Ques. MP is a 50 year old male. Has been on treatment of hypertension and diabetes. The dentist wants to do a tooth extraction. MP is allergic to penicillin. Best medication:
I. Clindamycin cap before dental procedure
II. Sulfamethoxazol pre and post dental procedure
III. Clarithromycin pre and post dental procedure
A) I only
B) III only
C) I and II only
D) II and III only
E) All of the above
Answer: (a)
Ques. In the above questing these information are correct with respect to Clindamycin:
I. Clindamycin should be prescribed with caution in atopic individuals
II. Clindamycin does not be used in the treatment of meningitis
III. Clindamycin dose modification may not be necessary in pts. with renal disease
A) I only
B) III only
C) I and II only
D) II and III only
E) All of the above
Answer: (e)
Ques. MK is a 59 year old man who has severe shortness of breath and cough. Doctors have diagnosed pneumonia and prescribed Levofloxacin. Patient is not compiled because of:
I. cost
II. frequent dosing
III. gastro-intestinal side effect more than with Erythromycin
a) I only
b) III only
c) I and II only
d) II and III only
e) I, II, and III
Answer: (a)
Ques. JS is a 78-yo male who was admitted to the hospital yesterday from an area nursing home with fever, chills, vomiting, and severe flank pain. Which of the following would NOT need to be adjusted in a patient with decreased renal function?
A. Ampicillin
B. Ceftazimide
C. Ceftriaxone
D. Ticarcillin and clavulanate potassium
E. Piperacillin and tazobactam
Answer: (c)
Ques. Which is the most common organism for community acquired pneumonia?
A. Legionalla pneumoniae
B. Staphulococcus pneuminae
C. Streptococcus pneumonia
D. H. influenza
E. M.catharrhalis
Answer: (c)
Ques. TM is a 3-year-old boy suffering from AOM. His doctor considered deferring treatment to see if AOM resolves in 2-3 days. His condition worsened, and his fever got high. The doctor initiated an empiric treatment with high dose Amoxicillin TID but a treatment failure was noted on the 3rd day.
The doctor should now initiate treatment with:
a. Pneumonia and influenza vaccine
b. Clindamycin for 5 days
c. i.m. Cefprozil for 7 days
d. i.m. Ceftriaxone for 3 days
e. Azithromycin for 3 days
Answer: (d)
Ques. A grandmother administered 2 tbsp 500mg/5ml amoxicillin suspension to 9 month child, instead of 2 tsp 500 mg/5ml amoxicillin suspension, what the main concern of parents:
a) Call 911 immediately
b) Contact your doctor
c) Watch 24 hours for unusual signs and problems with diarrhea or breathing
d) Contact poison control center or contact tele-health
e) It's not a problem to ignore parent concern, it seems they are too worried.
Answer: (d)
Ques. A young mother with a baby comes into the pharmacy to collect her baby prescription for otitis media. Amoxicillin is effective in treating acute otitis media because of its activity against
I. Pseudomonas aeruginosa
II. Haemophilus influenzae
III. Streptococcus pneumonia
a) I only
b) III only
c) I and II only
d) II and III only
e) All of the above
Answer: (d)