Likely pathogens in acute otitis media include

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Reference no: EM133989998

Question

1. Which of the following is the appropriate medication choice for a 4-year-old child with acute otitis media who presents with a temperature of 102.8ºF (39.3ºC), acute otalgia and a penicillin allergy?

a. Ceftriaxone

b. Trimethoprim-sulfamethoxazole

c. Clarithromycin

d. Levofloxacin

2. Likely pathogens in acute otitis media include:

a. Select Gram-positive and Gram-negative bacteria.

b. Gram-negative bacteria and fungi.

c. Rhinovirus and Staphylococcus aureus.

d. Predominately beta-lactamase-producing organisms.

3. When treating exudative pharyngitis in the patient with penicillin allergy, the nurse practitioner considers using clindamycin. Which of the following is a primary consideration when prescribing this medication?

a. Emergence of resistant isolates

b. Beta-lactamase intolerance

c. Development of C. difficile-associated diarrhea

d. Cross-sensitivity with macrolides

4. You see a 3-year-old boy with acute otitis media consisting of mild otalgia and a temperature of 101.5ºF (38.6ºC). Symptoms have persisted for the past 3 days. He is otherwise well with no known allergies. Which of the following is a prudent treatment choice?

a. Cefixime

b. Amoxicillin

c. Trimethoprim-sulfamethoxazole

d. Azithromycin

5. The mechanism of resistance in drug-resistant S. pneumoniae is via:

a. Beta-lactamase production.

b. Hypertrophy of cell membrane.

c. Alteration in protein binding sites.

d. Failure of DNA gyrase reversal.

6. When evaluating the patient with pharyngitis with erythemas, the nurse practitioner knows to consider which of the following STIs?

a. HHV-1N.

b. gonorrhea

c. HIV

d. Chlamydia

7. Which of the following antimicrobials is inappropriate to be used in the treatment of infection caused by beta-lactamase-producing H. influenzae?

a. Azithromycin

b. Cefpodoxime

c. Ceftriaxone

d. Amoxicillin

8. During a patient assessment, the nurse practitioner considers the likelihood that the patient has a GABHS infection. Associated symptoms of rhinitis, hoarseness, and cough suggest:

a. The infection is likely viral

b. A rapid strep test is indicated.

c. Empiric antibiotics should be ordered.

d. An ENT consult would be helpful.

9. Which of the following represents the most appropriate antimicrobial for a 20-month-old child with treatment failure for AOM at 72 hours while on amoxicillin?

a. Azithromycin × 5 d

b. Cefixime × 7 d

c. Amoxicillin with clavulanate × 10 d

d. Ceftriaxone × 1 dose

10. A 10-year-old boy is being treated with oral penicillin for pharyngitis caused by Group A streptococcus. Which of the following is the most accurate information on his ability to return to school?

a. He will be able to return to school immediately after the first dose of the oral antibiotic.

b. He will continue to be a potential source for this infection for the next week, even with antimicrobial therapy.

c. He should be able to return to school once he has been on an antibiotic for at least 24 hours and is without fever.

d. Since he is on an antibiotic, the risk of transmitting Streptococcus-associated glomerulonephritis to his classmates is minimized.

Reference no: EM133989998

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