NSGl 554/l NSG554l Examl 2l –l Nursel
Practitionersl inl Primaryl Carel Il Guide|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Epiglottitisl clinicall presentation
Answer:
Rapidl onset
-sorel throat
-fever
-dysphagia
-drooling
-distress
-stridor
-muffledl voice
-signsl ofl respiratoryl distress
Q:l Epiglottitisl exam
Answer:
DOl NOTl performl anl oropharyngeall examl asl itl mayl leadl tol obstructionl andl respiratoryl
arrest
Q:l Epiglottitisl tx
Answer:
Transferl immediatelyl tol ER
-antibiotics,l corticosteroids,l intubation,l tracheostomy
,Q:l Peritonsillarl abscess
Answer:
complicationl ofl acutel tonsillitis
-collectionl ofl pusl inl thel peritonsillarl space
Q:l Peritonsillarl abscessl s/s
Answer:
-severel sorel throat
-fever
-muffledl voice
-dysphagia
-trismusl (inabilityl tol openl thel mouthl fully)
-***unilaterall peritonsillarl swellingl withl deviationl ofl thel uvulal tol thel contralaterall side
Q:l Trismus
Answer:
Inabilityl tol openl mouthl fully
Q:l Peritonsillarl abscessl tx
Answer:
Hospitalization
IVl fluidsl andl abx
PCNl andl clindamycin
Q:l Parotitisl causes
Answer:
virall (mostl common)l -l associatedl withl mumps
bacteriall (commonl inl elderlyl patients,l neonates,l postopl pts)
juvenilel recurrent
,Q:l Virall parotitisl tx
Answer:
None
Q:l Acutel bacteriall parotitis
Answer:
amox/clavl orl ciprofloxacinl andl clinda
Q:l Sjogren'sl recurrentl parotitis
Answer:
pilocarpinel andl cevimelinel canl stimulatel salival production
Q:l Parotitisl generall txl (alll causes)
Answer:
-rest,l hydration,l analgesia,l antipyretics
-stimulatel salival productionl byl eatingl hardl candies
-locall heatl applicationl andl gentlel massage
Q:l Parotitisl PEl findings
Answer:
-swellingl orl enlargementl ofl parotidl gland(s)l -l mayl obscurel thel anglel ofl thel mandiblel
orl causel thel earl tol protrudel upwardl andl outward
-palpatel anteriorlyl andl inferiorlyl froml earlobel -l tendeness
Q:l Virall parotitisl palpation
, Answer:
bilaterall tendernessl suggestsl viral
Q:l Bacteriall parotitisl palpation
Answer:
unilaterall tenderness,l erythema,l andl warmthl suggestsl bacterial
-alsol drainagel (pus)l froml Stensenl ductl (inl mouth)l suggestsl bacterial
Q:l JRPl parotitisl palpation
Answer:
Stensenl ductl (inl mouth)l isl oftenl enlarged,l dilated,l erythematous,l andl swollen
Q:l Acutel herpeticl stomatitis
Answer:
-commonl inl 6mosl -l 5l years
-suddenl onset
-mouthl pain
-malaise
-lethargy
-anorexia
-irritability
-fever
-persistsl 1-2l weeks
-gumsl swollenl andl bleedl easily
-mucusl membranesl tender
-ulcersl appearl inl mouthl andl throat
Q:l Acutel herpeticl stomatitisl tx
Answer:
Practitionersl inl Primaryl Carel Il Guide|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Epiglottitisl clinicall presentation
Answer:
Rapidl onset
-sorel throat
-fever
-dysphagia
-drooling
-distress
-stridor
-muffledl voice
-signsl ofl respiratoryl distress
Q:l Epiglottitisl exam
Answer:
DOl NOTl performl anl oropharyngeall examl asl itl mayl leadl tol obstructionl andl respiratoryl
arrest
Q:l Epiglottitisl tx
Answer:
Transferl immediatelyl tol ER
-antibiotics,l corticosteroids,l intubation,l tracheostomy
,Q:l Peritonsillarl abscess
Answer:
complicationl ofl acutel tonsillitis
-collectionl ofl pusl inl thel peritonsillarl space
Q:l Peritonsillarl abscessl s/s
Answer:
-severel sorel throat
-fever
-muffledl voice
-dysphagia
-trismusl (inabilityl tol openl thel mouthl fully)
-***unilaterall peritonsillarl swellingl withl deviationl ofl thel uvulal tol thel contralaterall side
Q:l Trismus
Answer:
Inabilityl tol openl mouthl fully
Q:l Peritonsillarl abscessl tx
Answer:
Hospitalization
IVl fluidsl andl abx
PCNl andl clindamycin
Q:l Parotitisl causes
Answer:
virall (mostl common)l -l associatedl withl mumps
bacteriall (commonl inl elderlyl patients,l neonates,l postopl pts)
juvenilel recurrent
,Q:l Virall parotitisl tx
Answer:
None
Q:l Acutel bacteriall parotitis
Answer:
amox/clavl orl ciprofloxacinl andl clinda
Q:l Sjogren'sl recurrentl parotitis
Answer:
pilocarpinel andl cevimelinel canl stimulatel salival production
Q:l Parotitisl generall txl (alll causes)
Answer:
-rest,l hydration,l analgesia,l antipyretics
-stimulatel salival productionl byl eatingl hardl candies
-locall heatl applicationl andl gentlel massage
Q:l Parotitisl PEl findings
Answer:
-swellingl orl enlargementl ofl parotidl gland(s)l -l mayl obscurel thel anglel ofl thel mandiblel
orl causel thel earl tol protrudel upwardl andl outward
-palpatel anteriorlyl andl inferiorlyl froml earlobel -l tendeness
Q:l Virall parotitisl palpation
, Answer:
bilaterall tendernessl suggestsl viral
Q:l Bacteriall parotitisl palpation
Answer:
unilaterall tenderness,l erythema,l andl warmthl suggestsl bacterial
-alsol drainagel (pus)l froml Stensenl ductl (inl mouth)l suggestsl bacterial
Q:l JRPl parotitisl palpation
Answer:
Stensenl ductl (inl mouth)l isl oftenl enlarged,l dilated,l erythematous,l andl swollen
Q:l Acutel herpeticl stomatitis
Answer:
-commonl inl 6mosl -l 5l years
-suddenl onset
-mouthl pain
-malaise
-lethargy
-anorexia
-irritability
-fever
-persistsl 1-2l weeks
-gumsl swollenl andl bleedl easily
-mucusl membranesl tender
-ulcersl appearl inl mouthl andl throat
Q:l Acutel herpeticl stomatitisl tx
Answer:
