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CMN568 UNIT 2 REVIEW: QUESTIONS WITH ANSWERS
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CMN568 UNIT 2 REVIEW: QUESTIONS WITH ANSWERS
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CMN568 UNIT 2 REVIEW: QUESTIONS WITH ANSWERSBRONCHITIS Right Ans - Clinicians should not perform testing or initiate
antibiotic therapy in patients with ________ unless pneumonia is suspected.
Group A Streptococcal pharyngitis Right Ans - persistent fevers
anterior cervical adenitis
tonsillopharyngeal exudates
rapid antigen detection Right 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 Right 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).
Common cold Right Ans - Clinicians should not prescribe abx for patients
with the ___________.
purulent Right 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 Right 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 Right Ans - Clincally screen all
adult pts with pharyngitis for the presence of the 4 centor criteria which
include?
2 Right 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 Right 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 Right Ans - What is the preferred
abx tx for acute GABHS pharyngitis?
Acute rhinosinusitis Right Ans - Most cases of __________ diagnosed in
ambulatory care are due to uncomplicated viral, URI.
7 Right 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 Right Ans - What is the preferred, initial management
strategy for patients with mild symptoms of acute bacterial rhinosinusitis?
pneumonia Right 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 Right Ans - In patients with a cough lasting ____ weeks or longer, chest
radiography is warranted in the absence of other known causes.
Nasal saline Right 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
, Croup Right Ans - Results from a narrowing of the subglottic airway
secondary to inflammation associated with certain viral respiratory tract
infections and is represented by the sudden onset of a barking cough.
spasmodic or allergic croup Right Ans - recurrent episodes of croup
6mos-3yr
Peak at 2 yoa Right Ans - When does croup typically occur in children
Foreign body obstruction Right Ans - What mimics the symptoms of croup
and has to be ruled out before a diagnosis of croup can be made?
Epiglottitis Right Ans - What is a medical emergency and must also be
considered in children presenting with signs and symptoms of croup?
High fever and toxic appearance Right Ans - What symptoms can help you
distinguish between croup and epiglottitis?
Epiglottitis Right Ans - High fever, toxic appearance, sore throat, drooling,
sitting or leaning forward
Haemophilus influenzae Right Ans - Which vaccine can help prevent
epiglottitis?
Bacterial tracheitis Right Ans - Presents like croup, usually presents as an
abrupt deterioration following a moderate illness. It does not respond to
racemic epinephrine and requires tx with abx
parainfluenza viruses Right Ans - What is the most common cause of croup
today?
Rhinovirus Right Ans - This coinfection is common in croup
Parainfluenza type 1 Right Ans - peak season: autumn of odd numbered
years
Parainfluenza type 2 Right Ans - Peak season: autumn to winter
Parainfluenza type 3 Right Ans - Peak season: spring to autumn
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