What medication would you give for bacterial sinusitis? - correct answer
Amoxicillin
Augmentin (Aminopenicillin Antibiotic - Beta-lactamase Inhibitor Combinations)
Someone with sinusitis >7 days or with a course that got better and then worse
and they have a penicillin allergy? What antibiotic would you give? - correct
answer Doxycycline
Patient comes in and wants management recommendations for allergic rhinitis.
What recommendations would you give first? - correct answer Stay away from
triggers
Patient says nasal irrigation should not be recommended because causes nose
bleeds-educate patient that this is inaccurate - correct answer Nasal irrigations
help hydrate and flush out some of the allergens
True or False: Patient says cannot use nasal decongestant spray for longer than 5
days because it can cause trigger congestion. - correct answer This is true-no
longer than 5 days
True or False: Oral decongestants can cause hypertension (sudafed, claritin,
zyrtec) - correct answer true
Pt has dry, non-productive cough, fever, sore throat, and look put together, have
98% spo2, with possible bronchitis. What is your treatment? - correct answer
supportive care
no antibiotic
What are the CENTOR criteria? - correct answer Centor Criteria clinical
prediction rules
Criteria (1 point for each positive)
Tonsillar exudates
Swollen and tender anterior cervical lymph nodes
Lack of cough
History of fever (>100.4)
, NUR 524 EXAM 1 NEWEST 2024 ACTUAL EXAM
Centor Criteria scoring and what to test. - correct answer Scores (American
College of Physicians-Internal medicine)
0-1: no testing indicated
2-3: test for RADT and culture
4: presumptive diagnosis of GAS and confirmatory testing not required
Know how to read a Snellen chart. What does a 20/15 vision mean? - correct
answer You can see what normal people can see at 20 feet where the majority of
people can see at 15 feet
Pt presents with a "bloody eye". What does this mean? What can use for relieving
discomfort? - correct answer Small hemorrhage that is not dangerous and clears
up on its own
Can use artificial tears to help with discomfort
Pt presents with a really bad sore throat for the past 6 days, what is on your
differential diagnosis? - correct answer Post nasal drip
Strep throat
Tonsillitis
Epiglottitis
Viral pharyngitis
GERD
MONO
Pt presents ℅ minor ear fullness but can only hear out of one side. It appears to
have excess cerumen. You cannot see the membrane. What are you going to do? -
correct answer Refer to ENT-you cannot rule out possible membrane rupture and
should not attempt irrigation.
Who is at high risk for mycoplasma? - correct answer HIV
Immunosuppressed people
College age kids
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