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NURS 621 (Primary Care) FINAL EXAM QUESTIONS AND ANSWERS ACCURATE AND RATED A.
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NURS 621 (Primary Care) FINAL EXAM QUESTIONS AND ANSWERS ACCURATE AND RATED A.
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NURS 621 (Primary Care) FINAL EXAM QUESTIONS AND ANSWERSACCURATE AND RATED A.
1. In children and adolescents, what should the follow A throat culture
up intervention be for a negative RADT strep test but should be per-
continued symptoms? formed
2. Does a positive RADT for GAS pharyngitis require no, positive RADT
back up culture? is highly specific
3. If an adult is symptomatic but has a negative RADT No. risk for
for GAS, should throat cultures be performed? rheumatic fever is
low so back up cul-
ture is not required
4. If patient has acute pharyngitis with cough, rhinor- No- other symp-
rhea, and oral ulcers should patient be tested for toms suggest viral
GAS? etiology.
5. What is recommended drug of choice for GAS Penicillin or Amox-
pharyngitis? icillin 10 day
course
6. Treatment of GAS pharyngitis in penicillin-allergic 1st gen
(not anaphylaxis) cephalosporin 10
days (Keflex
of cefadrox-
il), clindamycin
or clarithromycin
10 days, or
azithromycin 5
days.
7. If patient has recurrent GAS pharyngitis, should a Tonsillectomy
tonsillectomy be performed? should not be
done solely to
reduce frequency
of GAS
8. Most common pathogen that causes pharyngitis Group C strep
among college students and adults?
, NURS 621 (Primary Care) FINAL EXAM QUESTIONS AND ANSWERS
ACCURATE AND RATED A.
9.
, NURS 621 (Primary Care) FINAL EXAM QUESTIONS AND ANSWERS
ACCURATE AND RATED A.
Which test is more sensitive for detecting GAS? Blood agar is
RADT or blood agar plate culture? more sensitive.
10. T/F Diagnostic studies are not usually indicated for True. Unless the
children <3? child has an old-
er sibling with con-
firmed GAS. This
is because the risk
of rheumatic fever
is rare in children
<3
11. Tonsillectomy is indicated for patients who have had 7 or more infec-
or more throat infections in one year tions.
12. Tonsillectomy is indicated for patients who have had 5 or more per year
or more throat infections per year in the past
2 years.
13. What might be the diagnosis for a patient that is meniere's disease
experiencing fluctuating, unilateral, hearing loss and
feels dizzy
14. Patient complains of unilateral progressive hearing Acoustic neuroma
loss and frequent headaches. What is the most likely
diagnosis?
a. acoustic neuroma
b. menieres disease
c. prebycusis
d. conductive hearing loss
15. Which of the following are causes of sensorineural b. presbycusis
hearing loss? c. acustic neuro-
a. cerumen impaction ma
b. presbycusis e. aminoglycoside
c. acustic neuroma induced hearing
d.otosclerosis loss
e. aminoglycoside induced hearing loss
f.congential abnormalities All others are
, NURS 621 (Primary Care) FINAL EXAM QUESTIONS AND ANSWERS
ACCURATE AND RATED A.
conductive hear-
ing loss
16. Patient presents with sudden, sensorineural hearing refer to otorhino-
loss. What is the next step for the provider? laryngologist
17. What else should be included in the assessment of Mental health as-
patients with presbycusis? sessment. high
risk for suicide
18. Which type of hearing loss is considered reversible? Conductive
Sensorineural or conductive?
19. What is the best treatment for acute attack of me- resting with the
nieres disease? eyes closed and
protection from
falling.
20. A patient with Meniere's disease has sound lateral- Weber test
ization to the non affected ear when a tuning fork is
placed midline on the top of the head. What is the
name of this test?
21. What are two medications safe to prescribe in pa- 1. ciprofloxacin
tients with bacterial otitis externa and perforated tym- drops
panic membrane? 2. ofloxacin drops
22. A patient with otitis externa asks when they can re- The ear must be
turn to swimming. How would you advise? kept dry without
being submerged
in water for 4-6
weeks.
23. Medications of choice for a pediatric patient with clarithromycin,
AOM and has a hx of an anaphylaxis reaction to peni- bactrim, or
cillin? (3) azithromycin
24. Pediatric patient recently completed course of amox- Augmentin
icillin but continues to have symptoms of AOM. What
is the next step?
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