CMN 568 Unit 2 Lessons Test Questions With Verified Correct Answers
CMN 568 Unit 2 Lessons Test Questions With Verified Correct Answers Should Abx be prescribed for non specific URI in which sinus, pharyngeal and lower airway symptoms are present but not prominent? - ANSWER No-It is appropriate to offer symptomatic treatments such as decongestants, analgesics, and antipyretics. What are the s/s of sinusitis that require abx prescription? What are the first line abx? - ANSWER Severe or persistent moderate symptoms and specific findings of bacterial sinusitis (such as unilateral facial pain, unilateral maxillary pain, and facial swelling lasting longer than 7 days) can be treated with antibiotics, in addition to appropriate symptomatic treatment. first-line agents (amoxicillin, trimethoprim-sulfa, and doxycycline). What is the preferred abx for GABHS pharyngitis? - ANSWER penicillin or erythromycin in penicillin-allergic patients. In acute bronchitis, is the presence of green or yellow phlegm an indication of bacterial infection? What is the appropriate tx? - ANSWER No Antibiotics are not recommended Appropriate doses of analgesics, cough suppressants, and other symptomatic relief should be offered. What are the symptoms of croup? - ANSWER 1. Croup is diagnosed primarily by its rapid onset and its characteristic barking cough. 2. hoarseness and 3. inspiratory stridor. 4. The cough associated with croup is nonproductive. 5. On exam the presence of cough and absence of drooling favor dx of viral croup over epiglottitis. What are the symptoms of Pertussis (whooping cough)? - ANSWER 1. Coryza (inflammation of nasal turbinates) 2. Low grade fever 3. Mild cough progressing to: Paroxysms of numerous, rapid coughs due to difficulty expelling thick mucus from the tracheobronchial tree. 4. Long inspiratory effort accompanied by a high-pitched "whoop" at the end of the paroxysms 5. Cyanosis 6. Vomiting and exhaustion Note: Paroxysmal attacks: Occur frequently at night, with an average of 15 attacks per 24 hours. Increase in frequency during the first 1-2 weeks, remain at the same frequency for 2-3 weeks, and then gradually decrease. Will you provide post exposure prophylaxis to a person with Pertussis? If so, who are those people? What abx will you prescribe? - ANSWER With the ongoing resurgence in the disease, CDC supports providing postexposure antimicrobial prophylaxis (PEP) to: • All household contacts of a pertussis case; • People who are
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