Urgent Care Urgent Care Medications and Prescribing

Question 1

Which NSAID is preferred for pain management in a patient with a history of peptic ulcer disease?

Accepted Answer

Celecoxib 200 mg daily

Answer

Celecoxib, a selective COX-2 inhibitor, has a lower risk of GI ulceration compared to non-selective NSAIDs and is preferred in patients with peptic ulcer disease.

Question 2

What is the maximum recommended daily dose of acetaminophen for a healthy adult?

Accepted Answer

4,000 mg/day

Answer

The FDA recommends a maximum of 4,000 mg per day of acetaminophen in healthy adults, though 3,000 mg/day is recommended for chronic use.

Question 3

A patient with a penicillin allergy requires antibiotic treatment for cellulitis. Which antibiotic is most appropriate?

Accepted Answer

Clindamycin

Answer

Clindamycin is a safe alternative for skin and soft tissue infections (including cellulitis) in patients with penicillin allergy.

Question 4

Which opioid analgesic is considered most appropriate for short-term acute pain management in urgent care?

Accepted Answer

Short-acting hydrocodone-acetaminophen for ≤3–5 days

Answer

Short-acting opioids prescribed for the shortest effective duration (≤3–5 days) are recommended for acute pain when non-opioid therapies are insufficient.

Question 5

Which drug interaction is most clinically significant when prescribing a fluoroquinolone antibiotic?

Accepted Answer

Increased QT prolongation risk with concurrent antiarrhythmics

Answer

Fluoroquinolones prolong the QT interval and, when combined with other QT-prolonging drugs such as antiarrhythmics, increase the risk of life-threatening arrhythmia.

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Urgent Care Urgent Care Medications and Prescribing