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UNIT 2 REVIEW- CMN568 QUESTIONS WITH COMPLETE SOLUTIONS
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UNIT 2 REVIEW- CMN568 QUESTIONS WITH COMPLETE SOLUTIONS
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UNIT 2 REVIEW- CMN568 QUESTIONS WITH COMPLETESOLUTIONS
BRONCHITIS CORRECT ANS-Clinicians should not perform testing or initiate antibiotic
therapy in patients with ________ unless pneumonia is suspected.
Group A Streptococcal pharyngitis CORRECT ANS-persistent fevers
anterior cervical adenitis
tonsillopharyngeal exudates
rapid antigen detection CORRECT ANS-Clinicians should test patients with symptoms
suggestive of group A streptococcal pharyngitis (for example, persistent fevers, anterior
cervical adenitis, and tonsillopharyngeal exudates or other appropriate combination of
symptoms) by __________________ test and/or culture for group A Streptococcus. Clinicians
should treat patients with antibiotics only if they have confirmed streptococcal pharyngitis.
acute rhinosinusitis CORRECT ANS-Clinicians should reserve antibiotic treatment for
_______________ for patients with persistent symptoms for more than 10 days, onset of
severe symptoms or signs of high fever (>39 °C) and purulent nasal discharge or facial pain
lasting for at least 3 consecutive days, or onset of worsening symptoms following a typical
viral illness that lasted 5 days that was initially improving (double sickening).
, UNIT 2 REVIEW- CMN568 QUESTIONS WITH COMPLETE
SOLUTIONS
Common cold CORRECT ANS-Clinicians should not prescribe abx for patients with the
___________.
purulent CORRECT ANS-________ secretions in the nares and throat (commonly reported
and seen in patients with an uncomplicated, URI neither predict bacterial infetion nor benefit
from abx use.
GABHS CORRECT ANS-The benefits of abx tx of adult pharyngitis are limited to those pts
with _________ infection. all patients with pharyngitis should be offered appropriate doses of
analgesics, antipyretics, and other supportive care
Hx of fever
tonsillar exudates
no cough
tender anterior cervical lymphadenopathy CORRECT ANS-Clincally screen all adult pts with
pharyngitis for the presence of the 4 centor criteria which include?
, UNIT 2 REVIEW- CMN568 QUESTIONS WITH COMPLETE
SOLUTIONS
2 CORRECT ANS-Test pts for GABHS with ____ or more criteria using a rapid antigen test.
Limit antibiotic therapy to pts with a positive test
Throat cultures CORRECT ANS-__________ are not recommended for the routine primary
evaluation of adults with pharyngitis, nor for the confirmation of negative rapid antigen tests.
Penicillin
or
Erythromycin for a PCN allergic patient CORRECT ANS-What is the preferred abx tx for
acute GABHS pharyngitis?
Acute rhinosinusitis CORRECT ANS-Most cases of __________ diagnosed in ambulatory
care are due to uncomplicated viral, URI.
, UNIT 2 REVIEW- CMN568 QUESTIONS WITH COMPLETE
SOLUTIONS
7 CORRECT ANS-The clinical diagnosis of acute bacterial rhinosinusitis should be reserved
for patients with rhinosinusitis symptoms lasing _____ days or more and who have maxillary
facial/tooth pain or tenderness and purulent nasal secretions.
Symptomatic tx CORRECT ANS-What is the preferred, initial management strategy for
patients with mild symptoms of acute bacterial rhinosinusitis?
pneumonia CORRECT ANS-In the healthy, non-elderly adult, ______ is uncommon in the
absence of vital sign abnormalities or asymmetrical lung sounds, and chest radiography is
usually not indicated.
3 CORRECT ANS-In patients with a cough lasting ____ weeks or longer, chest radiography is
warranted in the absence of other known causes.
Nasal saline CORRECT ANS-______________ solutions can be given safely to infants and
children to help relieve symptoms of upper respiratory tract infection and are recommended
by the American Academy of Pediatrics over OTC cough/cold products
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