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Antimicrobial Guidelines for Prison Populations

Introduction

1. Inappropriate antimicrobial prescribing practices are largely responsible for the growth of resistant microbes.

A. True

B. False


General Guidance for Diagnosis and Identifying Infection

2. Before initiating antibiotic therapy, providers should:

A. Confirm that an infection is in fact present.

B. Identify the microorganism(s) causing the infection.

C. Select the most appropriate antimicrobial therapy.

D. All of the above.


3. The benefits of antibiotic treatment of adult pharyngitis are limited to those patients with:

A. Group A streptococcal infection

B. Group B streptococcal infection

C. Group D streptococcal infection

D. All of the above


Culture and Sensitivity

4. A urine culture is always warranted for the evaluation of _____ presenting with symptoms of cystitis.

A. Women

B. Men

C. Both (A) and (B)

D. None of the above


Therapy Selection

5. Antibiotics used to treat acne cannot contribute to the development of antibiotic resistance.

A. True

B. False


Intravenous to Oral Conversion Guidelines

6. Conversion from IV to PO therapy is contraindicated in all of the following situations, except for:

A. Continuous or frequent nasogastric suctioning.

B. Displaying signs and symptoms of shock.

C. NPO status.

D. Continuous tube feedings that cannot be interrupted and patient requires a medication known to bind to enteral nutrition formulations.


7. Patients on which of the following should avoid foods high in tyramine due to an increased risk of serotonin syndrome, leading to a hypertensive emergency?

A. Vancomycin

B. Linezolid

C. Fluconazole

D. All of the above


Multi-Drug Resistant Organisms - Specific Diagnoses

8. If an organism is a confirmed Extended Spectrum Beta Lactamase producer, all penicillins, cephalosporins, and aztreonam should be considered resistant, regardless of other results.

A. True

B. False


9. Which of the following is a risk factor for vancomycin resistant enterococci?

A. Previous treatment with vancomycin or other antibiotics for extended periods of time.

B. Medical devices / catheters.

C. Immunosuppression.

D. All of the above.


Appendix 7: Vancomycin Monitoring

10. All of the following pertain to vancomycin, except for:

A. Vancomycin dosing is based on actual body weight.

B. Vancomycin exhibits bactericidal activity against S. aureus and S. epidermidis.

C. Peak serum concentrations of vancomycin are used to monitor treatment.

D. All of the above pertain to vancomycin.


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