBC in pts with symptoms of blood disorders, CD4+ counts in pts with HIV and potassium 4 days after starting treatment in pts with possible hyperkalemia.  Trimethoprim/Sulfamethoxazole 2) Which drug(s) are recommended to treat infants with UTI?  Ampicillin and gentamycin 3) Which representative abo is NOT a bacteriostatic inhibitors of protein synthesis?  Vancomycin or Clindamycin (not sure which one) 4) Which abo drug class is it acceptable tp prescribe without first obtaining a culture and sensitivity?  Macrolides 5) Which abo drug class should not be used in children younger than 8 years because it may cause permanent discoloration of teeth?  Tetracyclines 6) Which abo drug class can cause kernicterus in infants when systemic drugs in the class are taken in the first trimester of pregnancy?  Sulfonamides 7) Which abo drug class listed is known for all drugs within the class promoting the development of a C. Diff infection?  Cephalosporin 8) Trimethoprim should be avoided in pts with which deficiency?  Folate 9) Which drug class is contraindicated for UTI in the third trimester of pregnancy and in older adults with decreases renal function?  Nitrofurantoin

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10) Which UTI drug can cause permanent lung damage?  Nitrofurantoin 11) Which pts should PCNs be used with extreme caution?  Pts with a hx of severe allergic reactions to cephalosporins, or carbapenems. 12) Tx of otitis externa is quite different from that of otitis media. Which of the following is a key differentiating symptom between otitis and otitis externa to diagnose otitis externa?  Tenderness associated with manipulation of the external ear. 13) Which med requires pt ed to avoid prolong exposure to sunlight?  Tetracyclines 14) In pts with a creatinine clearance of 15-30 ml/min taking Bactrim, how should the dosing be adjusted?  Reduced by 50% 15) Which abo drug class is generally not expected to cause adverse effects in breastfed infants?  Cephalosporins 16) Which representative abo drug class is an inhibitor of cell wall synthesis?  Cephalosporins 17) Locate the Prescribers’ Digital Reference website (pdr.net) to answer the next question. An adult pt is prescribed Amoxicillin tablet for an infection. They have a creatin clearance of 24 ml/min. What dose of amoxicillin should they be prescribed?  250-500mg PO every 12 hours 18) If a pt is taking Bactrim and their creatinine clearance falls below 15 ml/min, what should the provider do?  Stop the drug immediately.

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19) Which pt being treated with a PCN is at high risk for toxicity?  Renal impaired 20) Which abo agents do the most to facilitate the emergence of antimicrobial resistance?  Broad-spectrum antimicrobials 21) What baseline data is needed to prescribe trimethoprim/sulfamethoxazole?  CBC with white cell differential for short term therapy. 22) Which antibiotic does the course textbook recommend for treating a UTI in breastfeeding women?  Short-term Fluoroquinolones 23) Which antibiotic class is most likely to be given to someone with otitis media if there are no contraindications?  Penicillin 24) Which abo drug class can be used safely in infants with bacterial infections, including syphilis, meningitis, and group A streptococcus?  Penicillin’s Weight Loss Medications 25) Which non-amphetamines are FDA approved for weight loss that have lower abuse risk?  Phentermine and Diethylpropion. 26) How does Phentermine and Diethylpropion promote weight loss? -Phentermine and Diethylpropion: Promote weight loss by decreasing appetite. They are central nervous system (CNS) stimulants that suppress appetite by increasing the availability of norepinephrine at receptors in the brain. 27) What is the maximum recommended duration of use? - Preferred duration use 3 months or less. 28) What drug schedule do these meds fall under? - Schedule IV medications.

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