NSG 6420 MIDTERM QUESTIONS
WITH COMPLETE SOLUTIONS
1st line for moderate to severe allergic rhinitis?
Other meds Correct Answer intranasal steroids
topical and systemic decongestants, leukotriene receptor
antagonist
3 most common organisms in CAP? Correct Answer 1. Strep
pneumo (14%)- most common cause of death
most likely from age extremes
2. M. pneumoniae (16%)- ATYPICAL (walking PNA)
3 Chlamydophila pneumo (12%) ATYPICAL
90% of glaucoma cases? Correct Answer OAG
ACD Correct Answer normocytic normochromic
hgb >10
30% microcytic hypochromic
ACD labs Correct Answer norm or dec iron
norm ferritin
norm TIBC
norm RDW
ACG more common in what ethnicity? Correct Answer Asian-
Americans and Inuits
ACG? Correct Answer Acute closure glaucoma
*hard red eye, ciliary flush, steamy cornea, dilated pupil
,Halos around eyes
Adverse effects of ethambutol? Correct Answer vision
changes/optic neuritis, liver tox, peripheral neuropathy, rash,
confusion, arthralgia, hyperuricemia
Adverse effects to INH Correct Answer hepatotoxicity,
peripheral neuropathy (vit b6 daily) and drug interactions
*liver enzymes at baseline and monthly while on- if sx and 3x
limit halt therapy, if 5x norm level halt therapy)
Adverse effects to rifampin? Correct Answer Hepatotox,
reduced contraceptive effectiveness, rashes, BODY FLUIDS
BECOME ORANGE/RED
Ages BPPV and vestibular neuritis? Correct Answer BPPV:
most common over 60
VN: any age, usually after a URI
Allergic rhinitis labs/smears? Correct Answer nasal smears for
eosinophils, CBC(eosinophils, infectious process), serum IgE
levels, skin testing for allergies
Allergic rhinitis management Correct Answer 1. avoidance of
exposure
2 pharmacotherapy
3. immunotherapy
allergic rhinitis statistics (American adults)
45-64 age group
65-75 age group Correct Answer 10-30% of American adults
, 10.7% 45-64
7.8% 65-75 years
Allergic triad of symptoms Correct Answer allergies, eczema,
and asthma
Anticholinergics precautions Correct Answer narrow-angle
glaucoma
AOM causes Correct Answer MOSTLY VIRAL (15-44%)
Strep pneumo (20-35%)
H.flu (20-30%)
M.cat (15%)
AOM s/sx Correct Answer unwell, pyrexia, otalgia/discharge,
loss of outline of drum and landmarks
*Red, bulging edematous TM
Asthma monitoring for acute episode Correct Answer f/u in 1-2
hours or next day until pt is stable
then q3-5 days, then weekly until sx are controlled and peak
flow consistently 80% of predicted, then monthly until under
control for at least 3 months
Asthma step 1 Correct Answer SABA prn
Asthma Step 2 Correct Answer low dose ICS
ALT- cromolyn, LTRA, nedocromil or theophylline
Asthma step 3 Correct Answer low dose ICS + LABA
or- medium dose ICS
WITH COMPLETE SOLUTIONS
1st line for moderate to severe allergic rhinitis?
Other meds Correct Answer intranasal steroids
topical and systemic decongestants, leukotriene receptor
antagonist
3 most common organisms in CAP? Correct Answer 1. Strep
pneumo (14%)- most common cause of death
most likely from age extremes
2. M. pneumoniae (16%)- ATYPICAL (walking PNA)
3 Chlamydophila pneumo (12%) ATYPICAL
90% of glaucoma cases? Correct Answer OAG
ACD Correct Answer normocytic normochromic
hgb >10
30% microcytic hypochromic
ACD labs Correct Answer norm or dec iron
norm ferritin
norm TIBC
norm RDW
ACG more common in what ethnicity? Correct Answer Asian-
Americans and Inuits
ACG? Correct Answer Acute closure glaucoma
*hard red eye, ciliary flush, steamy cornea, dilated pupil
,Halos around eyes
Adverse effects of ethambutol? Correct Answer vision
changes/optic neuritis, liver tox, peripheral neuropathy, rash,
confusion, arthralgia, hyperuricemia
Adverse effects to INH Correct Answer hepatotoxicity,
peripheral neuropathy (vit b6 daily) and drug interactions
*liver enzymes at baseline and monthly while on- if sx and 3x
limit halt therapy, if 5x norm level halt therapy)
Adverse effects to rifampin? Correct Answer Hepatotox,
reduced contraceptive effectiveness, rashes, BODY FLUIDS
BECOME ORANGE/RED
Ages BPPV and vestibular neuritis? Correct Answer BPPV:
most common over 60
VN: any age, usually after a URI
Allergic rhinitis labs/smears? Correct Answer nasal smears for
eosinophils, CBC(eosinophils, infectious process), serum IgE
levels, skin testing for allergies
Allergic rhinitis management Correct Answer 1. avoidance of
exposure
2 pharmacotherapy
3. immunotherapy
allergic rhinitis statistics (American adults)
45-64 age group
65-75 age group Correct Answer 10-30% of American adults
, 10.7% 45-64
7.8% 65-75 years
Allergic triad of symptoms Correct Answer allergies, eczema,
and asthma
Anticholinergics precautions Correct Answer narrow-angle
glaucoma
AOM causes Correct Answer MOSTLY VIRAL (15-44%)
Strep pneumo (20-35%)
H.flu (20-30%)
M.cat (15%)
AOM s/sx Correct Answer unwell, pyrexia, otalgia/discharge,
loss of outline of drum and landmarks
*Red, bulging edematous TM
Asthma monitoring for acute episode Correct Answer f/u in 1-2
hours or next day until pt is stable
then q3-5 days, then weekly until sx are controlled and peak
flow consistently 80% of predicted, then monthly until under
control for at least 3 months
Asthma step 1 Correct Answer SABA prn
Asthma Step 2 Correct Answer low dose ICS
ALT- cromolyn, LTRA, nedocromil or theophylline
Asthma step 3 Correct Answer low dose ICS + LABA
or- medium dose ICS
