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Canadian Pharmacist Qualifying Exam Practice · Question

A patient with a penicillin allergy requires antibiotic treatment for a severe infection. Which of the following antibiotics is generally considered safe to use?

Azithromycin is a macrolide antibiotic and has no cross-reactivity with penicillins. Cephalexin and piperacillin are beta-lactams and carry a risk of cross-reac

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Question: A patient with a penicillin allergy requires antibiotic treatment for a severe infection. Which of the following antibiotics is generally considered safe to use?

Answer options:

  • Amoxicillin
  • Cephalexin ✅ Azithromycin
  • Piperacillin/tazobactam

Correct answer: Azithromycin

Explanation: Azithromycin is a macrolide antibiotic and has no cross-reactivity with penicillins. Cephalexin and piperacillin are beta-lactams and carry a risk of cross-reactivity.

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