NU 674 Exam 1 Questions and Answers | A+ Grade | Complete Exam Study
Guide A+ Grade
healthy people 2020 - (ANSWER)a set of goals and objectives with 10 year targets designed to guide
national health promotion and disease prevention efforts to improve the health of all people in the US
primary prevention - (ANSWER)prevents the onset of disease/condition; e.g. vaccinations/seatbelts
secondary prevention - (ANSWER)identifies and treats asymptomatic people; e.g. screenings and
identifying risk factors
tertiary prevention - (ANSWER)care of established disease and preventing complications
HI-5 - (ANSWER)community wide approaches to prevent or reduce several diseases and conditions
egophony - (ANSWER)"EEE" sounds like "AHH" on auscultation; sound is distorted due to no O2
perfusion; consider pneumonia
pulsus paradoxus - (ANSWER)beats have weaker amplitude with respiratory inspiration, stronger with
expiration; think COPD, asthma, or pericardial disease
bronchitis - (ANSWER)typically viral, but can be caused by bacteria such as bordatella pertussis, H.
influenza, S. pneumoniae
bronchitis - (ANSWER)sudden onset in 12-24 hours without evidence of COPD, pneumonia, or asthma;
cough is initially dry but then turns productive and is worse at night; afebrile or low grade temp; malaise,
HA, chest burning/tightness, dyspnea, wheezing
bronchitis - (ANSWER)characterized by purulent nasal excretion, post-nasal drip, sinus tenderness,
cervical lymphadenopathy, wheezes, rales, rhonchi, tahcypnea, injected pharynx, and tachycardia
, NU 674 Exam 1 Questions and Answers | A+ Grade | Complete Exam Study
Guide A+ Grade
bronchitis - (ANSWER)treatment methods include rest, fluids, room humidification, inhaler if
bronchospasms present, abx if specific organism identified, NOT mucolytics or antihistamines b/c they
dry out airways and exacerbate symptoms
bronchitis - (ANSWER)treated with amoxicillin 500mg q8h OR bactrim BID
pneumonia - (ANSWER)complications include MI, CHF of new onset up to 1 year after pt is hospitalized,
arrhythmias, and death
pneumonia - (ANSWER)CXR is most definitive diagnosis; sputum culture and sensitivity with gram stain
tells you exactly what abx to prescribe; begin abx presumptively to decrease morbidity and can change
regimen if needed
pneumonia - (ANSWER)urine tested to detect pneumococcal or legionella antigen; elevated PCT level
indicates likely bacterial etiology; CRP elevation while treating can indicate worsening or tx failure; PSI
and CURB65 used to identify who needs hospitalization
pneumonia - (ANSWER)select empiric abx regimen that targets both typical pathogens and atypical
pathogens
pneumonia - (ANSWER)for patients without comorbidities and abx use, treat with azithromycin,
clarithromycin, doxycycline, amoxicillin-clavulonate, or cefpodoxime PLUS macrolide, or fluoroquinolone
monotherapy for 5-7 days
pneumonia - (ANSWER)for patients with major comorbidities and/or have recently used abx, treat with
fluoroquinolone alone or combination therapy with beta-lactam PLUS macrolide or doxycycline for 5-7
days
cough/dyspnea - (ANSWER)empiric tx is mucinex, delsym, robitussin, and dextromethorophan; can move
to inhaled corticosteroids after OTC tx fails
Guide A+ Grade
healthy people 2020 - (ANSWER)a set of goals and objectives with 10 year targets designed to guide
national health promotion and disease prevention efforts to improve the health of all people in the US
primary prevention - (ANSWER)prevents the onset of disease/condition; e.g. vaccinations/seatbelts
secondary prevention - (ANSWER)identifies and treats asymptomatic people; e.g. screenings and
identifying risk factors
tertiary prevention - (ANSWER)care of established disease and preventing complications
HI-5 - (ANSWER)community wide approaches to prevent or reduce several diseases and conditions
egophony - (ANSWER)"EEE" sounds like "AHH" on auscultation; sound is distorted due to no O2
perfusion; consider pneumonia
pulsus paradoxus - (ANSWER)beats have weaker amplitude with respiratory inspiration, stronger with
expiration; think COPD, asthma, or pericardial disease
bronchitis - (ANSWER)typically viral, but can be caused by bacteria such as bordatella pertussis, H.
influenza, S. pneumoniae
bronchitis - (ANSWER)sudden onset in 12-24 hours without evidence of COPD, pneumonia, or asthma;
cough is initially dry but then turns productive and is worse at night; afebrile or low grade temp; malaise,
HA, chest burning/tightness, dyspnea, wheezing
bronchitis - (ANSWER)characterized by purulent nasal excretion, post-nasal drip, sinus tenderness,
cervical lymphadenopathy, wheezes, rales, rhonchi, tahcypnea, injected pharynx, and tachycardia
, NU 674 Exam 1 Questions and Answers | A+ Grade | Complete Exam Study
Guide A+ Grade
bronchitis - (ANSWER)treatment methods include rest, fluids, room humidification, inhaler if
bronchospasms present, abx if specific organism identified, NOT mucolytics or antihistamines b/c they
dry out airways and exacerbate symptoms
bronchitis - (ANSWER)treated with amoxicillin 500mg q8h OR bactrim BID
pneumonia - (ANSWER)complications include MI, CHF of new onset up to 1 year after pt is hospitalized,
arrhythmias, and death
pneumonia - (ANSWER)CXR is most definitive diagnosis; sputum culture and sensitivity with gram stain
tells you exactly what abx to prescribe; begin abx presumptively to decrease morbidity and can change
regimen if needed
pneumonia - (ANSWER)urine tested to detect pneumococcal or legionella antigen; elevated PCT level
indicates likely bacterial etiology; CRP elevation while treating can indicate worsening or tx failure; PSI
and CURB65 used to identify who needs hospitalization
pneumonia - (ANSWER)select empiric abx regimen that targets both typical pathogens and atypical
pathogens
pneumonia - (ANSWER)for patients without comorbidities and abx use, treat with azithromycin,
clarithromycin, doxycycline, amoxicillin-clavulonate, or cefpodoxime PLUS macrolide, or fluoroquinolone
monotherapy for 5-7 days
pneumonia - (ANSWER)for patients with major comorbidities and/or have recently used abx, treat with
fluoroquinolone alone or combination therapy with beta-lactam PLUS macrolide or doxycycline for 5-7
days
cough/dyspnea - (ANSWER)empiric tx is mucinex, delsym, robitussin, and dextromethorophan; can move
to inhaled corticosteroids after OTC tx fails
