Question 1
Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute otitis media. His parents call the clinic and say he has developed diarrhea. The appropriate action would be to:

Question options:
Advise the parents that some diarrhea is normal with amoxicillin and recommend probiotics daily.
Change the antibiotic to one that is less of a gastrointestinal irritant.
Order stool cultures for suspected viral pathogens not treated by the amoxicillin.
Recommend increased fluids and fiber in his diet.

Question 2
To prevent further development of antibacterial resistance it is recommended that fluoroquinolones be reserved for treatment of:

Question options:
Urinary tract infections in young women
Upper respiratory infections in adults
Skin and soft tissue infections in adults
Community-acquired pneumonia in patients with comorbidities

Question 3
Treatment for suspected gonorrhea is:

Question options:
Ceftriaxone 250 mg IM x 1
Ceftriaxone 2 grams IM x 1
Ciprofloxacin 500 mg PO x 1
Doxycycline 100 mg bid x 7 days

Question 4
If a woman presents with recurrent vulvovaginal candidiasis she may be treated with:

Question options:
Weekly intravaginal butoconazole for 3 months
Fluconazole 150 mg PO daily x 7 doses then monthly for 6 months
Weekly fluconazole 150 mg PO x 6 months
Intravaginal tioconazole x 14 days

Question 5
Bilal is a 5-year-old patient who has been diagnosed with tuberculosis. His treatment would include:

Question options:
Pyridoxine
Ethambutol
Levofloxacin
Rifabutin

Question 6
Isabella has confirmed tuberculosis and is placed on a 6-month treatment regimen. The 6-month regimen consists of:

Question options:
Two months of four-drug therapy (INH, rifampin, pyrazinamide, and ethambutol) followed by Four months of INH and rifampin
Six months of INH with daily pyridoxine throughout therapy
Six months of INH, rifampin, pyrazinamide, and ethambutol
Any of the above

Question 7
First-line therapy for a patient with acute otitis externa (swimmer's ear) and an intact tympanic membrane includes:

Question options:
Swim-Ear drops
Ciprofloxacin and hydrocortisone drops
Amoxicillin
Gentamicin ophthalmic drops

Question 8
The length of treatment for sinusitis in a low-risk patient should be:

Question options:
5-7 days
7-10 days
14-21 days
7 days beyond when symptoms cease

Question 9
Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is generally healthy and has no drug allergies. Appropriate initial therapy for her UTI would be:

Question options:
Azithromycin
Trimethoprim/sulfamethoxazole
Ceftriaxone
Ciprofloxacin

Question 10
Juanita is a 28-year-old pregnant woman at 38 weeks' gestation who is diagnosed with a lower urinary tract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy for her UTI would be:

Question options:
Azithromycin
Trimethoprim/sulfamethoxazole
Amoxicillin
Ciprofloxacin