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General Medicine · Infectious diseases
Sample itemWhat is an important stewardship principle when prescribing antibiotics?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Use the narrowest effective agent for the shortest appropriate duration
Antibiotic stewardship reduces resistance and harm by selecting appropriate targeted therapy, reviewing need, and avoiding unnecessary prolonged exposure.
Option by option
A. Continue treatment indefinitely after recovery
Indefinite therapy increases adverse effects and resistance.
B. Avoid obtaining cultures when infection is severe
Cultures can guide treatment in severe infection.
C. Prescribe antibiotics for all viral colds
Viral colds do not routinely need antibiotics.
D. Use the narrowest effective agent for the shortest appropriate duration (correct)
Correct: targeted short courses reduce unnecessary selection pressure.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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