2
Adult Gerontology Certification Review Questions with verified
|| || || || || || ||
detailed solutions ||
What drug do you not give patients with mono if they have both strep and mono? -
|| || || || || || || || || || || || || || || || ||
✔✔Amoxicillin
Treatment for Acute bacterial Rhinosinusitis? Mild vs Severe symptoms - ✔✔Mild:
|| || || || || || || || || || ||
Symptomatic tx only in uncomplicated, mild ABR. If symptoms worsen prescribe abx || || || || || || || || || || ||
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? - ✔✔macrolides or
|| || || || || || || || || || || || || || || ||
quinolones
Treatment for superficial candidiasis - ✔✔Nystatin powder/cream in skin folds. Miconazole
|| || || || || || || || || ||
and clotrimazole for thrush, magic mouthwash.
|| || || || || ||
Vibrio Vulnificus - ✔✔Organism that is found in certain bodies of water - increased death
|| || || || || || || || || || || || || || ||
rate if you have liver disease, immunocompromised, and pregnant.
|| || || || || || || ||
What are furuncles? - ✔✔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 - ✔✔Infection of hair follicle , may involve several follicles, small 1,, lesions
|| || || || || || || || || || || || || ||
filled with pus- self limiting .
|| || || || ||
What are Carbuncles - ✔✔Multiple Abscesses that come together to form one large one-
|| || || || || || || || || || || || || ||
treat with systemic abs
|| || ||
,2
Non-purulent cellulitis ( Not MRSA) tx - ✔✔Dicloxacillin || || || || || || || ||
cephalexin ||
clindamycin
Allergy to penicillin --> asythromycin
|| || || ||
Purulent Cellulitis (MRSA) - ✔✔Bactrim || || || ||
Doxy
Minocycline ||
Clindamycin
When to refer cellulitis - ✔✔Systemic symptoms develop or worsen
|| || || || || || || || ||
Not getting better after 48 hours
|| || || || || ||
Spreading quickly or black || || || ||
Patient is diabetic or immunocompromised
|| || || ||
What is erysipelas ? - ✔✔Superficial cellulitis - well-demarcated margins
|| || || || || || || || ||
Cellulitis - ✔✔poorly demarcated - two types, purulent and non-purulent
|| || || || || || || || ||
Animal bite treatment, first and second line - ✔✔Augmentin
|| || || || || || || ||
Penicillin allergy: doxycycline , Bactrim with flagyl, or Clindamycin
|| || || || || || || ||
Can you suture animal bites? - ✔✔no due to high risk of infection
|| || || || || || || || || || || ||
Tetanus for animal bite? - ✔✔If tetanus >5 years must re- administer
|| || || || || || || || || || ||
,2
Risk factors for Hidradenitis suppurative - ✔✔obesity and smoking
|| || || || || || || ||
Treatment for Hidradenitis suppurative? - ✔✔Stage I: Systemic or topical clindamycin. Po:
|| || || || || || || || || || || ||
tetracycline. Doxy ||
Stage II & III: Clinda Topically. Po: Clindamycin, moxifloxacin, and flagyl
|| || || || || || || || || ||
Non-Bullous Impetigo - ✔✔Honey crusted || || || || ||
tx with bactroban
|| ||
Bullous impetigo tx - ✔✔Keflex or dicloxacillin
|| || || || || || ||
Penicillin allergy: Azithromycin || ||
Leopold maneuvers - ✔✔Palpate the uterus to assess position of the fetus
|| || || || || || || || || || ||
Trephination - ✔✔procedure done to drain sublingual hematoma || || || || || || ||
"Herald patch" and "Christmas Tree" is associated with what? - ✔✔Pityriasis Rosacea
|| || || || || || || || || || ||
Treatment for recluse spider bite? - ✔✔antibiotic cream on wound, cold pack, and NSAIDS
|| || || || || || || || || || || || ||
Koebner phenomenon - ✔✔new psoriatic plaques form over areas of skin trauma
|| || || || || || || || || || ||
Anthrax prophylaxis - ✔✔Doxycycline
|| || ||
, 2
Criteria for Burn Center Referral - ✔✔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? - ✔✔postglomerular nephritis
|| || || || || || || || || || || ||
What must you do if you see a closed-fist injury? - ✔✔Refer to ED or urgent care
|| || || || || || || || || || || || || || || ||
What kind of wounds do you not suture? - ✔✔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 || || || || || ||
Animal wounds on face okay if for cosmetic reasons
|| || || || || || || ||
Give tetanus if >5 years old
|| || || || ||
What patient is silver sulfadiazine contraindicated in? - ✔✔Person allergic to sulfa.
|| || || || || || || || || || || ||
Do not apply this drug to face, use bacitracin instead.
|| || || || || || || || ||
When do you not use lidocaine with epinephrine? - ✔✔Areas with high risk of necrosis - tip
|| || || || || || || || || || || || || || || ||
of the nose, ears, fingertips, toes, penis.
|| || || || || || ||
When do sutures get removed for the following?
|| || || || || || || ||
face
Adult Gerontology Certification Review Questions with verified
|| || || || || || ||
detailed solutions ||
What drug do you not give patients with mono if they have both strep and mono? -
|| || || || || || || || || || || || || || || || ||
✔✔Amoxicillin
Treatment for Acute bacterial Rhinosinusitis? Mild vs Severe symptoms - ✔✔Mild:
|| || || || || || || || || || ||
Symptomatic tx only in uncomplicated, mild ABR. If symptoms worsen prescribe abx || || || || || || || || || || ||
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? - ✔✔macrolides or
|| || || || || || || || || || || || || || || ||
quinolones
Treatment for superficial candidiasis - ✔✔Nystatin powder/cream in skin folds. Miconazole
|| || || || || || || || || ||
and clotrimazole for thrush, magic mouthwash.
|| || || || || ||
Vibrio Vulnificus - ✔✔Organism that is found in certain bodies of water - increased death
|| || || || || || || || || || || || || || ||
rate if you have liver disease, immunocompromised, and pregnant.
|| || || || || || || ||
What are furuncles? - ✔✔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 - ✔✔Infection of hair follicle , may involve several follicles, small 1,, lesions
|| || || || || || || || || || || || || ||
filled with pus- self limiting .
|| || || || ||
What are Carbuncles - ✔✔Multiple Abscesses that come together to form one large one-
|| || || || || || || || || || || || || ||
treat with systemic abs
|| || ||
,2
Non-purulent cellulitis ( Not MRSA) tx - ✔✔Dicloxacillin || || || || || || || ||
cephalexin ||
clindamycin
Allergy to penicillin --> asythromycin
|| || || ||
Purulent Cellulitis (MRSA) - ✔✔Bactrim || || || ||
Doxy
Minocycline ||
Clindamycin
When to refer cellulitis - ✔✔Systemic symptoms develop or worsen
|| || || || || || || || ||
Not getting better after 48 hours
|| || || || || ||
Spreading quickly or black || || || ||
Patient is diabetic or immunocompromised
|| || || ||
What is erysipelas ? - ✔✔Superficial cellulitis - well-demarcated margins
|| || || || || || || || ||
Cellulitis - ✔✔poorly demarcated - two types, purulent and non-purulent
|| || || || || || || || ||
Animal bite treatment, first and second line - ✔✔Augmentin
|| || || || || || || ||
Penicillin allergy: doxycycline , Bactrim with flagyl, or Clindamycin
|| || || || || || || ||
Can you suture animal bites? - ✔✔no due to high risk of infection
|| || || || || || || || || || || ||
Tetanus for animal bite? - ✔✔If tetanus >5 years must re- administer
|| || || || || || || || || || ||
,2
Risk factors for Hidradenitis suppurative - ✔✔obesity and smoking
|| || || || || || || ||
Treatment for Hidradenitis suppurative? - ✔✔Stage I: Systemic or topical clindamycin. Po:
|| || || || || || || || || || || ||
tetracycline. Doxy ||
Stage II & III: Clinda Topically. Po: Clindamycin, moxifloxacin, and flagyl
|| || || || || || || || || ||
Non-Bullous Impetigo - ✔✔Honey crusted || || || || ||
tx with bactroban
|| ||
Bullous impetigo tx - ✔✔Keflex or dicloxacillin
|| || || || || || ||
Penicillin allergy: Azithromycin || ||
Leopold maneuvers - ✔✔Palpate the uterus to assess position of the fetus
|| || || || || || || || || || ||
Trephination - ✔✔procedure done to drain sublingual hematoma || || || || || || ||
"Herald patch" and "Christmas Tree" is associated with what? - ✔✔Pityriasis Rosacea
|| || || || || || || || || || ||
Treatment for recluse spider bite? - ✔✔antibiotic cream on wound, cold pack, and NSAIDS
|| || || || || || || || || || || || ||
Koebner phenomenon - ✔✔new psoriatic plaques form over areas of skin trauma
|| || || || || || || || || || ||
Anthrax prophylaxis - ✔✔Doxycycline
|| || ||
, 2
Criteria for Burn Center Referral - ✔✔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? - ✔✔postglomerular nephritis
|| || || || || || || || || || || ||
What must you do if you see a closed-fist injury? - ✔✔Refer to ED or urgent care
|| || || || || || || || || || || || || || || ||
What kind of wounds do you not suture? - ✔✔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 || || || || || ||
Animal wounds on face okay if for cosmetic reasons
|| || || || || || || ||
Give tetanus if >5 years old
|| || || || ||
What patient is silver sulfadiazine contraindicated in? - ✔✔Person allergic to sulfa.
|| || || || || || || || || || || ||
Do not apply this drug to face, use bacitracin instead.
|| || || || || || || || ||
When do you not use lidocaine with epinephrine? - ✔✔Areas with high risk of necrosis - tip
|| || || || || || || || || || || || || || || ||
of the nose, ears, fingertips, toes, penis.
|| || || || || || ||
When do sutures get removed for the following?
|| || || || || || || ||
face
