Antibiotic selection, dosing, and monitoring for common infections as tested on the NAPLEX.
About this set
41 mixed cards for NAPLEX NAPLEX. It opens with "What is the current preferred vancomycin monitoring target for serious MRSA" and "What causes the vancomycin infusion reaction (flushing, pruritus, sometimes". More Healthcare and Nursing decks are listed below.
41 cards · mixed cards · AI-written, checked twice. Edit anything.
- What is the current preferred vancomycin monitoring target for serious MRSA infections (replacing trough-only monitoring)?
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AUC24/MIC ratio of at least 400
- What causes the vancomycin infusion reaction (flushing, pruritus, sometimes hypotension) formerly called red man syndrome?
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Histamine release triggered by rapid IV infusion
- Vancomycin's major dose-limiting toxicity affecting the kidneys is ____.
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nephrotoxicity
- Name the two major toxicities associated with aminoglycosides such as gentamicin and tobramycin.
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Nephrotoxicity and ototoxicity
- What aminoglycoside dosing strategy is preferred to reduce toxicity while exploiting their concentration-dependent killing?
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Extended-interval (once-daily) dosing
- Which antibiotic class carries a black box warning for tendinitis and tendon rupture?
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Fluoroquinolones
- Besides tendon rupture, name another black box warning associated with fluoroquinolones.
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Peripheral neuropathy
- Fluoroquinolone doses should be separated in time from products containing which types of cations to avoid reduced absorption?
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Divalent and trivalent cations (calcium, magnesium, aluminum, iron, zinc)
- Ciprofloxacin inhibits which cytochrome P450 enzyme, raising theophylline levels?
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CYP1A2
- Why are fluoroquinolones generally avoided in children?
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Risk of cartilage damage (arthropathy)
- The cross-reactivity concern between penicillins and cephalosporins is based mainly on similarity of what structural feature?
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The R1 side chain, not the beta-lactam ring itself
- Which penicillin/beta-lactamase inhibitor combination provides coverage against Pseudomonas aeruginosa?
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Piperacillin-tazobactam
- Which monobactam antibiotic is generally considered safe in patients with a penicillin allergy?
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Aztreonam
- Aztreonam shares cross-reactivity risk with which cephalosporin because of a similar side chain?
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Ceftazidime
- Which carbapenem carries the highest risk of lowering the seizure threshold?
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Imipenem-cilastatin