Beta-Lactam Antibiotics · Pharmacology

A patient with a history of immediate hypersensitivity (anaphylaxis) to Penicillin G should generally avoid which of the following classes due to a potential risk of cross-reactivity?

  1. Tetracyclines such as doxycycline
  2. Macrolides such as erythromycin
  3. First-generation cephalosporins
  4. Aminoglycosides such as gentamicin
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Correct answer: First-generation cephalosporins

First-generation cephalosporins, such as Cephalexin, share similar side chains with penicillins, increasing the risk of cross-reactivity. In patients with documented penicillin anaphylaxis, cephalosporins should be avoided or used with extreme caution.

Difficulty: Medium Question 4 of 20

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