ADULT GERONTOLOGY CERTIFICATION REVIEW
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS
What drug do you not give patients with mono if they have both strep and mono?
- ANSWER - Amoxicillin
Treatment for Acute Bacterial Rhino sinusitis? Mild vs Severe symptoms -
ANSWER - Mild: Symptomatic TX only in uncomplicated, mild ABR. If symptoms
worsen prescribe ax
Significant symptoms (fever, pain, purulent drainage, toxic, initial symptoms
improved then worsened, immunocompromised, or s/s >10days) --> First line:
Augmentin
If patient has a penicillin allergy, what are the next go to classes? - ANSWER -
macrolides or quinolones
Treatment for superficial candidiasis - ANSWER - Nystatin powder/cream in skin
folds. Miconazole and clotrimazole for thrush, magic mouthwash.
Vibrio Vulnificus - ANSWER - Organism that is found in certain bodies of water -
increased death rate if you have liver disease, immunocompromised, and
pregnant.
What are furuncles? - ANSWER - Boils- worsening folliculitis that has now become
an abscess. if over a joint must be ruled out for osteomyelitis with x-ray in ED
,Folliculitis - ANSWER - Infection of hair follicle, may involve several follicles, small
1, lesions filled with pus- self-limiting.
What are Carbuncles - ANSWER - Multiple Abscesses that come together to form
one large one- treat with systemic abs
Non-purulent cellulitis (Not MRSA) TX - ANSWER - Dicloxacillin
cephalexin
clindamycin
Allergy to penicillin --> azithromycin
Purulent Cellulitis (MRSA) - ANSWER - Bactrim
Doxy
Minocycline
Clindamycin
When to refer cellulitis - ANSWER - Systemic symptoms develop or worsen
Not getting better after 48 hours
Spreading quickly or black
Patient is diabetic or immunocompromised
What is erysipelas? - ANSWER - Superficial cellulitis - well-demarcated margins
Cellulitis - ANSWER - poorly demarcated - two types, purulent and non-purulent
,Animal bite treatment, first and second line - ANSWER - Augmentin
Penicillin allergy: doxycycline, Bactrim with flaggy, or Clindamycin
Can you suture animal bites? - ANSWER - no due to high risk of infection
Tetanus for animal bite? - ANSWER - If tetanus >5 years must re- administer
Risk factors for Hidradenitis supportive - ANSWER - obesity and smoking
Treatment for Hidradenitis supportive? - ANSWER - Stage I: Systemic or topical
clindamycin. Po: tetracycline. Doxy
Stage II & III: Linda Topically. Po: Clindamycin, moxifloxacin, and flaggy
Non-Bullous Impetigo - ANSWER - Honey crusted
TX with Bactrian
Bullous impetigo TX - ANSWER - Keflex or dicloxacillin
Penicillin allergy: Azithromycin
Leopold maneuvers - ANSWER - Palpate the uterus to assess position of the fetus
Trephination - ANSWER - procedure done to drain sublingual hematoma
"Herald patch" and "Christmas Tree" is associated with what? - ANSWER -
Pityriasis Rosacea
, Treatment for recluse spider bite? - ANSWER - antibiotic cream on wound, cold
pack, and NSAIDS
Koebner phenomenon - ANSWER - new psoriatic plaques form over areas of skin
trauma
Anthrax prophylaxis - ANSWER - Doxycycline
Criteria for Burn Center Referral - ANSWER - Burn on face, hands, feet, genitals, or
over major joints
Electrical or lightning burns
Partial thickness burns (2nd degree) >10%
Third degree burns
What are you at high risk for with scarlet fever? - ANSWER - post glomerular
nephritis
What must you do if you see a closed-fist injury? - ANSWER - Refer to ED or
urgent care
What kind of wounds do you not suture? - ANSWER - Bite wounds, puncture
wounds, heavily contaminated wounds, actively bleeding wounds,
'or already infected wounds
lacerations >12 hours’ old
wounds that have been open for >24hours
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS
What drug do you not give patients with mono if they have both strep and mono?
- ANSWER - Amoxicillin
Treatment for Acute Bacterial Rhino sinusitis? Mild vs Severe symptoms -
ANSWER - Mild: Symptomatic TX only in uncomplicated, mild ABR. If symptoms
worsen prescribe ax
Significant symptoms (fever, pain, purulent drainage, toxic, initial symptoms
improved then worsened, immunocompromised, or s/s >10days) --> First line:
Augmentin
If patient has a penicillin allergy, what are the next go to classes? - ANSWER -
macrolides or quinolones
Treatment for superficial candidiasis - ANSWER - Nystatin powder/cream in skin
folds. Miconazole and clotrimazole for thrush, magic mouthwash.
Vibrio Vulnificus - ANSWER - Organism that is found in certain bodies of water -
increased death rate if you have liver disease, immunocompromised, and
pregnant.
What are furuncles? - ANSWER - Boils- worsening folliculitis that has now become
an abscess. if over a joint must be ruled out for osteomyelitis with x-ray in ED
,Folliculitis - ANSWER - Infection of hair follicle, may involve several follicles, small
1, lesions filled with pus- self-limiting.
What are Carbuncles - ANSWER - Multiple Abscesses that come together to form
one large one- treat with systemic abs
Non-purulent cellulitis (Not MRSA) TX - ANSWER - Dicloxacillin
cephalexin
clindamycin
Allergy to penicillin --> azithromycin
Purulent Cellulitis (MRSA) - ANSWER - Bactrim
Doxy
Minocycline
Clindamycin
When to refer cellulitis - ANSWER - Systemic symptoms develop or worsen
Not getting better after 48 hours
Spreading quickly or black
Patient is diabetic or immunocompromised
What is erysipelas? - ANSWER - Superficial cellulitis - well-demarcated margins
Cellulitis - ANSWER - poorly demarcated - two types, purulent and non-purulent
,Animal bite treatment, first and second line - ANSWER - Augmentin
Penicillin allergy: doxycycline, Bactrim with flaggy, or Clindamycin
Can you suture animal bites? - ANSWER - no due to high risk of infection
Tetanus for animal bite? - ANSWER - If tetanus >5 years must re- administer
Risk factors for Hidradenitis supportive - ANSWER - obesity and smoking
Treatment for Hidradenitis supportive? - ANSWER - Stage I: Systemic or topical
clindamycin. Po: tetracycline. Doxy
Stage II & III: Linda Topically. Po: Clindamycin, moxifloxacin, and flaggy
Non-Bullous Impetigo - ANSWER - Honey crusted
TX with Bactrian
Bullous impetigo TX - ANSWER - Keflex or dicloxacillin
Penicillin allergy: Azithromycin
Leopold maneuvers - ANSWER - Palpate the uterus to assess position of the fetus
Trephination - ANSWER - procedure done to drain sublingual hematoma
"Herald patch" and "Christmas Tree" is associated with what? - ANSWER -
Pityriasis Rosacea
, Treatment for recluse spider bite? - ANSWER - antibiotic cream on wound, cold
pack, and NSAIDS
Koebner phenomenon - ANSWER - new psoriatic plaques form over areas of skin
trauma
Anthrax prophylaxis - ANSWER - Doxycycline
Criteria for Burn Center Referral - ANSWER - Burn on face, hands, feet, genitals, or
over major joints
Electrical or lightning burns
Partial thickness burns (2nd degree) >10%
Third degree burns
What are you at high risk for with scarlet fever? - ANSWER - post glomerular
nephritis
What must you do if you see a closed-fist injury? - ANSWER - Refer to ED or
urgent care
What kind of wounds do you not suture? - ANSWER - Bite wounds, puncture
wounds, heavily contaminated wounds, actively bleeding wounds,
'or already infected wounds
lacerations >12 hours’ old
wounds that have been open for >24hours
