CMN568 Unit 1 Review Questions with 100% Correct Answers

CMN568 Unit 1 Review Questions with 100% Correct Answers Acute viral rhinitis - Answer ️️ -The most common pediatric infectious disease; otherwise known as the common cold 14 days - Answer ️️ -How long can symptoms of acute viral rhinitis last? sudden onset clear or mucoid rhinorrhea nasal congestion fever sore throat and cough erythematous nose, throat, and TMs - Answer ️️ -What are the symptoms of acute viral rhinitis? S. Pneumoniae H influenza M catarrhalis B-hemolytic strept - Answer ️️ -What are the common pathogens of acute bacterial rhinosinusitis Nasal congestion purulent nasal discharge facial pain/pressure cough headache fever - Answer ️️ -What are the symptoms of acute bacterial rhinosinusitis? <30 days - Answer ️️ -How long does acute bacterial rhinosinusitis last? Can be either - Answer ️️ -Is onset of acute bacterial rhinosinusitis gradual or sudden? 10 - Answer ️️ -The general rule of thumb when considering tx for acute bacterial rhinosinusitis is that diagnosis should not be made until symptoms last longer than ___ days without improvement OR worsening of symptoms within 10 days after initial improvement of symptoms Treat with abx immediately - Answer ️️ -What should the NP do if the pt presents with focal signs of acute bacterial rhinosinusitis such as periorbital edema, severe sinus tenderness, or severe headache? False - Answer ️️ -T or F: Routine sinus X rays are recommended for uncomplicated acute sinusitis NSAIDS or acetaminophen - Answer ️️ -All pts with acute bacterial rhinosinusitis should receive pain/fever control with what meds? <3 days - Answer ️️ -How long can nasal decongestants be used to help symptoms? intranasal corticosteroids - Answer ️️ -Use of ______________ sprays are recommended in all adults and may be useful for children with underlying allergic sinusitis 4 - Answer ️️ -Use of OTC oral decongestant, antihistamines and cough/cold preps are NOT recommended in children <_____ years of age. Pain medication humidified air saline nose drops - Answer ️️ -A child comes in with acute nasal congestion and rhinosinusitis x10 days. The NP understands this is most likely an upper respiratory tract infection (viral). What would the tx regimen consist of? Amoxicillin 80-90 mg/kg/day divided bid or amoxicillin-clavulanate 80-90 mg/kg/day divided bid for x10-14 days - Answer ️️ -A child comes to the clinic with acute nasal congestion and rhinosinusitis with mild symptoms x10-14 days without any improvement. The NP understands this is likely bacterial sinusitis. What is the first line abx and duration of tx? cephalosporin or amoxicillin-clavulanate - Answer ️️ -A child with bacterial rhinosinusitis is being treated with amoxicillin and symptoms have not improved after 3 days. What is the second line abx that would be initiated? Beta-lactamase stable abx - Answer ️️ -A child with severe symptoms or immunosuppressed has acute bacterial rhinosinusitis. What is the abx of choice? Recurrent sinusitis - Answer ️️ -Defined as successive episodes of bacterial infections of the sinuses, each lasting less than 30 days & separated by intervals of at least 10 days Chronic sinusitis - Answer ️️ -Defined as episodes of inflammation of the paranasal sinuses lasting more than 90 days 3-4 weeks - Answer ️️ -Tx for chronic and recurrent sinusitis is the same as for acute, except the duration of tx is ______ weeks. Allergic rhinitis - Answer ️️ -Contributes to development of sinusitis and asthma exacerbations. Also known as hay fever. Most common in children with red hair. Allergic rhinitis, asthma, and eczema - Answer ️️ - What is known as the triad? sneezing rubbing nose allergic shiners clear nasal drainage tearing and redness of the eyes - Answer ️️ -What are the common symptoms of allergic rhinitis? 2. Allergic rhinosinusitis - Answer ️️ -While performing a physical exam on a child, the NP notes pale boggy and swollen nasal turbinates, clear nasal secretions, conjunctival injection, tearing, periorbital edema and enlarged tonsils. What is the diagnosis? 1. Acute rhinosinusitis 2. Allergic Rhinosinusitis 3. Tonsilitis Non-sedating antihistamines (loratadine, cetirizine) Intranasal corticosteroids Mast cell stabilizers (Cromolyn) Montelukast Avoid triggers - Answer ️️ -What is the tx of choice for allergic rhinosinusitis? Epistaxis - Answer ️️ -Very common due to dry nose, nose rubbing, picking, or vigorous blowing. May see in adults with HTN, cocai