Question

Julie W. is a junior dental hygiene student who had the misfortune to puncture her glove with a contaminated instrument. Although her patient tested negative for both hepatitis C and human immunodeficiency virus, the wound became badly infected. Her physician prescribed 500 mg of amoxicillin three times a day for 7 days, but at the end of 3 days, the infection is worse and is spreading. Julie feels too ill to attend classes, thus she returns to the college’s health center to see the physician again. Her temperature is 103.4° F, her pulse rate is 110 bpm, and her cervical lymph nodes are swollen. The physician is very concerned about the infection and admits Julie to the hospital. Her current medications include oral contraceptive pills and multivitamins.

13. What is the probable cause of the worsening infection? a. The antibiotic is not broad spectrum b. It is a viral infection c. The bacteria are resistant to the antibiotic d. All of the above

14. Julie should do which of the following. a. Begin taking pencyclovir b. Try another antibiotic to be prescribed by her physician c. Wait another 24 hours to see if she will respond d. Do nothing

15. When Julie goes home with an antibiotic, what advise should she be given? a. Continue taking the antibiotics until the prescription is finished b. Use alternative forms of contraception while taking antibiotics c. Take medications on an empty stomach d. All of the above e. a & b only

16. Julie should not worry about mixing antibiotics with oral contraceptives. True False

17. If Julie contracted a cold, which of the following would be true? a. The antibiotics will take care of the cold b. The cold will need to run its course c. The cold will require a different antibiotic than the infection d. None of the above

18. While on antibiotics, Julie contracts a superinfection. This means she has suppressed the normal flora, so a second infection can occur. True False

Answer 1

13.The probable cause for the worsening of infection is human immunovirus is a virus so b)it is a viral infection.

Human immunovirus is a virus.Amoxicillin is antibiotic so it cannot be used to treat HIV it because it can disrupt the body and fight against to own body immune system that concludes that antibiotics is critical to treat person infected with HIV.

14.Julie show a)begin to Pencyclovir. It is used to treat herpesvirus and hepatitis virus by convert its triphosphate that can inhibit viral DNA polymerase by competing with deoxyguanosine triphosphate.

15.c)Take medication on an empty stomach it can take with a glass of water because it won't get absorbed properly.as otherwise it won't be absorbed properly and this means it won't be as effective. You should take atleast an hour before meal or one hour after meals.

16.True. Julie should not worry about taking antibiotics with contraceptive pills because it don't effect contraception.Only one antibiotic that rifampin can effect contraception.

17.False b)Cold will need to run its course because it is caused by virus so antibiotic not known to be effective against cold.

18.True .Amoxicillin suppress intestinal microflora with overgrowth antibiotic resistant Enterobacteriaceae.