Unit 2 Lessons- CMN 568: Questions with Correct
Answers 100% Pass
Should Abx be prescribed for non specific URI in which sinus, pharyngeal and lower airway
symptoms are present but not prominent? CORRECT ANS-No-It is appropriate to offer
symptomatic treatments such as decongestants, analgesics, and antipyretics.
What are the s/s of sinusitis that require abx prescription? What are the first line abx?
CORRECT ANS-Severe or persistent moderate symptoms and specific findings of bacterial
sinusitis (such as unilateral facial pain, unilateral maxillary pain, and facial swelling lasting
longer than 7 days) can be treated with antibiotics, in addition to appropriate symptomatic
treatment.
first-line agents (amoxicillin, trimethoprim-sulfa, and doxycycline).
What is the preferred abx for GABHS pharyngitis? CORRECT ANS-penicillin or erythromycin
in penicillin-allergic patients.
In acute bronchitis, is the presence of green or yellow phlegm an indication of bacterial
infection? What is the appropriate tx? CORRECT ANS-No
Antibiotics are not recommended
, Unit 2 Lessons- CMN 568: Questions with Correct
Answers 100% Pass
Appropriate doses of analgesics, cough suppressants, and other symptomatic relief should be
offered.
What are the symptoms of croup? CORRECT ANS-1. Croup is diagnosed primarily by its
rapid onset and its characteristic barking cough.
2. hoarseness and
3. inspiratory stridor.
4. The cough associated with croup is nonproductive.
5. On exam the presence of cough and absence of drooling favor dx of viral croup over
epiglottitis.
What are the symptoms of Pertussis (whooping cough)? CORRECT ANS-1. Coryza
(inflammation of nasal turbinates)
2. Low grade fever
3. Mild cough progressing to:
Paroxysms of numerous, rapid coughs due to difficulty expelling thick mucus from the
tracheobronchial tree.
, Unit 2 Lessons- CMN 568: Questions with Correct
Answers 100% Pass
4. Long inspiratory effort accompanied by a high-pitched "whoop" at the end of the
paroxysms
5. Cyanosis
6. Vomiting and exhaustion
Note: Paroxysmal attacks:
Occur frequently at night, with an average of 15 attacks per 24 hours. Increase in frequency
during the first 1-2 weeks, remain at the same frequency for 2-3 weeks, and then gradually
decrease.
Will you provide post exposure prophylaxis to a person with Pertussis? If so, who are those
people? What abx will you prescribe? CORRECT ANS-With the ongoing resurgence in the
disease, CDC supports providing postexposure antimicrobial prophylaxis (PEP) to:
• All household contacts of a pertussis case;
• People who are at high risk for severe illness; and
• People who will have close contact with a person at high risk for severe illness.
Treat with Erthyromycin (Macrolide)
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