stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
NR566 Midterm Review Flashcards | StudBud
Explore
/
NR566 Midterm Review
NR566 Midterm Review
89 terms
·
StudBud Administration
·
30 plays
Imported from external platform
Flashcards
89 cards
F
Practice quiz
P
Host live
L
Questions
89
Answers
1
What is the risk of using Budesonide for children?
Risk for child-onset osteoporosis
Risk for infection
NO Risk
Risk for delayed growth
2
The NP knows that Tetracycline is contraindicated in children younger than 8 because it can cause one of the following?
Kernicterus
Staining of teeth
Irreversible hearing loss
Tendon Rupture
3
What is the unique adverse effect that Latanoprost can cause?
Miosis and blurred vision
Heart block and bradycardia
Heightened brown pigmentation of the iris and eyelids
Headache, dry mouth, dry nose and altered taste
4
Patients should be educated to avoid taking what with Metronidazole to prevent a disulfiram-like reaction?
Tyramine containing food
Alcohol
caffeine
NSAID
5
The best predictor of otitis media is _______
Pain when pressing on the tragus
Fever
Middle ear effusing
Otalgia
6
Which of the following medications can treat infections of the eyes and ears?
Neomycin
Gentamicin
Tobramycin
Debrox
7
What is the first-line Tx for AOM?
High-dose aminoglycoside
High-dose amoxicillin
topical ATB
Low-dose amoxicillin
8
A patient taking phentermine/topiramate has not lost 5% of weight by month 7 of treatment. What is the next step?
The medication should be increased
Continue the medication for another 7 months.
The patient should take the medication twice daily instead of once daily
The medication should be Dc'ed
9
How is otomycosis treated?
Thorough cleaning and application of 2% acetic acid solution or antifungal
None of these options are correct
topical ATB for 7 days
Oral ATB for 5 days
10
________ is the first line treatment for Brucellosis, cholera, and rickettsial diseases
Aminoglycosides
Tetracyclines
Macrolides
Fluoroquinolones
11
________ typically manifests as intense pruritis and erythema, with or without pain or hearing loss
Otitis media
Otitis externa
Foreign body in ear
Ruptured tympanic membrane
12
What is the difference in treatment of otitis media vs otitis externa?
We treat otitis externa topically and otitis media systemically
We treat both systemically •(with oral meds)
We treat otitis media topically and otitis externa systemically
We treat both with penicillins
13
How do we treat C-diff?
Flagyl and Vancomycin
Penicillin and Vancomycin
Flagyland Levaquin
Oral Ceftriaxone
14
Taking Itraconazole with _______ will help enhance absorption (HINT HINT)
Greek yogurt
Vitamin C
Cola
Alcohol
15
What is empiric therapy?
All of the above
Rx of antibiotic for severe infection based on most likely causative agent
Rx for an antibiotic for severe infection based on knowledge
Rx of an antibiotic for severe infection based on clinical evaluation
16
This antibiotic is used to tx uncomplicated UTIs.
Vancomycin
sulfamethoxazole/trimethoprim
Tetracyclines
Flagyl
17
Abnormal activity of T Lymphocytes is likely the underlying cause of ________
Acne
Eczema
Sunburn
Flaking skin
18
Which of the following would be Class 1 Obesity?
29.9
34.0
35.2
33.5
19
Which is NOT important baseline data the NP should obtain prior to starting a pt on a drug for weight-loss?
BMI and weighht
Cardiovascular risk assessment
Risk assessment for abuse
food journal for a month
20
What antibiotics can be prescribed safely THROUGHOUT pregnancy?
Vancomycin
Fluoroquinolones
Penicillins, cephalosporins, and erythromycin
Tetracyclines
21
What is the best antibiotic choice for a patient with mastitis?
Augmentin
Piperacillin
Zosyn
Dicloxacillin
22
What is likely the etiology for an elderly patient with conductive hearing loss?
Time for hearing aids
Loss of hearing typical with aging
Medication side effects
Cerumen impaction
23
What are some SEVERE adverse effects of didanosine?
headache, nausea, vomiting
dizziness, lightheadedness, falls
Lactic acidosis, severe hepatomegaly w/ steatosis, severe pancreatitis
QT prolongation, heart block
24
Which pathogen is highly associated with CAP in the general population?
Streptococcus pneumonia
None of these are correct
Haemophilus influenza
Pseudomonas Aeruginosa
25
Bacterial meningitis is best treated with which generation of cephalosporins?
First generation
Fourth generation
Second generation
Third generation
26
The ONLY time fever, by itself, constitutes a legit indication for antibiotic use is in the severely immunocompromised
False
True
27
This pathogen is highly associated with CAP in smokers and those with COPD
Haemophilus influenza (gram +)
Haemophilus influenza (gram -)
Streptococcus pneumonia (gram +)
Streptococcus (gram -)
28
Which medication is NOT affective in treating oral candidiasis?
Clotrimazole
Voriconazole
Nystatin
Miconazole
29
What is first-line treatment for severe acne?
Doxycycline and Isotretinoin
Penicillin and cephalosporins
Salicyclic acid
Retinoids
None of the above
Both A and B
30
Which Anthelmintic drugs puts a patient at risk for bone marrow suppression and liver impairment?
Albendazole and mebendazole
praziquentel and pyrantel pamoate
Ivermectin and moxidectin
Ivermectin and praziquantel
31
Avoid supplements that contain Vitamin A when taking _______
Benzyl peroxide
Isotretinoin
Wellbutrin
Intranasal glucocorticoids
32
________ is less effective than intranasal glucocorticoids for sneezing, rhinorrhea, and nasal itching
Loratadine
Brimonidine
Pseudoephedrine
Flonase
33
Cipro is preferred in treating complicated UTI?
True
False
34
Which medication is the BEST alternative to Penicillin G for an infected abscessed tooth ?
Fidaxomicin
Erythromycin
Vancomycin
Levofloxacin
35
Contrave is a combination of which two medications?
Bupropion and phentermine
phentermine and topiramate
orlistat and naltrexone
Naltrexone and bupropion
36
Type 2 DM, Gallbladder Disease, Fatty Liver Disease, and Gout are a few possible complications of __________.
Anyone over the ge of 65 with renal disease
Someone with a BMI between 30 and 40
Long term use of glucocorticoids
BKAs from type 2 DM
37
Treatment of choice for chlamydial pneumonia includes:
Macrolides and Tetracyclines
any of the above could work
Fluoroquinolones and tetracyclines
Macrolides and cephalosporins
38
The patient was treated with an ATB in the last 90 days of contracting CAP. What type of ATB should be prescribed?
Penicillin
aminoglycoside
Fluoroquinolone
Tetracycline
39
What education should be provided regarding serious adverse effects of aminoglycosides?
Risk of peptic ulcers
Risk of neurotoxicity
Risk of ototoxicity and nephrotoxicity
Risk of QT prolongation and sudden death
40
Why might a patient who needs hydrocodone not experience pain relief when treated with Naltrexone/Bupropion for obesity?
It contains bupropion, which will interact with hydrocodone.
He has been taking the prescribed dose.
It contains naltrexone opiod antagonist
Hydrocodone is not for pain
41
The NP knows that a patient that just finished taking an oral anthelmintic should....
Be prescribed another round of medication 2 weeks after the first round
Have their stool rechecked in 6 weeks
Not have anymore issues. There is no need for stool to be rechecked.
Have their stool rechecked in 1-3 weeks
42
What is considered first-line medication for glaucoma?
Brimonidine
Isotretinoin
Prostaglandin analongs
Cromolyn
43
The NP suspects that the patient has a UTI, would a broad or narrow-spectrum antibiotic be appropriate before cultures?
Both narrow and broad
Narrow
Broad
Neither
44
Which antibiotic is NOT recommended for UTIs of the upper urinary tract?
Nitrofurantoin
Sulfamethoxazole/Trimethoprim
Azithromycin
Ampicillin
45
Black Box Warning: Use in life-threatening infections only
Isotretinoin
Contrave
Amphotericin B
Tacrolimus
46
What is the terapeutic action of Guaifenesin?
H1 blocker
Expectorant
Cough suppressant
Mucolytic
47
Glucocorticoids should be taken with milk to decrease GI distress
True
False
48
What compound must be present in organic sunscreen for it to be effective?
Zinc oxide
Albendazole
Titanium dioxide
avobenzone
49
The concern with prescribing sulfas in infants younger than 2 months is _______
Hepatotoxicity
Kernicterus
Renal Toxicity
Stained teeth
50
Which antihelmintic drug puts a patient at risk for falls due to hypotension?
Praziquantel and pyrantel pamoate
Albendazole and mebedazole
None of these
ivermectin and moxidectin
51
What medication should we employ for the treatment of glaucoma in someone with COPD or asthma?
Latanoprost
Alphagan
Betaxolol
Timolol
52
What antibiotic shouldn't a patient receive if they have a severe allergy to penicillin?
Cephalosporins
Just penicillin
Macrolides
Fluoquinolones
53
The NP knows that the antibiotics of choice for CAP are Penicillin's and the most common causative bacteria for CAP is?
S. Aureus
H. Influenzae
S. Pneumnia
S. Pyogenes
54
If Amoxicillin wasn't effective for CAP what would be the best second-line treatment?
Respiratory Fluoroquinolone
Linezolid
Respiratory Penicillin
Tetracycline
55
What should we monitor with an elderly patient taking gentamicin?
creatinine clearance
electrolytes
Serum creatinine
CBC and CMP
56
What is first-line treatment for mild acne?
Diferin
Oral antibiotics (e.g., doxycycline, minocycline) and comedolytics
Benzyl peroxide
Oral contraceptives (Ocs) and spironolactone
57
What is the MOA of intranaal Cromolyn?
Suppresses release of histamine and inflammatory mediators from mast cells
Folate antagonist that prevents DNA synthesis and cellular replication
H1 blockers bind selectively to H1-histaminic receptors
Activating alpha 1-adrenergic receptors on nasal blood vessels
58
Which two antibiotic classes are associated with QT prolongation?
Cephalosporins and tetracyclines
Aminoglycosides and carbapenems
Tetracyclines and Fluoroquinolones
Fluroquinolones and macrolides
59
What patient education needs to be provided regarding concurrent use of Ketoconazole and omeprazole?
Increase absorption of omeprazole
Increase the absorptions of ketoconazole
Decreae absorption of omeprazole
Decreases absorption of ketoconazole
60
Which weight-loss medication is associated with a suicide risk in children, adolescents, and young adults?
Lorcaserin
Naltrexone and Bupropion
Phentermine
Topiramate
61
What class of antibiotics is most likely to promote C-diff infection?
Penicillins
Cephalosporins
Macrolides
Fluroquinolones
62
This antibiotic class can be used to tx infection in infants younger than 8 days old?
Sulfonamides
Macrolides
aminoglycosides
Cephalosporins
63
How do we treat tinea capitis?
Nystatin cream
Topical glucocorticoids
Oral griseofulvin, taken for 6-8 weeks
Topical ketoconazole, taken for 6 to 8 weeks
64
What is the first line antibiotic for infection caused by animal/human bite?
Amoxicillin
Cephalexin
Amoxicillin/Clavulatnate
Clarithromycin
65
As the HIV viral load decreases what may rise, indicating some restoration of immune function?
RBC count
CD4 B-cell count
CD4 T-Cell count
WBC and neutrophil counts
66
A weight loss of 10-15% is typical for those who diligently adhere to medication and lifestyle therapy?
False
True
67
Tinea corporis is commonly treated with _______
Nystatin
Topical terbinafine
Oral Griseofulvin
Clotrimazole
68
What does Omalizumab treat?
Asthma and atopic dermatitis
Perennial allergies
Seasonal allergies only
Asthma and seasonal allergic rhinitis
69
Topical antifungals are likely not to work for Tinea ______
Pedis
Cruris
Corporis
Capitis
70
How should a patient take a Sulfonamide antibiotic?
with a high-fat meal
with 6-8 glasses of water per day
With food only
With 8-10 glasses of water per day
71
What patient education is needed for Isotretinoin?
Protect skin from sunlight and avoid sunlamps and tanning beds
None of the options are correct
Pregnancy should be avoided, and two reliable birth-control methods used
A and B only
All options are correct
Risk for depression and suicide
72
At what BMI level should bariatric surgery be considered?
BMI of 25 or more
BMI of 35 or more
BMI of 40 or more
BMI of 30 or more
73
The new NP knows that which weight loss drug could causes hypothyroidism in a patient taking levothyroxine
Orlistat
Phentermine
Contrave
Topamax
74
Besides confirmed infestation and - pregnancy test, which Anthelmintic is generally safe to give without baseline data?
Praziquantel
Mebendazole
Ivermectin
Pyrantel Pamoate
75
First line therapy for atopic dermatitis is _______
Benzyl peroxide
Moisturizers
Tacrolimus ointment
Isotretinoin
76
What are some serious potential adverse effects of Abacavir?
lactic acidosis and hepatomegaly with steatosis
C-diff
splenomegaly and liver failure
Nausea, vomiting, and diarrhea
77
Which weight-loss drug is NOT a DEA scheduled drugs?
phentermine/topiramate
Phendimetrazine
Diethylpropion
Linaglutide
78
What is the most effective drugs for prevention and treatment of seasonal and perennial rhinitis?
Sympathomimetics
Intranasal glucocorticoids
Diphenhydramine
Oral steroids
79
What is the most common Nematodes infection in the USA?
Tichuriasis
Strongyloidiasis
Enterobius vermicularis
Ascariasis
80
what is the therapeutic effect of topiramate?
Prevents phentermine induced nausea
suppress appetite
induces a sense of satiety
Causes nausea if a high calorie meal is consumed
81
What would happen if lorcaserin is given with a CYP2D6 substrate?
The serum levels of the substrates can be decreased
The serum level so the substrates can be increased for decreased.
Nothing happens
The serum substrates can be increased.
82
What is the drug of choice for aspergillosis?
Fluconazole
Voriconazole
Amphotericin B
Ketoconazole
83
A patient taking phentermine/topiramate has lost 3% body fat in the first 3 months. What is the next step?
The dose of medication should be lowered
None of the above are correct
The dose should be increased or continued at current dose
The medication should be stopped immediately
84
What are alternative treatments for C-diff if vancomycin and fidaxomicin cannot be prescribed?
none of the above
Metronidazole and Rifaximin
Rifaximin and Cipro
Rifazimin and Clindamycin
85
This class of medication is reserved for patients with glaucoma who have responded poorly to preferred med classes
Alpha 2 Agonists
Prostaglandins
Cholinesterase inhibitors
Beta Blockers
86
Tendonitis/tendon rupture is highly associated with this antibiotic class
Fluoroquinolones
Penicillins
Carbapenems
Macrolides
87
Macrolides should be avoided in patients with...
Hx of tinnitus
Hx of C-diff
Qt prolongation
Hx of antiotics in the last 30 day
88
Important patient education for someone taking Albendazole or mebendazole would be:
Take with high-fat meal.
Take on an empty stomach
Take with food high in potassium
Take with dairy
89
Fluoroquinolones should be avoided in pregnancy to avoid _______
SIDS
Potential cartilage damage
Pre-term birth
Cleft palate
