• NR 602 midterm
What is the best antibiotic therapy to use for human bites? - CORRECT ANSWER-
Amoxicillin for 7 to 10 days or alternative cephalexin or clindamycin
What is the best anabiotic to use for animal bites? - CORRECT ANSWER-Amoxicillin
for 7 to 10 days or alternative cefuroxime, fluoroquinolone or trimethoprim-
sulfamethoxazole plus clinda or metronidazole
Antibiotics used for plantar wounds - CORRECT ANSWER-Ciprofloxacin for 7 to 20
days. An alternative is to consult infectious disease due to requirement of IV therapy.
What should the nurse practitioner do for ingrown toenail? - CORRECT ANSWER-Pat
Cotton underneath the nail edge to elevate the nail and educate the patient to repack
the cotton daily to prevent infection. Should use warm water with Epsom salt soaks for
20 minutes three times a day. It is important to use properly fitting shoes. Keep the toe
clean and dry. Consider referral to podiatry for recurrent.
What is the most common cause of diarrhea globally? - CORRECT ANSWER-
Rotavirus.
What are most peritonsillar abscess is caused by? - CORRECT ANSWER-
Streptococcus and fusobacterium
What antibiotics are good for peritonsillar abscesses? - CORRECT ANSWER-Penicillin
and clindamycin
What is scarlet fever? - CORRECT ANSWER-Is a diffuse erythematous eruption that
generally occurs in association with pharyngitis.
Abrupt illness with sore throat, vomiting, headache, chills, and malaise. Fever reaches
104. The pharynx is inflamed and can be covered with gray white XU date. The tongue
,is usually coated and red, also called strawberry tongue. The skin is coarse with a
sandpaper feel the rash generally begins on the neck and spreads to the trunk and
extremities becoming generalized within 24 hours. The rash fades within 3 to 4 days.
The process can take up to six weeks, sore throat and other symptoms resolve
approximately 5 to 7 days. Treatment is penicillin.
What is asthma step one - CORRECT ANSWER-Saba PRN
What is step two of asthma? - CORRECT ANSWER-Low-dose ICS
What is step three of asthma? - CORRECT ANSWER-0 to 4 years of age: medium does
ICS plus sub specialist referral
Greater than five years of age: low-dose ICS plus LABA or medium dose ICS
What is step four of asthma? - CORRECT ANSWER-Medium dose ICS plus LABA or
montelukast plus subspecialist referral
What is step five of asthma? - CORRECT ANSWER-High-dose ICS plus LABA or
montelukast plus subspecialist referral
What is step six of asthma? - CORRECT ANSWER-Hi dose ICS plus LABS or
montelukast plus OCS plus subspecialist referral
A patient received a score of 75% on a spirometry. What is this considered? -
CORRECT ANSWER-Normal
What education would be provided to a parent of a child that is using as a spirometry
Regarding normal levels? - CORRECT ANSWER-Anything greater than 75% is
considered normal
What is the range for mild obstruction on a spirometry? - CORRECT ANSWER-60 to
75%
What is considered moderate obstruction on a spirometry - CORRECT ANSWER-50 to
59%
What is considered severe obstruction on a spirometry - CORRECT ANSWER-Less
than 49%
When should a child be tested for exercise induced asthma after diagnosis - CORRECT
ANSWER-Every one to two years
What is allergic rhinitis mediated by? - CORRECT ANSWER-IgE
, What is treatment for allergic rhinitis? - CORRECT ANSWER-Intranasal corticosteroids
are considered first line treatment. Children with allergic rhinitis often exhibit symptoms
of asthma.
What is pharyngitis? - CORRECT ANSWER-inflammation of the pharynx leading to sore
throat.
What is the most common bacterial cause of acute pharyngitis? - CORRECT ANSWER-
Group A beta-hemolytic Streptococcus (GABHS) (Streptococcus pyogenes)
What is the best prevention of upper respiratory infection? - CORRECT ANSWER-Flu
vaccine
What is Kawasaki disease? - CORRECT ANSWER-Coronary artery vasculitis. The
treatment for this disease is IVIG therapy requires Echo and cardiologists.
An autoimmune disease involving the inflammation of blood vessels, lymph nodes, skin,
and mucosa - initial symptom is a high fever, later symptoms include conjunctivitis, rash,
peeling, and edema.
What are symptoms of enterovirus? - CORRECT ANSWER-Fever, runny nose,
sneezing, cough, skin, rash, mouth, blisters, and body and muscle aches. This is
something that is very contagious.
What are clinical findings of downs syndrome? - CORRECT ANSWER-Short stature,
brachycephaly, mid face, hyperplasia with flat nasal bridge, Brushfield spots, epicanthal
folds with upslanting, Palpebral fissures, smallmouth with protruding tongue,
myopia/Cataracs, small ears/narrow, canals, extra skin at nape of neck, lax joints, short,
broad hands/feet/digits, single palmar crease, congenital heart disease.
What is impetigo? - CORRECT ANSWER-Contagious bacterial infection marked by
clusters of small blisters.
What is the treatment for impetigo? - CORRECT ANSWER-Topical bacitracin or
Mupirocin ointment; Anti-staphloccal antibiotic.
What is treatment for contact dermatitis - CORRECT ANSWER-Avoid irritant, cool
compress, barrier ointment, hydrocortisone, cream, antihistamined, steroids, oral
antibiotics, lukewarm bath.
What is a key finding for diagnosis of scabies? - CORRECT ANSWER-Itching that is
worse at night. Complaints are more significant than physical findings.
What is pediculosis? - CORRECT ANSWER-lice infestation
What is the best antibiotic therapy to use for human bites? - CORRECT ANSWER-
Amoxicillin for 7 to 10 days or alternative cephalexin or clindamycin
What is the best anabiotic to use for animal bites? - CORRECT ANSWER-Amoxicillin
for 7 to 10 days or alternative cefuroxime, fluoroquinolone or trimethoprim-
sulfamethoxazole plus clinda or metronidazole
Antibiotics used for plantar wounds - CORRECT ANSWER-Ciprofloxacin for 7 to 20
days. An alternative is to consult infectious disease due to requirement of IV therapy.
What should the nurse practitioner do for ingrown toenail? - CORRECT ANSWER-Pat
Cotton underneath the nail edge to elevate the nail and educate the patient to repack
the cotton daily to prevent infection. Should use warm water with Epsom salt soaks for
20 minutes three times a day. It is important to use properly fitting shoes. Keep the toe
clean and dry. Consider referral to podiatry for recurrent.
What is the most common cause of diarrhea globally? - CORRECT ANSWER-
Rotavirus.
What are most peritonsillar abscess is caused by? - CORRECT ANSWER-
Streptococcus and fusobacterium
What antibiotics are good for peritonsillar abscesses? - CORRECT ANSWER-Penicillin
and clindamycin
What is scarlet fever? - CORRECT ANSWER-Is a diffuse erythematous eruption that
generally occurs in association with pharyngitis.
Abrupt illness with sore throat, vomiting, headache, chills, and malaise. Fever reaches
104. The pharynx is inflamed and can be covered with gray white XU date. The tongue
,is usually coated and red, also called strawberry tongue. The skin is coarse with a
sandpaper feel the rash generally begins on the neck and spreads to the trunk and
extremities becoming generalized within 24 hours. The rash fades within 3 to 4 days.
The process can take up to six weeks, sore throat and other symptoms resolve
approximately 5 to 7 days. Treatment is penicillin.
What is asthma step one - CORRECT ANSWER-Saba PRN
What is step two of asthma? - CORRECT ANSWER-Low-dose ICS
What is step three of asthma? - CORRECT ANSWER-0 to 4 years of age: medium does
ICS plus sub specialist referral
Greater than five years of age: low-dose ICS plus LABA or medium dose ICS
What is step four of asthma? - CORRECT ANSWER-Medium dose ICS plus LABA or
montelukast plus subspecialist referral
What is step five of asthma? - CORRECT ANSWER-High-dose ICS plus LABA or
montelukast plus subspecialist referral
What is step six of asthma? - CORRECT ANSWER-Hi dose ICS plus LABS or
montelukast plus OCS plus subspecialist referral
A patient received a score of 75% on a spirometry. What is this considered? -
CORRECT ANSWER-Normal
What education would be provided to a parent of a child that is using as a spirometry
Regarding normal levels? - CORRECT ANSWER-Anything greater than 75% is
considered normal
What is the range for mild obstruction on a spirometry? - CORRECT ANSWER-60 to
75%
What is considered moderate obstruction on a spirometry - CORRECT ANSWER-50 to
59%
What is considered severe obstruction on a spirometry - CORRECT ANSWER-Less
than 49%
When should a child be tested for exercise induced asthma after diagnosis - CORRECT
ANSWER-Every one to two years
What is allergic rhinitis mediated by? - CORRECT ANSWER-IgE
, What is treatment for allergic rhinitis? - CORRECT ANSWER-Intranasal corticosteroids
are considered first line treatment. Children with allergic rhinitis often exhibit symptoms
of asthma.
What is pharyngitis? - CORRECT ANSWER-inflammation of the pharynx leading to sore
throat.
What is the most common bacterial cause of acute pharyngitis? - CORRECT ANSWER-
Group A beta-hemolytic Streptococcus (GABHS) (Streptococcus pyogenes)
What is the best prevention of upper respiratory infection? - CORRECT ANSWER-Flu
vaccine
What is Kawasaki disease? - CORRECT ANSWER-Coronary artery vasculitis. The
treatment for this disease is IVIG therapy requires Echo and cardiologists.
An autoimmune disease involving the inflammation of blood vessels, lymph nodes, skin,
and mucosa - initial symptom is a high fever, later symptoms include conjunctivitis, rash,
peeling, and edema.
What are symptoms of enterovirus? - CORRECT ANSWER-Fever, runny nose,
sneezing, cough, skin, rash, mouth, blisters, and body and muscle aches. This is
something that is very contagious.
What are clinical findings of downs syndrome? - CORRECT ANSWER-Short stature,
brachycephaly, mid face, hyperplasia with flat nasal bridge, Brushfield spots, epicanthal
folds with upslanting, Palpebral fissures, smallmouth with protruding tongue,
myopia/Cataracs, small ears/narrow, canals, extra skin at nape of neck, lax joints, short,
broad hands/feet/digits, single palmar crease, congenital heart disease.
What is impetigo? - CORRECT ANSWER-Contagious bacterial infection marked by
clusters of small blisters.
What is the treatment for impetigo? - CORRECT ANSWER-Topical bacitracin or
Mupirocin ointment; Anti-staphloccal antibiotic.
What is treatment for contact dermatitis - CORRECT ANSWER-Avoid irritant, cool
compress, barrier ointment, hydrocortisone, cream, antihistamined, steroids, oral
antibiotics, lukewarm bath.
What is a key finding for diagnosis of scabies? - CORRECT ANSWER-Itching that is
worse at night. Complaints are more significant than physical findings.
What is pediculosis? - CORRECT ANSWER-lice infestation
