Urgent Care Urgent Care Medications and Prescribing 3

Question 1

A patient takes a selective serotonin reuptake inhibitor (SSRI) and is prescribed tramadol for pain. What risk must be communicated?

Accepted Answer

Serotonin syndrome due to additive serotonergic effects

Answer

Increased risk of acute kidney injury

Answer

Reduced analgesic efficacy of tramadol

Answer

Worsening depression from tramadol

Question 2

What is the drug of choice for treating methicillin-resistant Staphylococcus aureus (MRSA) skin abscess requiring oral antibiotic therapy?

Accepted Answer

Trimethoprim-sulfamethoxazole or doxycycline

Answer

Amoxicillin-clavulanate

Answer

Cephalexin

Answer

Azithromycin

Question 3

A patient on metformin is prescribed a iodinated contrast study for abdominal imaging. What medication guidance applies?

Accepted Answer

Hold metformin 48 hours before contrast and resume after confirming normal renal function

Answer

No adjustment needed for metformin

Answer

Double the metformin dose to prevent contrast nephropathy

Answer

Permanently discontinue metformin after any contrast exposure

Question 4

What is the recommended antibiotic for tick bite prophylaxis following a deer tick (Ixodes) bite in an endemic Lyme disease area?

Accepted Answer

Doxycycline 200 mg single dose within 72 hours

Answer

Amoxicillin 500 mg TID for 10 days

Answer

Cephalexin 500 mg BID for 7 days

Answer

Azithromycin 500 mg for 3 days

Question 5

Which medication class should be avoided in patients with suspected acute angle-closure glaucoma presenting with eye pain and blurred vision?

Accepted Answer

Anticholinergic agents (e.g., antihistamines, scopolamine)

Answer

Topical NSAIDs

Answer

Topical beta-blockers

Answer

Oral acetazolamide

Question 6

A patient asks about the safety of ibuprofen while breastfeeding. What is the correct counseling?

Accepted Answer

Ibuprofen is considered compatible with breastfeeding due to minimal transfer into breast milk

Answer

Ibuprofen is absolutely contraindicated in breastfeeding

Answer

Only acetaminophen is safe; all NSAIDs are contraindicated

Answer

Ibuprofen should be replaced with aspirin during breastfeeding