Question: • A Female Patient Has Been Treated For Strep Throat With Ampicillin (an Aminopenicillin Antibiotic). She Visits The Occupational Health Nurse And States She Has Vaginal Itching. What Organism Is Likely The Cause Of The Vaginal Itching? A) Enterobacter B) Candida Albicans C) Clostridium Difficle D) Klebsiella A Patient Has Not Responded To Antibiotic …

• A female patient has been treated for strep throat with ampicillin (an aminopenicillin antibiotic). She visits the occupational health nurse and states she has vaginal itching. What organism is likely the cause of the vaginal itching? A) Enterobacter B) Candida albicans C) Clostridium difficle D) Klebsiella A patient has not responded to antibiotic therapy. The health care provider should first investigate which of the following possibilities as the primary cause of drug failure in this patient? A) bacteriostatic qualities B) resistance C) Bactericidal qualities D) A superinfection • You are caring for a patient admitted to the hospital form the nursing home with dyspnea, fever, and hypotension. The patient was diagnosed with sepsis and pneumonia. Which of the following antibiotics would be the best option for treating this infection based on the susceptibility results? MIC= Minimum inhibitory concentration A) ciprofloxacin, MIC 6 B) gentamicin, MIC 8 C) levofloxacin, MIC 2 D) cefepime, MIC 4 • A mother has brought her infant in for examination and the physician diagnoses a middle ear infection. The mother receives a prescription for amoxicillin/clavulanate (aminopenicillin/beta lactamase inhibitor) (Augmentin) and asks the nurse why this prescription has another drug added. The nurse explains that: A) the clavulanate prevents certain enzymes form destroying the antibiotic B) these two antibiotics are stronger than just one alone. C) the infant ear infection is much worse this time. D) adding clavulanate allows for a lower dose of antibiotic. • A culture and sensitivity response indicates that a patient should use a cephalosporin to treat documented infection. The health care provider would first assess this patient for a serious allergy to which of the following types of antibiotic? A) penicillin B) Tetracycline C) Aminoglycosides D) Sulfonamides . Which of the following statement about penicillin antibiotic are true? (SELECT ALL THAT APPLY) A) A patient who is allergic to penicillin always has a cross allergy to cephalosporins. B) Penicillin’s are normally eliminated rapidly by the kidney, but can accumulates to harmful levels if renal function is severely impaired. C) Penicillin’s are normally extensively metabolized by the liver, but can accumulate to harmful levels if liver function is impaired. D) Penicillin V is appropriate for oral administration Which of the following would be effective in treating hypoglycemia in a patient receiving an alpha glucosidase inhibitor mediation? (SELECT ALL THAT APPLY) A) a piece of hard candy B) Glucagon (IM) C) Orange Juice (120ml) D) Glucose tablet (19)