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Pharmacology & Microbiology CST NBSTSA Scenario-Style Test

Total questions: 5

Worksheet time: 3mins

Name
Class
Date
1.

Scenario 1: A 45-year-old patient is scheduled for an abdominal procedure. The surgeon requests a broad-spectrum antibiotic to be given prior to incision.

a)

Vancomycin

b)

Cefazolin (Ancef)

c)

Gentamicin

d)

Metronidazole

2.

Scenario 2: During a laparoscopic appendectomy, the surgeon requests irrigation with an antibiotic solution to reduce infection risk. Which solution would be MOST appropriate?

a)

Bacitracin in saline

b)

Heparinized saline

c)

Sterile water only

d)

Normal saline without additives

3.

A patient undergoing a total knee arthroplasty develops a fever postoperatively. Blood cultures grow gram-positive cocci in clusters. Which organism is MOST likely responsible?

a)

Streptococcus pyogenes

b)

Escherichia coli

c)

Staphylococcus aureus

d)

Pseudomonas aeruginosa

4.

Scenario 4: A 32-year-old female is undergoing a gynecological procedure. The anesthesiologist notes a history of penicillin allergy. Which prophylactic antibiotic is the BEST alternative?

a)

Cefazolin

b)

Clindamycin

c)

Amoxicillin

d)

Erythromycin

5.

A surgical technologist notices the scrub nurse preparing sponges soaked in sterile water for the abdominal cavity. Why is sterile water used instead of saline in this situation?

a)

Water reduces adhesion formation

b)

Water causes lysis of residual tumor cells

c)

Water maintains osmotic balance

d)

Water promotes faster healing