AANP Infectious Disease

Question 1

Which is a first-line agent for uncomplicated cystitis in a nonpregnant woman?

Accepted Answer

Nitrofurantoin for 5 days

Answer

Nitrofurantoin for 5 days is a first-line option, along with TMP-SMX and fosfomycin. Fluoroquinolones are reserved for other situations because of their risks.

Question 2

A healthy 40-year-old with no comorbidities has outpatient community-acquired pneumonia. What is an appropriate empiric therapy?

Accepted Answer

High-dose amoxicillin

Answer

The ATS/IDSA guideline recommends amoxicillin 1 g three times daily (or doxycycline) for healthy outpatients without comorbidities.

Question 3

Which is the first-line antibiotic for confirmed group A streptococcal pharyngitis in a patient without allergies?

Accepted Answer

Penicillin V

Answer

Penicillin V or amoxicillin is first-line, because group A strep has not developed penicillin resistance.

Question 4

Per current CDC guidelines, what is the recommended treatment for uncomplicated chlamydial infection in a nonpregnant adult?

Accepted Answer

Doxycycline 100 mg twice daily for 7 days

Answer

The 2021 CDC STI guidelines list doxycycline 100 mg BID for 7 days as the recommended regimen, with azithromycin as an alternative.

Question 5

A hiker presents with an expanding erythematous annular rash with central clearing (erythema migrans) after a tick bite. What is the treatment?

Accepted Answer

Doxycycline for 10 days

Answer

Erythema migrans is diagnosed clinically and treated with doxycycline for 10 days (or amoxicillin or cefuroxime for 14 days). Serology is often negative early.

AANP - American Association of Nurse Practitioners Practice Test

AANP - American Association of Nurse Practitioners Practice Test

AANP Infectious Disease