Question

Question 1 2 / 2 points

Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute otitis media. His parents call the clinic and say he has developed diarrhea. The appropriate action would be to:

Question options:

Advise the parents that some diarrhea is normal with amoxicillin and recommend probiotics daily.

Change the antibiotic to one that is less of a gastrointestinal irritant.

Order stool cultures for suspected viral pathogens not treated by the amoxicillin.

Recommend increased fluids and fiber in his diet.

Question 2 2 / 2 points

To prevent further development of antibacterial resistance it is recommended that fluoroquinolones be reserved for treatment of:

Question options:

Urinary tract infections in young women

Upper respiratory infections in adults

Skin and soft tissue infections in adults

Community-acquired pneumonia in patients with comorbidities

Question 3 2 / 2 points

Treatment for suspected gonorrhea is:

Question options:

Ceftriaxone 250 mg IM x 1

Ceftriaxone 2 grams IM x 1

Ciprofloxacin 500 mg PO x 1

Doxycycline 100 mg bid x 7 days

Question 4 2 / 2 points

If a woman presents with recurrent vulvovaginal candidiasis she may be treated with:

Question options:

Weekly intravaginal butoconazole for 3 months

Fluconazole 150 mg PO daily x 7 doses then monthly for 6 months

Weekly fluconazole 150 mg PO x 6 months

Intravaginal tioconazole x 14 days

Question 5 2 / 2 points

Bilal is a 5-year-old patient who has been diagnosed with tuberculosis. His treatment would include:

Question options:

Pyridoxine

Ethambutol

Levofloxacin

Rifabutin

Question 6 2 / 2 points

Isabella has confirmed tuberculosis and is placed on a 6-month treatment regimen. The 6-month regimen consists of:

Question options:

Two months of four-drug therapy (INH, rifampin, pyrazinamide, and ethambutol) followed by Four months of INH and rifampin

Six months of INH with daily pyridoxine throughout therapy

Six months of INH, rifampin, pyrazinamide, and ethambutol

Any of the above

Question 7 2 / 2 points

First-line therapy for a patient with acute otitis externa (swimmer’s ear) and an intact tympanic membrane includes:

Question options:

Swim-Ear drops

Ciprofloxacin and hydrocortisone drops

Amoxicillin

Gentamicin ophthalmic drops

Question 8 2 / 2 points

The length of treatment for sinusitis in a low-risk patient should be:

Question options:

5–7 days

7–10 days

14–21 days

7 days beyond when symptoms cease

Question 9 2 / 2 points

Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is generally healthy and has no drug allergies. Appropriate initial therapy for her UTI would be:

Question options:

Azithromycin

Trimethoprim/sulfamethoxazole

Ceftriaxone

Ciprofloxacin

Question 10 2 / 2 points

Juanita is a 28-year-old pregnant woman at 38 weeks’ gestation who is diagnosed with a lower urinary tract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy for her UTI would be:

Question options:

Azithromycin

Trimethoprim/sulfamethoxazole

Amoxicillin

Ciprofloxacin