MN553 Unit 6 Quiz-Questions with Correct Answers/ Verified
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Course
MN553
Institution
MN553
Causes of drug resistance -️️Recent use of antibiotics
Over use of broad spectrum antibiotics
Age less than 2 years or greater than 65 years
Daycare center attendance
Exposure to young children
Multiple medical comorbidities
Immunosuppression
MN553 Unit 6 Quiz-Questions with Correct Answers/ Verified
Causes of drug resistance - ✔️✔️Recent use of antibiotics
Over use of broad spectrum antibiotics
Age less than 2 years or greater than 65 years
Daycare center attendance
Exposure to young children
Multiple medical comorbidities
Immunosuppression
True or false
Every antibiotic class has resistant organisms - ✔️✔️True
How can your identify local resistance patterns - ✔️✔️By monitoring the antibiogram of the local
laboratory
What vaccine has decreased resistance in older populations - ✔️✔️Pneumococcal vaccine
Commitment - ✔️✔️Demonstrate dedication to and accountability for optimizing antibiotic
prescribing and patient safety
Action for policy and practice - ✔️✔️Implement at least one policy or practice to improve antibiotic
prescribing assess whether it is woking and modify as needed
,Tracking and reporting - ✔️✔️Monitor antibiotic prescribing practices, and offer regular feedback
to clinicians or have clinicians assess their own antibiotic prescribing practices themselves
Education and expertise - ✔️✔️Provide educational resources to clinicians and patients on
antibiotic prescribing and ensure access to needed expertise on optimizing antibiotic prescribing
Core elements of antibiotic stewardship - ✔️✔️Commitment
Action for policy and practice
Tracking and reporting
Education and expertise
Pharmacodynamics of beta-lactams (Penicillins) - ✔️✔️Inhibit the biosynthesis of peptidoglycan
bacterial cell wall
Natural penicillins are sensitive to what - ✔️✔️Streptococcus
Some Enterococcus
Some non-penicillinase producing Staphylococcus
Aminopenicillin sensitivity - ✔️✔️Greater activity against gram-negative bacteria because of
enhanced ability to penetrate the outer membrane organisms
What are beta-lactams used for - ✔️✔️Gram negative urinary and GI pathogens
•Escherichia coli, Proteus mirabilis, Salmonella, some Shigella species, and Enterococcus faecalis;
active against the common gram-negative respiratory pathogens Moraxella catarrhalis (and
Haemophilus influenzae type B)
, How do you broden the spectrum of beta lactams - ✔️✔️Combine with beta-lactamase inhibitors:
Clavulanate
Sulbactam
Tazobactam
True or false
Few allergies are seen with beta-lactams - ✔️✔️False
May cause serious immediate allergic reactions
When will you seen an allergic reaction occur with beta lactams - ✔️✔️Within 2 to 30 minutes of
administration
What does the typical beta-lactam rash look like - ✔️✔️Maculopapular
True or false
The beta lactam maculopapular rash is allergic in origin - ✔️✔️False
How often do rashes occur with beta-lactam use - ✔️✔️About 9% of the time
When do rashes associated with beta-lactam use typically present - ✔️✔️7-10 days into treatment
SE with beta lactam use - ✔️✔️Diarrhea
N/V
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