NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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For moderately ill outpatients with local FQ resistance below or equal to 10%, which antibiotics are recommended?

  1. cipro x7, levo x5

  2. CTX, ertapenem

  3. amino glycoside x1, then cipro/levo for 5-7 days

  4. SMX/TMP x14 days

The correct answer is: cipro x7, levo x5

Cipro x7 and levo x5 are the recommended antibiotics for moderately ill outpatients with local fluoroquinolone (FQ) resistance below or equal to 10%. This is because these antibiotics are able to effectively treat infections caused by bacteria with low FQ resistance. Other options, such as CTX and ertapenem, are not as effective against FQ resistance. Amino glycoside x1 followed by cipro/levo for 5-7 days may also be effective, but would require an additional course of treatment and is not the recommended first-line option. SMX/TMP x14 days is not an appropriate treatment option for FQ resistance.