CPNP-PC Boards| 1352 Questions| With Complete Solutions

Hand-foot-mouth disease correct answer: -RNA Virus: Coxsackievirus -vesicular exanthem on tongue, gums, palate, oral mucosa -papulovesicular exanthem on hands, feet and diaper area in children still in diapers -s/s= fever, anorexia, dysphagia -management= tylenol and ibuprofen, hydration Herpangina correct answer: -Infection due to coxsackievirus A that is characterized by acute onset of fever, sore throat, oral discomfort, headache, drooling, anorexia associated with small ulcers or vesicles on the soft palate-tonsillar pillar area -management- tylenol, motrin, hydration Bacterial Pharyngitis correct answer: -Group A beta-hemolytic strep -s/s- sore throat, fever, headache, n/v, abdominal pain, malaise -viral pharyngitis: hoarseness, conjunctivitis, runny nose, cough, cold symptoms -erythema of the pharynx, enlarged tonsils with exudate, , lymphadenopathy - viral: saline gargles, tylenol and motrin, hydration -bacterial: amoxicillin, cefdinir or amox-clav - not contagious after 24 hours on abx - school- 24 hr fever free mononucleosis correct answer: -posterior cervical lymph nodes -suspected: cbc, mono spot, EBV titers acute nasopharyngitis correct answer: Common Cold. An upper respiratory infection can be caused by any one of 200 different viruses. -RVS= most common -infants: irritability, fever, restless, rhinorrhea, diarrhea, feeding and sleep pattern change -children: low grade fever, stuffy nose, watery nasal d/c, sore throat, cough, chills, headache -management: tylenol, motrin for fever, hydration, cool mist humidifier, saline nose drops or spray with nasal bu