NR 566 Midterm Exam Questions and
Answers Chamberlain University.
How to treat otomycosis
Correct Answer -Thorough cleaning and application of 2% acetic acid
solution or antifungal 3-4 times a day for 7 days
Causes of excessive cerumen in ear
Correct Answer -usually caused by pushing excess cerumen deeper into
the ear while cleaning
treatment of excessive cerumen in ear
Correct Answer -irrigation of ear canal with warm water or saline
Debrox drops may assist with cerumen disimpaction by softening the wax
and making it easier to remove, but it does not prevent acute otitis externa
This pathogen is highly associated with CAP in smokers and those with
COPD
Correct Answer -Haemophilus influenzae
What antibiotics can be prescribed SAFELY throughout pregnancy?
Correct Answer -penicillin's, cephalosporins, erythromycin
Second line treatment for CAP (if amoxicillin doesn't work)
Correct Answer -Respiratory fluoroquinolone
The patient was treated with an antibiotic in the last 90 days of contracting
CAP what type of antibiotics should be prescribed?
Correct Answer -quinolone (ex. fluoroquinolone)
,Tendonitis/tendon rupture is highly associated with which antibiotic class?
Correct Answer -fluoroquinolone (why they should be avoided in
pregnancy)
Anthelmintic safe for pregnancy
Correct Answer -Praziquantel
anthelmintic's safe for breastfeeding
Correct Answer -Mebendazole
pyrantel pamoate
anthelmintic's caution with breastfeeding/pregnancy
Correct Answer -albendazole
ivermectin
diethylcarbamazine
Risks with didanosine
Correct Answer -lactic acidosis, severe hepatomegaly with steatosis,
severe pancreatitis
Voriconazole (-azoles) should NOT be combined with what
Correct Answer -drugs that are P450 inducers (Phenobarbital), reduce
levels of Voriconazole
What is Enterobius vermicularis?
Correct Answer -Pinworm infestation (Nematode)
Most common in US
, pinworms in ileus and large intestine
symptoms - perianal itching and sleep disturbance
Once itching/on hands can spread through touching
Who would you expect to have Enterobius vermicularis?
Correct Answer -Primarily in children (spread through daycares/schools)
How to treat Enterobius vermicularis?
Correct Answer -Medication: albendazole, mebendazole, pyrantel
pamoate
Hand washing, all family members should be treated at same time
Monitoring needs for long term antifungal use
Correct Answer -Liver function - AST, ALT, alkaline phosphate, and
bilirubin
How to treat systemic fungal infections
Correct Answer -Treating systemic mycoses can be difficult: these
infections often resist treatment and hence may require prolonged therapy
with drugs that frequently prove toxic.
Aspergillosis - voriconazole
candidiasis- amphotericin B or fluconazole plus or minus flucytosine
Histoplasmosis- amphotericin B or itraconazole
adverse effects of abacavir
Correct Answer -Lactic acidosis, a severe hepatomegaly with steatosis
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