4 Antimicrobial Stewardship & Response

Which of the following strategies represents the most effective initial step for a veterinary practice aiming to implement an antimicrobial stewardship program, according to the AVMA guidelines?

Considering the principles of antimicrobial stewardship, which preventative healthcare measure would have the MOST significant impact on reducing the overall need for antibiotic use in a companion animal practice?

A client declines recommended diagnostic testing for their dog presenting with chronic cough, citing financial constraints. Which communication strategy would be MOST effective in encouraging diagnostic investigation while adhering to antimicrobial stewardship principles?

In a canine patient diagnosed with a localized skin abscess, which of the following treatment approaches is MOST consistent with judicious antibiotic use?

Considering the pharmacokinetic and pharmacodynamic principles of antibiotic therapy, which diagnostic test is MOST crucial in guiding initial antibiotic selection for a canine patient with a suspected urinary tract infection?

For which of the following clinical scenarios in a feline patient would 'delayed prescribing' of antibiotics be MOST appropriate as a judicious use strategy?

Based on recent surveys of antimicrobial prescribing patterns in veterinary medicine, which of the following carbapenem antibiotics is considered MOST critical to avoid in routine veterinary practice due to its importance in human medicine and the risk of resistance development?

What is the PRIMARY legal concern regarding the 'other' category of compounded antibiotics, as contrasted with legal compounding practices?

Which of the following statements accurately differentiates legally compounded antibiotics from 'other' compounded antibiotics in veterinary medicine?

Why are generic antibiotics considered a more ethically sound choice than 'other' compounded antibiotics for routine veterinary use, assuming comparable efficacy and availability?

In the context of antimicrobial stewardship, 'evidence-based medicine' primarily emphasizes which of the following approaches to clinical decision-making?

Which aspect of antimicrobial susceptibility breakpoints poses the GREATEST challenge for veterinarians in applying evidence-based medicine to antibiotic selection?

According to the AVMA's 'do's and don'ts' of antimicrobial therapy, what is the MOST appropriate initial diagnostic step in managing a canine patient with suspected pyoderma?

In feline lower urinary tract disease (FLUTD), which of the following scenarios would MOST strongly warrant antimicrobial therapy based on current antimicrobial stewardship guidelines?

For a canine patient diagnosed with acute, uncomplicated upper respiratory tract disease (URTD), what is the MOST appropriate therapeutic recommendation in alignment with antimicrobial stewardship?

Which of the following behavioral influences is LEAST likely to contribute to inappropriate antimicrobial prescribing in veterinary practice?

In a 3-year-old male cat presenting with recurrent episodes of urinating outside the litter box, with client history suggesting improvement with previous antibiotic courses, what is the estimated probability of a bacterial urinary tract infection being the underlying cause?

According to recent consumer affairs data and veterinary insurance claims, what is the MOST common claim category for feline insurance, potentially reflecting a tendency towards over-diagnosis or over-treatment in veterinary medicine?

Reviewing the provided table of antimicrobial prescribing for feline UTIs, which antimicrobial class is MOST frequently prescribed for both nonrecurrent and recurrent feline UTIs, despite guidelines advocating for more judicious use?

What is the PRIMARY mechanism by which inappropriate or excessive antibiotic use contributes to the development and propagation of antimicrobial resistance?

According to the study on the effect of cefovecin on fecal flora in dogs, what was the MOST significant long-term consequence observed after cefovecin administration in healthy dogs?

In a 6-year-old dog presenting with acute colitis, and the owner expecting metronidazole, what is the MOST compelling evidence-based rationale for considering nutritional management as a superior first-line treatment?

What is the MOST significant 'baggage' associated with antimicrobial use, even when clinically indicated, that necessitates judicious prescribing practices?

In a 12-year-old diabetic dog presenting for a routine recheck, an incidental urine culture reveals Klebsiella pneumoniae with multi-drug resistance (MDR), but the dog shows no clinical signs of urinary tract infection. What is the MOST appropriate course of action regarding antibiotic therapy?

What is the PRIMARY clinical significance of identifying a carbapenem-resistant Enterobacterales (CRE) organism in a veterinary patient's culture?

According to the provided antibiotic susceptibility pattern for Klebsiella pneumoniae, which antibiotic would be considered susceptible based on the interpretation and MIC values?

What is the MOST critical infection control measure to implement when managing a hospitalized patient diagnosed with a carbapenem-resistant Enterobacterales (CRE) infection?

When communicating with clients about a pet diagnosed with a CRE infection, what is the MOST important aspect to emphasize regarding public health concerns?

Which of the following bacterial species is explicitly listed as an 'Organism to be on Lookout for...' in the context of emerging antimicrobial resistance threats in veterinary medicine?

What is the rationale behind recommending 'zoonoses sign on cage door' for patients with CRE infections in a veterinary hospital?

In managing a canine patient with a CRE urinary tract infection, which of the following topical antiseptic or antimicrobial agents would be MOST appropriate to consider for adjunctive therapy of skin or wound infections, if present, aligning with antimicrobial stewardship principles?

For a veterinary practice aiming to enhance its antimicrobial stewardship program, which of the following resources would provide the MOST comprehensive and evidence-based guidelines for developing and implementing a CRE plan and response resource?

Which of the following strategies is LEAST effective in minimizing the spread of CRE within a veterinary hospital setting?

What is the recommended duration for advising clients to avoid taking their CRE-positive pet to public spaces to minimize potential environmental contamination and spread?

In the context of antimicrobial stewardship and alarming culture reports, what is the MOST significant 'alarm' associated with a culture report indicating 'NI' (non-interpretable) for multiple antibiotic classes, including critical agents?

What is the MOST appropriate term to describe Enterobacterales exhibiting resistance to carbapenems, a class of 'last-resort' antibiotics, reflecting a critical public health threat?

Which of the following best describes the role of 'Imipenem' in the context of identifying carbapenem resistance in Enterobacterales?

What is the MOST accurate interpretation of the acronym 'CRO' in the context of antimicrobial resistance and alarming culture reports?

Which of the following statements BEST describes the relative virulence and pathogenicity of antimicrobial-resistant (AMR) organisms compared to their susceptible counterparts?

In the context of antimicrobial selection, what is the MOST critical factor to consider beyond antimicrobial susceptibility when a pet owner expresses financial constraints regarding diagnostic testing?

When a veterinary practice aims to reduce inappropriate antimicrobial use, which approach would MOST effectively address the 'client expectations' behavioral influence?

In managing a patient with a suspected bacterial infection, which diagnostic approach BEST supports antimicrobial stewardship principles by guiding targeted therapy?

Considering the principles of antimicrobial stewardship, which action would MOST effectively address the potential overuse of antibiotics in managing uncomplicated upper respiratory infections within a multi-doctor veterinary practice?

When evaluating the potential use of compounded antimicrobials, what is the PRIMARY ethical consideration that aligns with evidence-based veterinary medicine?

When educating veterinary clients about antimicrobial resistance, which explanation BEST conveys the public health importance of responsible antimicrobial use?

In a scenario where a dog is diagnosed with a carbapenem-resistant Enterobacterales (CRE) infection, what is the MOST relevant piece of information to convey to the pet owner regarding infection control measures at home?

In a veterinary teaching hospital, what is the MOST effective strategy to minimize the risk of CRE transmission between patients?

When reviewing an antimicrobial susceptibility report, which result should MOST strongly prompt a re-evaluation of the planned treatment and consideration of alternative agents or a consultation with a specialist?

What is the MOST important implication of identifying a carbapenem-resistant organism (CRO) in a companion animal, beyond its direct impact on the patient's health?