Antimicrobials and Resistance · USMLE Step 1

A patient on gentamicin develops ototoxicity. Which factor increases this risk?

  1. Concomitant high-dose NSAID use
  2. Concomitant loop diuretic use
  3. Underlying hyperkalemia
  4. Taking the drug with food
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Correct answer: Concomitant loop diuretic use

Loop diuretics (e.g., furosemide) synergistically worsen aminoglycoside-induced ototoxicity.

Difficulty: Medium Question 2 of 20

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