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Unit 1 Review- CMN568 Questions and Answers
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Unit 1 Review- CMN568 Questions and Answers
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Unit 1 Review- CMN568 Questions and AnswersAcute viral rhinitis CORRECT ANS-The most common pediatric infectious disease;
otherwise known as the common cold
14 days CORRECT ANS-How long can symptoms of acute viral rhinitis last?
sudden onset
clear or mucoid rhinorrhea
nasal congestion
fever
sore throat and cough
erythematous nose, throat, and TMs CORRECT ANS-What are the symptoms of acute viral
rhinitis?
S. Pneumoniae
H influenza
M catarrhalis
, Unit 1 Review- CMN568 Questions and Answers
B-hemolytic strept CORRECT ANS-What are the common pathogens of acute bacterial
rhinosinusitis
Nasal congestion
purulent nasal discharge
facial pain/pressure
cough
headache
fever CORRECT ANS-What are the symptoms of acute bacterial rhinosinusitis?
<30 days CORRECT ANS-How long does acute bacterial rhinosinusitis last?
Can be either CORRECT ANS-Is onset of acute bacterial rhinosinusitis gradual or sudden?
10 CORRECT ANS-The general rule of thumb when considering tx for acute bacterial
rhinosinusitis is that diagnosis should not be made until symptoms last longer than ___ days
, Unit 1 Review- CMN568 Questions and Answers
without improvement OR worsening of symptoms within 10 days after initial improvement of
symptoms
Treat with abx immediately CORRECT ANS-What should the NP do if the pt presents with
focal signs of acute bacterial rhinosinusitis such as periorbital edema, severe sinus
tenderness, or severe headache?
False CORRECT ANS-T or F: Routine sinus X rays are recommended for uncomplicated acute
sinusitis
NSAIDS or acetaminophen CORRECT ANS-All pts with acute bacterial rhinosinusitis should
receive pain/fever control with what meds?
<3 days CORRECT ANS-How long can nasal decongestants be used to help symptoms?
intranasal corticosteroids CORRECT ANS-Use of ______________ sprays are recommended
in all adults and may be useful for children with underlying allergic sinusitis
, Unit 1 Review- CMN568 Questions and Answers
4 CORRECT ANS-Use of OTC oral decongestant, antihistamines and cough/cold preps are
NOT recommended in children <_____ years of age.
Pain medication
humidified air
saline nose drops CORRECT ANS-A child comes in with acute nasal congestion and
rhinosinusitis x10 days. The NP understands this is most likely an upper respiratory tract
infection (viral). What would the tx regimen consist of?
Amoxicillin 80-90 mg/kg/day divided bid or amoxicillin-clavulanate 80-90 mg/kg/day divided
bid for x10-14 days CORRECT ANS-A child comes to the clinic with acute nasal congestion
and rhinosinusitis with mild symptoms x10-14 days without any improvement. The NP
understands this is likely bacterial sinusitis. What is the first line abx and duration of tx?
cephalosporin or amoxicillin-clavulanate CORRECT ANS-A child with bacterial rhinosinusitis
is being treated with amoxicillin and symptoms have not improved after 3 days. What is the
second line abx that would be initiated?
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