50 Questions
Which of antimicrobial stewardship interventions is patient specific?
Review of diagnostic results (blood cultures)
Where does the ASP program at UMMC NOT evaluate patients?
Neonatal Intensive Care Unit (NICU)
Which of these is NOT a current ASP initiative at UMMC?
Implementing adult sepsis guidelines
Which intervention is NOT considered a Pre-emptive Antimicrobial stewardship program intervention?
Audit with feedback
Which of these describes the Leadership core element of the CDC Core Elements of ASP for Hospitals?
Dedicating necessary human, financial and information technology resources to stewardship
Which is not a CDC core component of ASP?
Patient Involement
Which of these describes the Accountability core element of the CDC Core Elements of ASP for Hospitals?
Appointing a single physician leader responsible for program outcomes
What is the primary purpose of the Tracking core element in antibiotic stewardship programs?
To monitor antibiotic prescribing and resistance patterns
What is not a key requirements of the CMS ASP Regulations for Hospitals?
Perform monthly audits of all antibioitc use
What are the minimum requirements for the §483.80(a) CMS ASP regulations for nursing homes?
antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use.
What are the key barriers to implementing antibiotic stewardship programs in nursing homes according
Lack of staffing and financial resources
What is the primary purpose of the Reporting core element in antibiotic stewardship programs?
To report information on antibiotic use and resistance to doctors, nurses and relevant staff
What is the TYPICAL duration of subacute pain?
1-3 months
Which lab test is not needed to rule out when assessing a patient's pain?
mGFR
What is the treatment recommended in the second step of the WHO's analgesic ladder?
Weak opioids with or without non-opioid analgesics, and with or without adjuvants
Which drug can reduce pain and fever, but does not provide anti-inflammatory effects?
Acetaminophen
Which is not a medication used in neuropathic pain?
Hydromorphone
Which pain assessment scale is used in cognitive impairment?
Wong-Baker FACES pain rating scale
What action should be taken before doing a Rapid Urease Test on a patient for PUD
Discontinue PPIs
Which pharmacological agent has the most data supporting its use for prophylaxis of stress ulcers in high-risk patients?
H2RA
Which factor is NOT listed as a risk factor for stress ulcers?
Antibiotic use
In patient education regarding peptic ulcers treatment, what should patients be educated about?
Smoking cessation
Which is a not a correct TRIPLE therapy regimen for Pud?
Tetracycline + PPI + clarithroymycin
What agent isn't used in PUD quadruple therapy?
Doxycycline
What is the most common complication from PUD?
Hemorrhage (bleeding)
Which statement about proton pump inhibitors (PPIs) is correct?
PPIs are equally potent in inhibiting acid secretion.
Which of the following is a potential risk associated with long-term PPI use?
Hip fractures and osteoporosis
Which of the following is NOT a common side effect associated with PPI use?
Constipation
What is the recommended duration for treating a duodenal ulcer with PPI BID?
4-8 weeks
What is the primary goal of fluid stewardship programs?
To prevent fluid overload and electrolyte imbalances
Which of the following is NOT a key metric used to track antimicrobial stewardship efforts?
Patient satisfaction scores
Select the correct 4 Rights of Fluid Stewardship
patient, drug, route, dose
Opioid stewardship recommends using high doses and extended-release formulations of opioids.
False
What is the primary purpose of medication-related stewardship?
All of the above
What is the primary goal of fluid stewardship programs according to the text?
To prevent fluid overload and electrolyte imbalances
Which of the following is a recommended action for antimicrobial stewardship according to the text?
Implement prospective audit and feedback by a multidisciplinary team
Which of the following is NOT a key element of medication-related stewardship?
Determining the most cost-effective medication options
The CMP ASP regulations for nursing home says pharmacists must perform a medication regimen review (MRR) at least ____
monthly
___ is The responsibility of overseeing and protecting something considered worth caring for and preserving
Stewardship
Which is NOT a Purpose of Medication-Related Stewardship
Increases the job opportunities available for pharmacists
According to CMS ASP Regulations for Nursing Homes ,The assessment, monitoring and communication of antibiotic use shall occur by a licensed _____
pharmacist
Which antacid is associated with constipation
Aluminum
Antacids should be taken __ hours after meals/drugs to avoid DDIs
1-3
Which H2RA is inhibits CYP450 and can cause issues with drugs like propranolol which are metabolized by them?
Cimetidine
Which pro motility agent is NOT an anticholinergic?
Metoclopramide
In which situation should PPIs avoided in?
Elderly patients
Which of these is a long acting insulin?
Tresiba
T/F: Insulin should always be started before considering adding a GLP-1 in a T2D patient
False
T/F: Bolus/prandial insulin is taken before meals
True
Basal insulin should be adjusted by ___% at a time
10-15
Test your knowledge on the 7 components of the CDC Core Elements of Antibiotic Stewardship Program (ASP) for Hospitals, including leadership commitment, pharmacy expertise, action, tracking, and education. Explore the importance of dedicating resources and formal statements to improve antibiotic use.
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