Pharm FINAL TEST REVIEW

The advance practice provider understands antibiotic resistance occurs in the penicillin based drugs via which of the following mechanisms?

• Inhibition of folatesynthesis

• Inhibition of cell wall synthesis

• RNA transcription inhibition

• Beta-lactamase destruction of the beta-lactam ring

All of the following medications should be held for 2 hours before administering oral antibiotics (especially fluoroquinolones) to improve absorption EXCEPT

• Antacids

• Zinc

• Aspirin

• Multi-vitamins

This class of antibiotics has a black box warning for increased risk or tendonitis, tendon rupture, and

• Beta-lactams

• Tetracyclines

• Sulfonamides

• Fluoroquinolones

For which of the following is a fentanyl patch contraindicated?

• A patient who has back pain for the last 4 years from multiple herniated discs

   

• A patient who wants to minimize pill burden for pain control

• A patient who complains of severe pain in the immediate postoperative period.

• A patient with chronic myelogenous leukemia refractory to treatment

The provider understands opiods may commonly cause which of the following side effects? Pick all that apply

• Diarrhea

• Sedation

• Itching

• AMS

• Respiratory Rate less than 12

Which of the following variables should be considered when prescribing medications? Pick all that apply.

• Prescriber's comfort level with the patient's cultural beliefs.

• Insurance coverage

• Language barrier

• Lack of trust in medical professionals

• Allergies

This agent is NOT susceptible to inactivation by bacterial beta lactamases

• Ampicillin

• Oxacillin

• Amoxicilin Clavulanate (Augmentin)

• Penicillin G

Fill in the blank. Fluoroquinolones have an increased risk of_________ when combined with__________.

• Mental status changes; anti-hypertensives

• Discoloration of tooth enamel; tetracyclines

• Tendon rupture; corticosteroids

• QTc interval; acetaminophen

______________and_______________

are indicated for slowing the progression of symptoms of Alzheimer’s Disease

• Galantamine (Razadyne), Sertraline (Zoloft)

• Memantine (Namenda), Venlaxafine (Effexor)

• Donazepil (Aricept), Memantine (Namenda)

• Risperidone (Risperdal), Memantine (Namenda)

A 22-year old patient presents to the clinic with a sore throat for 4 days with accompanying fever. The patient is positive for Streptococcus. Which of the following cephalosporins is indicated?

• Ceftriaxone(Rocephin)

• Cefepime(Maxipime)

• CeftolozoneTazobactam(Zerbaxa)

• Cephalexin(Keflex)