Antimicrobial resistance (AMR) & Antimicrobial Stewardship (AMSP)
Microbiology · Topic 11
Source: NMC CBME Curriculum 2024 · Volume I · Microbiology · Topic 11 · combined PDF page 213
Practice questions
- A febrile patient has no other clinical or diagnostic evidence of infection. Which stewardship principle is best supported by the supplied educational report?
- Which choice best exemplifies the specimen-collection examples named in the AMS Shanty report?
- Which specimen type is explicitly identified in the AMS Shanty report as an example of appropriate collection?
- Which option lists the blood-culture approach in the educational report without substituting a different example?
- A culture is positive, but the clinical assessment suggests the recovered organism may merely be colonizing the patient. Which stewardship issue is most directly relevant?
- Which prescribing behavior is specifically cautioned against in the AMS Shanty report?
- Which additional principle is paired with fever and specimen-related messages in the AMS Shanty report?
- Which set consists entirely of healthcare-associated infection categories listed in the AMS Shanty report?
- The AMS Shanty report groups which two laboratory-related terms in its repeating chorus?
- In the Indian ICU pre–post study, which susceptibility-testing standard was reported?
- Which statement about the supplied evidence on MICs and breakpoints is most accurate?
- In the ICU pre–post study, de-escalation increased from 49.8% before the program to what percentage afterward?
- Which guideline-adherence change was reported after implementation of the ICU stewardship program?
- Days of therapy per 1,000 patient-days in the ICU study changed from 82 before the program to which value afterward?
- Which economic finding was reported after implementation of the ICU stewardship program?
- Which description best reflects the design of the ICU stewardship evaluation?
- After a pre–post stewardship program, several outcomes improve. Which conclusion is most scientifically cautious?
- Which pair of changes was reported in the ICU study after stewardship implementation?
- In the ICU study, culture turnaround-time compliance changed from which pre-program value to which post-program value?
- The 2013 Indian institutional survey found antimicrobial-resistance data analysis more commonly reported than which activity?
- What percentage of the 20 institutions in the 2013 survey reported analyzing antimicrobial-use data?
- In the 2013 Indian survey, what proportion of institutions reported antimicrobial prescription audit and feedback?
- Which institutional resource gap was specifically described as worrying in the 2013 Indian stewardship survey?
- A hospital reports regular analysis of resistance data but no routine review of antimicrobial consumption. Which interpretation best fits the 2013 survey's distinction between activities?
- In the 2024 hospital KAP study, which group had the highest overall knowledge score among those compared?
- Which conclusion is best supported by the 2024 KAP study's finding that knowledge did not consistently translate into daily practice?
- How many participants were included in the 2024 cross-sectional KAP study?
- Which statement most appropriately characterizes the evidence for the AMS Shanty as an educational intervention?
- Which institutional action was emphasized by the authors of the 2024 KAP study to help address the gap between knowledge and practice?
- The 2013 survey reported written antimicrobial stewardship documents at 40% of institutions and antimicrobial prescription guidelines at 65%. Which interpretation is correct?
- The ICU study reported infection-related mortality decreasing from 5.4% to 3.8% after program implementation. Which additional result was reported for this comparison?
- Which combination best represents the different domains evaluated in the Indian ICU stewardship study?