A patient of bronchial asthma maintained on theophylline developed upper respiratory tract infection.
Which antimicrobial if used can increase the risk of
developing theophylline toxicity:
A. Ampicillin
B. Cephalexin
C. Cotrimoxazole
D. Erythromycin

1 Answer

Answer :

D. Erythromycin

Related questions

Description : A patient of congestive heart failure was being treated with furosemide and digoxin. He developed urinary tract infection. Which of the following antimicrobials should be avoided: A. Ampicillin B. Gentamicin C. Norfloxacin D. Cotrimoxazole

Last Answer : B. Gentamicin

Description : A patient of chronic bronchial asthma maintained on oral prednisolone 20 mg daily and inhaled salbutamol as required develops chest infection. Which of the following measures is recommended: A. ... mg/day C. No change/increase in prednisolone dose D. Substitute prednisolone with inhaled budesonid

Last Answer : C. No change/increase in prednisolone dose

Description : Which antimicrobial should be avoided in patients of liver disease: A. Tetracycline B. Cotrimoxazole C. Cephalexin D. Ethambutol

Last Answer : A. Tetracycline

Description : A woman has an upper respiratory infection. Six years ago, she experienced an episode of bronchospasm follwing penicillin V therapy. The cultures now reveal a strain of streptococcus pneumoniae that is ... ? (a) Amoxicillin/clavulanate (b) Erythromycin (c) Ampicillin (d) cefaclor (e) Cyclacillin

Last Answer : Ans: B

Description : A premature neonate suffered respiratory distress and was given an antibiotic 100 mg/kg/day orally. Over the next two days his condition worsened, he become dull, stopped feeding, developed ... most likely antibiotic given to him: A. Ampicillin B. Chloramphenicol C. Erythromycin D. Ciprofloxacin

Last Answer : B. Chloramphenico

Description : Which antimicrobial should be avoided in patients of liver disease ? (a) Chlortetracycline (b) Cotrimoxazole (c) Cephalexin (d) Ethambutol

Last Answer : Ans: A

Description : Choose the correct statement in relation to treatment of urinary tract infection (UTI): A. Majority of UTIs are caused by gram positive bacteria B. Smaller doses of the antimicrobial agent ... drug gets concentrated in urine D. Most acute UTIs are treated with a combination antimicrobial regimen

Last Answer : B. Smaller doses of the antimicrobial agent suffice for lower UTI

Description : Select the antimicrobial drug which is used orally only for urinary tract infection or for bacterial diarrhoeas: A. Nalidixic acid B. Azithromycin C. Bacampicillin D. Pefloxacin

Last Answer : A. Nalidixic acid

Description : Roxithromycin has the following advantages over erythromycin except (a) It is more effective in whooping cough (b) It causes less gastric irritation (c) It has longer plasma half-life (d) It is unlikely to precipitate theophylline toxicity

Last Answer : Ans: A

Description : Currently the drug of choice for emperic treatment of typhoid fever is: A. Chloramphenicol B. Cotrimoxazole C. Ciprofloxacin D. Ampicillin

Last Answer : C. Ciprofloxacin

Description : 6 A patient of chronic bronchial asthma was maintained on oral prednisolone 20 mg/day for 3 months. It was decided to switch him over to inhaled beclomethasone dipropionate 200 μg 4 times a day. What should ... week and then tapered D. Its dose should be doubled for one week and then tapered (p. 2

Last Answer : C. It should be given at the same dose for one week and then tapered

Description : Use of morphine in the following category of patients does not carry any special risk: A. Ischaemic heart disease patients B. Bronchial asthma patients C. Elderly male patients D. Biliary colic patients

Last Answer : A. Ischaemic heart disease patients

Description : A single oral dose of the following antibiotic is curative in most patients of nonspecific urethritis due to Chlamydia trachomatis: A. Doxycycline B. Azithromycin C. Erythromycin D. Cotrimoxazole

Last Answer : B. Azithromycin

Description : Indicate the drug which attains therapeutic antibacterial concentration in the urinary tract but not in other tissues: A. Pefloxacin B. Amikacin C. Nitrofurantoin D. Cephalexin

Last Answer : C. Nitrofurantoin

Description : A 75-year-old man had been receiving gentamicin (an aminoglycoside antibiotic) to treat an urinary tract infection. After three months of therapy patient's serum creatinine levels were 10 mg/ ... Type II allergic reaction b)Type III allergic reaction c) Pseudo allergic reaction d) Overdose toxicity

Last Answer : d) Overdose toxicity 

Description : Relatively higher dose of theophylline is required to attain therapeutic plasma concentration in: A. Smokers B. Congestive heart failure patients C. Those receiving erythromycin D. Those receiving cimetidine

Last Answer : A. Smokers

Description : Compared to erythromycin, azithromycin has: A. Extended antimicrobial spectrum B. Better gastric tolerance C. Longer duration of action D. All of the above

Last Answer : D. All of the above

Description : Select the antibiotic whose dose must be reduced in patients with renal insufficiency: A. Ampicillin B. Chloramphenicol C. Tobramycin D. Erythromycin

Last Answer : C. Tobramycin

Description : 2 Which antibiotic is primarily bacteriostatic but becomes bactericidal at higher concentrations: A. Erythromycin B. Tetracycline C. Chloramphenicol D. Ampicillin

Last Answer : A. Erythromycin Although erythromycin is primarily bacteriostatic, it is bactericidal at high concentrations for some Gram-positive species, such as group A streptococci and pneumococci

Description : Which of the following is a second generation cephalosporin that is highly resistant to gram negative β-lactamases, and cures penicillinase positive as well as negative gonococcal infection by a single intramuscular dose: A. Cephalexin B. Cefuroxime C. Cefoperazone D. Ceftazidime

Last Answer : B. Cefuroxime

Description : Which of the following statement(s) is/are true concerning the effects of MOFS? a. Pulmonary dysfunction tends to arise early and may resolve within 7 to 10 days b. Unless the precipitating ... infection, most commonly pulmonary, is a common complication providing a second hit to the patient

Last Answer : Answer: a, b, d Pulmonary dysfunction typically arises early in the development of systemic inflammation and may represent mild relatively localized acute lung injury or it may be a prelude ... is marked by progressive rise in serum bilirubin levels after a latent period of several days

Description : Select the most appropriate drug for regular prophylactic therapy in a 10 year old child who suffers from exercise induced asthma: A. Oral salbutamol B. Oral theophylline C. Inhaled sodium cromoglycate D. Inhaled salmeterol

Last Answer : C. Inhaled sodium cromoglycate

Description : Choose the correct statement about theophylline: A. Its use in asthma has declined because of narrow safety margin B. Its dose needs to be reduced in smokers C. It acts by increasing the formation of cAMP D. Its plasma halflife is longer in children compared to that in adults

Last Answer : A. Its use in asthma has declined because of narrow safety margin

Description : Erythromycin should not be given to a patient being treated with terfenadine because: A. Erythromycin induces the metabolism of terfenadine B. Dangerous ventricular arrhythmias ... Terfenadine inhibitis metabolism of erythromycin D. Terfenadine antagonizes the antimicrobial action of erythromycin

Last Answer : B. Dangerous ventricular arrhythmias can occur

Description : Leukotriene antagonists are used in bronchial asthma: A. For terminating acute attacks B. As monotherapy in place of β2 agonists C. As adjuvants to β2 agonists for avoiding corticosteroids D. As nebulized powder in refractory cases

Last Answer : C. As adjuvants to β2 agonists for avoiding corticosteroids

Description : Sodium cromoglycate has a role in the treatment of the following conditions except: A. Chronic bronchial asthma B. Chronic urticaria C. Chronic allergic rhinitis D. Chronic allergic conjunctivitis

Last Answer : B. Chronic urticaria

Description : The following class(es) of drugs are clinically beneficial in bronchial asthma: A. Histamine H1 receptor antagonists B. Platelet activating factor (PAF) antagonists C. Leukotriene ( cys LT1) receptor antagonists D. All of the above

Last Answer : C. Leukotriene ( cys LT1) receptor antagonists

Description : Respiratory alkalosis can occur in (A) Bronchial asthma (B) Collapse of lungs (C) Hysterical hyperventilation (D) Bronchial obstruction

Last Answer : Answer : C

Description : A 55-year-old renal transplant patient has been hospitalized in a Surgical Intensive Care Unit, receiving a prolonged course of antibiotics following an attack of acute cholecystitis. The ... suggest a dosage reduction in immunosuppressive agents until the infection can be adequately controlled

Last Answer : Answer: a, d Infections due to fungal pathogens have become increasingly common during the past decade, frequently occurring in patients undergoing prolonged hospitalization in the Surgical ... agents should be discontinued until evidence of infection is absolutely controlled or is eradicated

Description : The following organism is notorious for developing antimicrobial resistance rapidly: A. Streptococcus pyogenes B. Meningococcus C. Treponema palli

Last Answer : D. Escherichia coli

Description : Choose the correct statement about aspirin: A. In an afebrile patient acute overdose of aspirin produces hypothermia B. Aspirin suppresses flushing attending large dose of nicotinic acid C. Aspirin ... acute rheumatic fever D. Long term aspirin therapy increases the risk of developing colon cancer

Last Answer : B. Aspirin suppresses flushing attending large dose of nicotinic acid

Description : An old male presents complaining of having numerous white lesions in the oral cavity within past  few days. Prior to this the family physician prescribed chlorite tetracycline for an upper  respiratory infection, ... plaques on the lip mucosa, buccal mucosa and  the tongue. MOST LIKELY to be: 

Last Answer : Moniliasis (Which is candidiasis) 

Description : Select the antimicrobial agent that can be used to treat with both methicillin resistant and vancomycin resistant Staphylococcus aureus infection: A. Clarithromycin B. Clindamycin C. Linezolid D. Lincomycin

Last Answer : C. Linezolid

Description : Which of the following is not likely to be the cause of failure of antimicrobial therapy of an acute infection: A. Improper selection of drug and dose B. Acquisition of resistance during treatment C. Failure to drain the pus D. Uncontrolled diabetes mellitus

Last Answer : B. Acquisition of resistance during treatment

Description : Antimicrobial drug combinations are aimed at achieving the following except: A. Faster and more complete elimination of the infecting organism B. Treat infection when nature and sensitivity of the infecting organism is not definite C. Prevent emergence of resistant strains D. Prevent superinfection

Last Answer : D. Prevent superinfection

Description : Amoxicillin is inferior to ampicillin for the treatment of the following infection: A. Typhoid B. Shigella enteritis C. Subacute bacterial endocarditis D. Gonorrhoea

Last Answer : B. Shigella enteritis

Description : Select the macrolide antibiotic that can be given once daily for 3 days for empirical treatment of ear-nosethroat, respiratory and genital infections: A. Erythromycin B. Azithromycin C. Roxithromycin D. Clarithromycin

Last Answer : B. Azithromycin

Description : In a patient of bronchial asthma, inhaled salbutamol produces the following effect(s). (a) Inhibits antigen-antibody reaction in the lungs (b) Causes bronchodilatation (c) Reduces bronchial hyperreactivity (d) Both (b) and (c)

Last Answer : Ans: B

Description : In a patient of bronchial asthma, inhaled salbutamol produces the following effect(s): A. Inhibits antigen-antibody reaction in the lungs B. Causes bronchodilatation C. Reduces bronchial hyperreactivity D. Both ‘B’ and ‘C’ are correct

Last Answer : B. Causes bronchodilatation

Description : The drug of choice for treatment of methicillin resistant Staphylococcus aureus infection is: A. Cloxacillin B. Vancomycin C. Erythromycin D. Amikacin

Last Answer : B. Vancomycin

Description : The following antibiotic is a first line drug for treatment of Mycobacterium avium complex infection in AIDS patients: A. Clindamycin B. Clarithromycin C. Roxithromycin D. Erythromycin

Last Answer : B. Clarithromycin

Description : An adult patient of acute diarrhoea presents with abdominal pain, fever, mucus and blood in stools and is suspected to be suffering from Shigella enteritis. What antimicrobial treatment would be most appropriate: A. No antimicrobial treatment B. Metronidazole C. Norfloxacin D. Chloramphenicol

Last Answer : C. Norfloxacin

Description : The following is true of anti-H.pylori therapy except: A. It is indicated in all patients of peptic ulcer B. Resistance to any single antimicrobial drug develops rapidly C. Concurrent ... efficacy of the regimen D. Colloidal bismuth directly inhibits H.pylori but has poor patient acceptability

Last Answer : A. It is indicated in all patients of peptic ulcer

Description : Along with effective antimicrobial therapy, corticosteroids are indicated in the following infective conditions except: A. Tubercular meningitis B. Severe P. carinii pneumonia in AIDS patient C. Herpes simplex keratitis D. Erythema nodosum leprosum

Last Answer : C. Herpes simplex keratitis

Description : If a patient gives history of urticaria, itching and swelling of lips following injection of penicillin G, then: A. He will develop similar reaction whenever penicillin is injected ... oral phenoxymethyl penicillin safely D. All natural and semisynthetic penicillins are contraindicated for him

Last Answer : D. All natural and semisynthetic penicillins are contraindicated for him

Description : A 59-year-old trauma patient has suffered multiple septic complications including severe pneumonia, intraabdominal abscess, and major wound infection. He has now developed signs of multisystem organ ... the same extent d. In patients with hepatic failure, carbohydrate load should be increased

Last Answer : Answer: a, b The most severe complication of sepsis is multiple system organ dysfunction syndrome, which may result in death. The development of organ failure requires changes in the ... should be provided as fat emulsion. If encephalopathy develops, protein load should also be reduced0

Description : The distinctive features of azithromycin include the following except: A. Efficacy against organisms which have developed resistance to erythromycin B. Marked tissue distribution and intracellular penetration ... D. Low propensity to drug interactions due to inhibition of cytochrome P450 enzymes

Last Answer : A. Efficacy against organisms which have developed resistance to erythromycin

Description : Infusion of potassium chloride is indicated in digitalis toxicity when the manifestation(s) is/are: A. Vomiting, hyperapnoea and visual disturbance B. Pulsus bigeminus with heart rate 110/min ... accidentally ingested 10 digoxin tablets D. 2:1 A-V block with occasional ventricular extrasystoles

Last Answer : B. Pulsus bigeminus with heart rate 110/min in a patient on maintenance digoxin therapy

Description : In post-myocardial infarction and other high cardiovascular risk subjects but without hypertension or heart failure, prolonged ACE inhibitor medication has been found to: A. Increase the chances of sudden cardiac death ... Lower the risk of developing heart failure and diabetes D. Both B and C'

Last Answer : D. Both ‘B‘ and ‘C