NU 645 Module 4 Exam Questions and Answers All Correct
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Course
NU 645
Institution
NU 645
NU 645 Module 4 Exam Questions and Answers All Correct
CXR findings with viral pneumonia? - Answer- Bilateral diffuse infiltrates.
Other testing for viral pneumonia? - Answer- Viral antigen testing, CBC (normal or leukocytosis with lymphocytosis).
CXR findings with bacterial pneumonia? - An...
NU 645 Module 4 Exam Questions
and Answers All Correct
CXR findings with viral pneumonia? - Answer- Bilateral diffuse infiltrates.
Other testing for viral pneumonia? - Answer- Viral antigen testing, CBC (normal or
leukocytosis with lymphocytosis).
CXR findings with bacterial pneumonia? - Answer- S. pneumoniae with usually show
lobar consolidation that is typically a singal focus but may be multiple foci; the right side
is affected more frequently. S. aureus usually shows with multiple central segmental
infiltrates that become confluent and diffuse.
Other testing for bacterial pneumonia? - Answer- Blood cultures (only positive 10% of
time), CBC that shows leukocytosis with granulocytosis (left shift)
Criteria for hospital admission for pneumonia? - Answer- If > 3 months: O2 sat <90%,
RR> 40-50, grunting or dyspnea, poor feeding, toxic appearance, failure to respond to
oral abx.
Antibiotic for pneumonia? - Answer- Amoxicillin 90mg/kg/day divided into 2 doses and
given for 10 days.
Antibiotic for atypical pneumonia? (usually more abrupt onset) - Answer- Azithromycin
10mg/kg/day for first dose then 5mg/kg/day for 4 days.
Treatments for pneumonia with influenza? - Answer- Tamiflu or Relenza
Alternative antibiotic choices for pneumonia? - Answer- Clarithromycin, Augmentin, or
Rocephin injection in office.
When to schedule pneumonia recheck? - Answer- 2 days and at 14 days.
Criteria for tick bite prophylaxis? - Answer- Tick was identified, the tick was attached for
at least 36-72 hours, and tick was acquired in an endemic area.
Prophylactic medications for Lyme disease? - Answer- <8: amoxicillin x14 days
8 or >: doxycycline x14 days
Other: cefuroxime x14 days
, Erlichiosis and Anaplasmosis medications? - Answer- For all ages: doxycycline weight
based
Erlichiosis and Anaplasmosis rash? - Answer- Petechial, macular, or maculopapular
that varies in appearance, generally involving the trunk with sparing of the hands and
feet. It appears about 1wk after other symptoms.
RMSF s/s? - Answer- Fever, chills, headache, myalgias, malaise, GI upset, diarrhea,
cough, photophobia, AMS, focal neurologic deficits. Rash begins 2-5 days after fever
and beginsas small, flat, nonpruritic, faintly pink spots on the wrists, forearms, and
ankles, then spreads to trunk, palms, and soles. On day 6 a petechial rash may appear.
RMSF tx? - Answer- Start abx early!! Doxycycline for all ages.
The majority of infants <3 months old with a fever have what type of infection? -
Answer- A viral infection.
Even though most febrile illnesses in infants <3 months old are viral, they still require
what? - Answer- A work up for bacterial disease.
What season do RSV and influenza A occur? - Answer- Winter.
What seasons do enteroviruses occur? - Answer- Summer and fall.
What is a fever without focus? - Answer- An acute febrile illness with nonapparent fever
eiology after careful history and physical exam.
Which vaccine is given in infancy and in vulnerable populations to prevent S.
pneumoniae pneumonia? - Answer- Prenar (PCV 13)
What is a fever with unknown origin? - Answer- A temperature >101 or greater on
several occasions, of more than 3wks duration, and with failure to reach a dx despite
1wk of intense investigation.
Molluscum contagiosum - Answer- A benign, common, childhood viral skin infection that
poses little health risk. It is often self-limiting in a few wks to months.
Is molluscum contagiosum easily treated? - Answer- No. Goes away in 6mo to 2 years,
but can take up 4 years to completely go away.
Which antibiotic do you avoid with mono? - Answer- Amoxicillin (causes significant rash)
Can amoxicillin capsules be pulled apart? - Answer- Yes. You can put it into soft food
for those that cannot swallow pills and will not take the liquid.
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