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NR 566 MID -TERM EXAM WITH STUDY GUIDE EXAM
LATEST 2025| COMPLETE 300+ ACCURATE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ |CHAMBERLAIN|
What do we need to be aware of in our female patients of childbearing age with clindamycin - ANSWER - decrease oral contraceptive activity
Aminoglycosides are safe for what age group - ANSWER - children (infant <8 days old)
Clindamycin can be used as an alternative to what - ANSWER - penicillin
Specific drug to treat aspergillosis - ANSWER - Voriconazole
Which ones carry risk for hypotension with patients on antihypertensives? - ANSWER - Ivermectin and Moxidectin
Which ones can cause bone marrow suppression and liver impairment? - ANSWER - Albendazole and Mebendazole
Which is generally safe to give without obtaining baseline data? - ANSWER
- Pyrantel Pamoate
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How to treat tinea capitis aka ringworm - ANSWER - Drug Class - Oral antifungal (not topical) Oral griseofulvin taken for 6-8 weeks, is considered standard therapy
Budesonide risks of use in children - ANSWER - risk for delayed growth
Ketoconazole and omeprazole concurrently- what does the patient need to know - ANSWER - decrease absorption of ketoconazole and reduce effectiveness
Which weight loss drug(s) are associated with a suicide risk in children, adolescents, and young adults? - ANSWER - Naltrexone and bupropion (contrive)
Which weight loss drugs are DEA scheduled drugs? - ANSWER - Diethylpropion Luciferin Phentermine/topiramate (Phentermine is scheduled, not topiramate) Phendimetrazine
At what BMI level should bariatric surgery be considered? - ANSWER - BMI 35 or more
Topiramate -Therapeutic effect - ANSWER - induces sense of satiety (Sense of satisfaction- don't feel hungry)
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pg. 3 How to discontinue phentermine and/or topiramate - ANSWER - if the person has not lost 5% of weight loss by 6 months, then d/c medication tolerance can develop n 6-12 weeks
Which of the following would be contraindicated to prescribing phentermine/topiramate? - ANSWER - glaucoma, hyperthyroidism, hypertension
What is Enterobius vermicularis? - ANSWER - Pinworm infestation (Nematode) Most common in US pinworms in ileus and large intestine symptoms - perianal itching and sleep disturbance Once itching/on hands can spread through touching
Who would you expect to have Enterobius vermicularis? - ANSWER - Primarily in children (spread through daycares/schools)
How to treat Enterobius vermicularis? - ANSWER - Medication:
albendazole, mebendazole, pyrantel pamoate Hand washing, all family members should be treated at same time
Monitoring needs for long term antifungal use - ANSWER - Liver function - AST, ALT, alkaline phosphate, and bilirubin
How to treat systemic fungal infections - ANSWER - Treating systemic
mycoses can be difficult: these infections often resist treatment and hence
may require prolonged therapy with drugs that frequently prove toxic. 3 / 4
pg. 4 Aspergillosis - voriconazole candidiasis- amphotericin B or fluconazole plus or minus flucytosine Histoplasmosis- amphotericin B or itraconazole
adverse effects of abacavir - ANSWER - Lactic acidosis, a severe hepatomegaly with steatosis
risks with saquinavir - ANSWER - Use caution in patients with structural heart dx, cardiac conduction disturbances, and ischemic heart disease and taking other drugs that prolong PR interval
How to measure success with antiretroviral therapy for HIV - ANSWER - reduction in plasma HIV RNA
What does an increase in CD4 indicate? - ANSWER - increase in CD4, reduction in viral load indicating restoration of immune function
When do use foscarnet in HIV+ patients? - ANSWER - Used to treat cytomegalovirus (CMV) and CMV-related ophthalmic retinitis in individuals with AIDs and who have been unable to tolerate ganciclovir. Also approved for use in immunocompromised patients with HSV with resistance to acyclovir. "It has no use in treating HIV because it does it does not have antiretroviral properties" (NIH)
What antibiotics can be prescribed SAFELY throughout pregnancy? - ANSWER - penicillin's, cephalosporins, erythromycin
How to treat otomycosis - ANSWER - Thorough cleaning and application of 2% acetic acid solution or antifungal 3-4 times a day for 7 days
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