Urgent Care Urgent Care Medications and Prescribing 2

Question 1

A patient taking warfarin is prescribed trimethoprim-sulfamethoxazole (TMP-SMX) for a UTI. What is the key concern?

Accepted Answer

TMP-SMX inhibits CYP2C9, raising INR and increasing bleeding risk

Answer

TMP-SMX reduces warfarin absorption

Answer

TMP-SMX has no interaction with warfarin

Answer

TMP-SMX decreases anticoagulation effect of warfarin

Question 2

Which medication is contraindicated in a pregnant patient presenting with a UTI?

Accepted Answer

Trimethoprim-sulfamethoxazole in the third trimester

Answer

Amoxicillin

Answer

Nitrofurantoin in the first trimester

Answer

Cephalexin

Question 3

What is the correct prescribing approach to avoid antibiotic resistance when treating mild skin infections in urgent care?

Accepted Answer

Use the narrowest spectrum effective antibiotic for the shortest appropriate duration

Answer

Prescribe the broadest spectrum antibiotic available

Answer

Always prescribe two antibiotics concurrently

Answer

Avoid antibiotics entirely and rely on incision and drainage

Question 4

A patient with type 2 diabetes is started on a fluoroquinolone antibiotic. What glucose monitoring instruction should be given?

Accepted Answer

Monitor glucose closely — fluoroquinolones can cause both hypoglycemia and hyperglycemia

Answer

Fluoroquinolones have no effect on blood sugar

Answer

Increase insulin dose by 20% preventively

Answer

Stop all diabetes medications while taking fluoroquinolones

Question 5

Which of the following is the appropriate first-line topical treatment for impetigo in urgent care?

Accepted Answer

Topical mupirocin (Bactroban) twice daily for 5 days

Answer

Topical hydrocortisone cream

Answer

Topical antifungal cream

Answer

Topical silver sulfadiazine

Question 6

When prescribing a benzodiazepine for acute muscle spasm in urgent care, what is the most important patient instruction?

Accepted Answer

Do not drive or operate machinery; avoid alcohol; use for no more than 3–5 days

Answer

Take with food to increase absorption

Answer

Increase dose if pain is not controlled after 24 hours

Answer

Take with an NSAID for additive effect only