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

Tramadol has serotonergic properties; combining it with SSRIs increases the risk of serotonin syndrome, a potentially life-threatening reaction.

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

TMP-SMX and doxycycline are effective oral agents against community-acquired MRSA skin infections per IDSA guidelines.

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

Metformin should be held 48 hours before iodinated contrast and restarted only after confirming adequate renal function to avoid contrast-induced nephropathy and lactic acidosis.

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

A single 200 mg dose of doxycycline given within 72 hours of a deer tick bite is effective prophylaxis against Lyme disease in endemic areas.

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

Anticholinergic medications cause pupillary dilation, which can precipitate or worsen acute angle-closure glaucoma by blocking aqueous humor drainage.

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Urgent Care Urgent Care Medications and Prescribing 3