NU 674 EXAM 1 Questions and Answers
a set of goals and objectives with 10 year targets designed to guide
national health promotion and disease prevention efforts to
improve the health of all people in the US
Ans: healthy people 2020
prevents the onset of disease/condition; e.g.
vaccinations/seatbelts
Ans: primary prevention
identifies and treats asymptomatic people; e.g. screenings and
identifying risk factors
Ans: secondary prevention
care of established disease and preventing complications
Ans: tertiary prevention
community wide approaches to prevent or reduce several diseases
and conditions
Ans: HI-5
"EEE" sounds like "AHH" on auscultation; sound is distorted due
to no O2 perfusion; consider pneumonia
Ans: egophony
beats have weaker amplitude with respiratory inspiration,
stronger with expiration; think COPD, asthma, or pericardial
disease
Ans: pulsus paradoxus
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typically viral, but can be caused by bacteria such as bordatella
pertussis, H. influenza, S. pneumoniae
Ans: bronchitis
sudden onset in 12-24 hours without evidence of COPD,
pneumonia, or asthma; cough is initially dry but then turns
productive and is worse at night; afebrile or low grade temp;
malaise, HA, chest burning/tightness, dyspnea, wheezing
Ans: bronchitis
characterized by purulent nasal excretion, post-nasal drip, sinus
tenderness, cervical lymphadenopathy, wheezes, rales, rhonchi,
tahcypnea, injected pharynx, and tachycardia
Ans: bronchitis
treatment methods include rest, fluids, room humidification,
inhaler if bronchospasms present, abx if specific organism
identified, NOT mucolytics or antihistamines b/c they dry out
airways and exacerbate symptoms
Ans: bronchitis
treated with amoxicillin 500mg q8h OR bactrim BID
Ans: bronchitis
complications include MI, CHF of new onset up to 1 year after pt
is hospitalized, arrhythmias, and death
Ans: pneumonia
CXR is most definitive diagnosis; sputum culture and sensitivity
with gram stain tells you exactly what abx to prescribe; begin abx
presumptively to decrease morbidity and can change regimen if
needed
Ans: pneumonia
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