NR569/NR 569 FINAL STUDY GUIDE Questions with Verified
Answers (Correct Update)
Question 1: What is purulent drainage commonly associated with?
Answer: Acute otitis externa (AOE) and cholesteatoma.
Question 2: What is otitis media with effusion (OME)?
Answer: Fluid in the middle ear without the presence of infection.
Question 3: What are common causes of OME?
Answer: URI, barotrauma, allergies, or a recent AOM infection.
Question 4: What is a treatment for ear pain/infection?
Answer: OTC analgesics and avoiding water in the ear.
Question 5: What are symptoms of TMJ dysfunction?
Answer: Referred ear pain, pain with wide mouth opening, malocclusion, clicking, and palpable
crepitus.
Question 6: What signs indicate the need for immediate intervention in throat pain?
Answer: Respiratory distress, drooling, upper airway obstruction, and stridor.
Question 7: What are the serum diagnostics for mono?
Answer: Lymphocytosis, possible thrombocytopenia, and elevated aminotransferases.
Question 8: What is the treatment for mononucleosis?
Answer: There is no specific antiviral therapy; educate on risks and avoid contact sports.
Question 9: Which conditions do NOT require antibiotics?
Answer: Mononucleosis.
Question 10: What medications are recommended for allergic rhinitis?
Answer: Loratadine, antihistamine nasal spray, fluticasone nasal spray, and cromolyn nasal
spray.
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, Question 11: What are symptoms of viral pharyngitis?
Answer: Sore throat, low-grade fever, myalgia, conjunctivitis, coryza, malaise, diarrhea, or
fatigue.
Question 12: What predisposes individuals to Candida pharyngitis?
Answer: Diabetes, broad-spectrum antibiotics, and inhaled/nasal steroids.
Question 13: What conditions are associated with aphthous stomatitis?
Answer: Behçet's disease, Crohn's disease, ulcerative colitis, malabsorption syndrome,
gluten-sensitive enteropathy, PFAPA syndrome, and HIV.
Question 14: What are the signs of streptococcal pharyngitis?
Answer: Marked erythema and swelling of the throat, tender anterior cervical adenopathy, and
fever.
Question 15: What increases the likelihood that streptococcal pharyngitis is the correct diagnosis?
Answer: Tender anterior cervical nodes or a scarlatiniform rash.
Question 16: What are rapid antigen detection tests (RADT) used for?
Answer: They are useful for screening streptococcal antigens in patients with signs and
symptoms of acute pharyngitis.
Question 17: When is a throat culture necessary after a RADT?
Answer: If the RADT result is negative in children, symptoms do not improve, or the patient
shows no response to appropriate antibiotics.
Question 18: What is allergic pharyngitis often associated with?
Answer: Intermittent postnasal drip leading to minor irritation and inflammation of the posterior
pharynx.
Question 19: What should a physician suspect when a patient has a sore throat that worsens with
swallowing and normal oropharynx findings?
Answer: Thyroiditis.
Question 20: What are the symptoms of Fusospirochetal infection (Vincent's angina)?
Answer: Painful ulcers, bleeding gums, foul breath, and gray necrotic ulcers.
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Answers (Correct Update)
Question 1: What is purulent drainage commonly associated with?
Answer: Acute otitis externa (AOE) and cholesteatoma.
Question 2: What is otitis media with effusion (OME)?
Answer: Fluid in the middle ear without the presence of infection.
Question 3: What are common causes of OME?
Answer: URI, barotrauma, allergies, or a recent AOM infection.
Question 4: What is a treatment for ear pain/infection?
Answer: OTC analgesics and avoiding water in the ear.
Question 5: What are symptoms of TMJ dysfunction?
Answer: Referred ear pain, pain with wide mouth opening, malocclusion, clicking, and palpable
crepitus.
Question 6: What signs indicate the need for immediate intervention in throat pain?
Answer: Respiratory distress, drooling, upper airway obstruction, and stridor.
Question 7: What are the serum diagnostics for mono?
Answer: Lymphocytosis, possible thrombocytopenia, and elevated aminotransferases.
Question 8: What is the treatment for mononucleosis?
Answer: There is no specific antiviral therapy; educate on risks and avoid contact sports.
Question 9: Which conditions do NOT require antibiotics?
Answer: Mononucleosis.
Question 10: What medications are recommended for allergic rhinitis?
Answer: Loratadine, antihistamine nasal spray, fluticasone nasal spray, and cromolyn nasal
spray.
Page 1
, Question 11: What are symptoms of viral pharyngitis?
Answer: Sore throat, low-grade fever, myalgia, conjunctivitis, coryza, malaise, diarrhea, or
fatigue.
Question 12: What predisposes individuals to Candida pharyngitis?
Answer: Diabetes, broad-spectrum antibiotics, and inhaled/nasal steroids.
Question 13: What conditions are associated with aphthous stomatitis?
Answer: Behçet's disease, Crohn's disease, ulcerative colitis, malabsorption syndrome,
gluten-sensitive enteropathy, PFAPA syndrome, and HIV.
Question 14: What are the signs of streptococcal pharyngitis?
Answer: Marked erythema and swelling of the throat, tender anterior cervical adenopathy, and
fever.
Question 15: What increases the likelihood that streptococcal pharyngitis is the correct diagnosis?
Answer: Tender anterior cervical nodes or a scarlatiniform rash.
Question 16: What are rapid antigen detection tests (RADT) used for?
Answer: They are useful for screening streptococcal antigens in patients with signs and
symptoms of acute pharyngitis.
Question 17: When is a throat culture necessary after a RADT?
Answer: If the RADT result is negative in children, symptoms do not improve, or the patient
shows no response to appropriate antibiotics.
Question 18: What is allergic pharyngitis often associated with?
Answer: Intermittent postnasal drip leading to minor irritation and inflammation of the posterior
pharynx.
Question 19: What should a physician suspect when a patient has a sore throat that worsens with
swallowing and normal oropharynx findings?
Answer: Thyroiditis.
Question 20: What are the symptoms of Fusospirochetal infection (Vincent's angina)?
Answer: Painful ulcers, bleeding gums, foul breath, and gray necrotic ulcers.
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