High Yield NU 664 – Questions With
Comprehensive Solutions
conunctivitis Correct Answer - mostly benign EXPECT:
hyperacute conjunctivitis which is from n gonorrhea & co occuring
uvethritis infection. urgent referral to opthalamology
hyperacute conjunctivitis Correct Answer - striking discharge,
lid swelling, lyphadenopathy
episcleritis Correct Answer - is NOT sight threatening: thready,
related to chronic disease r/t to dry eye give eye drops
keratitis Correct Answer - sight threatning, round white spot,
erythema, foreign body sensation needs same day opthalamology
apt
HSV keratitis Correct Answer - extreme foreign body sensation
and dendritis pattern seen on cornea with flourscein
uveitis Correct Answer - inflammed uveal tract, eye pain and
photophobia
*ciliary flush and constricted pupil* couple day opthalamology apt
hyphema Correct Answer - 'red wine half full' same day
opthalamology r/t trauma
hypopyon Correct Answer - 'white wine half full' immediate
opthalamology
scleritis Correct Answer - painful, sight threatening
pain/ha/photophobia/erythema
worse at night
,r/t: RA & inflammatory disease
acute angle glaucoma Correct Answer - emergency, N/V/D and
change in vision
acute bacterial rhinosinusitis Correct Answer - sinus pressure,
nasal drainage, fever, headache, cough
s/s > 10 days: double sickening
humdifier, steam, mucinex, fluids, nasal mist
amox/clav, doxy, cefixime + clinda (pedi)
otitis externa Correct Answer - polymycin B + neomycin ear
drops
AOM Correct Answer - amox, clinda, doxy
conductive hearing loss Correct Answer - lateralizes to
affected side
Sensineural hearing loss Correct Answer - lateralizes to good
ear: drug induced think gentamycin, lasix, asa
pharyngitis Correct Answer - think: strep, epstein barr virus,
HIV
sensitivity Correct Answer - true positive rate
Specificity Correct Answer - true negative rate : do not have
the disease
CAP Correct Answer - no comorbidities/recent abx: doxy
100mg
with comorbidities: amox + doxy or fluroquinlone monotherapy
, CURB 65 Correct Answer - confusion, uremia, respiratory >20,
BP <90/60, >65
greater then 2 = inpatient
COPD Correct Answer - prolonged expiration and wheeze on
forced expiration
spirometry is gold standard: FEV1<70%
medications for COPD Correct Answer - beta 2 agonist:
albuterol, levalbuterol
LABA/LAMA: not monotherapy
Anticholinergic: atrovent, spiriva
combo: LAMA + LABA or LABA + ICS: symbicort, advair, ellipta
steroids: prednisone
asthma Correct Answer - step 1: low dose ICS and rapid LAMA-
fluticasone
step 2: low dose ICS + SABA PRN
step 3: ICS-fomoterol + SABA PRN (advair, symbicort)
step 4: mod dose ICS-LABA & SABA PRN
asthma exercerbations Correct Answer - can add prednisone
40-60mg 3-10 days
less then 10 days no taper
sleep apnea Correct Answer - obstrucitve: tongue/structural
central: brain
episworth >10 = medical treatment
STOP BANG
snoring, tiredness, observed stop breathing, blood pressure
BMI >35, age >50, neck >40, gender male
Comprehensive Solutions
conunctivitis Correct Answer - mostly benign EXPECT:
hyperacute conjunctivitis which is from n gonorrhea & co occuring
uvethritis infection. urgent referral to opthalamology
hyperacute conjunctivitis Correct Answer - striking discharge,
lid swelling, lyphadenopathy
episcleritis Correct Answer - is NOT sight threatening: thready,
related to chronic disease r/t to dry eye give eye drops
keratitis Correct Answer - sight threatning, round white spot,
erythema, foreign body sensation needs same day opthalamology
apt
HSV keratitis Correct Answer - extreme foreign body sensation
and dendritis pattern seen on cornea with flourscein
uveitis Correct Answer - inflammed uveal tract, eye pain and
photophobia
*ciliary flush and constricted pupil* couple day opthalamology apt
hyphema Correct Answer - 'red wine half full' same day
opthalamology r/t trauma
hypopyon Correct Answer - 'white wine half full' immediate
opthalamology
scleritis Correct Answer - painful, sight threatening
pain/ha/photophobia/erythema
worse at night
,r/t: RA & inflammatory disease
acute angle glaucoma Correct Answer - emergency, N/V/D and
change in vision
acute bacterial rhinosinusitis Correct Answer - sinus pressure,
nasal drainage, fever, headache, cough
s/s > 10 days: double sickening
humdifier, steam, mucinex, fluids, nasal mist
amox/clav, doxy, cefixime + clinda (pedi)
otitis externa Correct Answer - polymycin B + neomycin ear
drops
AOM Correct Answer - amox, clinda, doxy
conductive hearing loss Correct Answer - lateralizes to
affected side
Sensineural hearing loss Correct Answer - lateralizes to good
ear: drug induced think gentamycin, lasix, asa
pharyngitis Correct Answer - think: strep, epstein barr virus,
HIV
sensitivity Correct Answer - true positive rate
Specificity Correct Answer - true negative rate : do not have
the disease
CAP Correct Answer - no comorbidities/recent abx: doxy
100mg
with comorbidities: amox + doxy or fluroquinlone monotherapy
, CURB 65 Correct Answer - confusion, uremia, respiratory >20,
BP <90/60, >65
greater then 2 = inpatient
COPD Correct Answer - prolonged expiration and wheeze on
forced expiration
spirometry is gold standard: FEV1<70%
medications for COPD Correct Answer - beta 2 agonist:
albuterol, levalbuterol
LABA/LAMA: not monotherapy
Anticholinergic: atrovent, spiriva
combo: LAMA + LABA or LABA + ICS: symbicort, advair, ellipta
steroids: prednisone
asthma Correct Answer - step 1: low dose ICS and rapid LAMA-
fluticasone
step 2: low dose ICS + SABA PRN
step 3: ICS-fomoterol + SABA PRN (advair, symbicort)
step 4: mod dose ICS-LABA & SABA PRN
asthma exercerbations Correct Answer - can add prednisone
40-60mg 3-10 days
less then 10 days no taper
sleep apnea Correct Answer - obstrucitve: tongue/structural
central: brain
episworth >10 = medical treatment
STOP BANG
snoring, tiredness, observed stop breathing, blood pressure
BMI >35, age >50, neck >40, gender male
