NURS 6501 WEEK 3 Latest Update
Questions with Approved Answers
Guaranteed Pass Graded A
3 cardinal symptoms of bacterial sinusitis - Answer -
1) Mucopurulent discharge
2) Nasal obstruction
3) Facial pain, pressure
4 cardinal symptoms of chronic sinusitis - Answer -
1) Mucopurulent discharge
2) Nasal obstruction
3) Facial pain, pressure
4) Decreased or loss of smell > 12 weeks
ABS prevention tips - Answer --Treat allergies, asthma symptoms
-Avoid cigarette smoke
-Humidifier
-Avoid getting URI
-Consider decongestant when flying if problems
-Avoid chlorine in swimming pools
-Avoid scuba diving
Adult AOM antibiotic choice - Answer --Augmentin 875/12.5mg PO BID x 5 days (first line)
-Amoxicillin 750-875mg PO BID x 5 days
Adult AOM antibiotic choice if PCN allergy - Answer --Cefdinir 300mg PO BID x 10 days
-Doxycycline 100mg PO BID x 5-7 days
-Azithromycin 500mg PO day 1 then 250mg PO day 2-5
-Clarithromycin 500mg BID x 10 days
,Allergic conjunctivitis presentation - Answer --Itching of eye primary complaint; may have eye
grittiness, burning, or irritation
-Watery discharge
-Pink conjutiva; bulgar may be puffy, tarsal may be follicular
-Associated with nasal congestion, sneezing, wheezing
Allergic conjunctivitis treatment - Answer --Remove allergen if able
-Cool compresses, lubricant eye drops
-Oral antihistamine (consider antihistamine + vasoconstrictor)
-Mast cell stabilizer (if persistent)
Antibiotics for sinusitis should cover what bacteria? - Answer --S pneumonia
-Morexella
-H flu
AOM HPI Important Pearls - Answer --Prior ear infections?
-URI?
-Allergies?
-Smoke exposure?
-Any treatments so far?
AOM is more common in what population for adults? - Answer -smokers
AOM presentation adult: differentials - Answer --OM with effusion
-Herpes zoster
-Deep space infections
-Giant cell arteritis
-Chest pain
-Dental problem
-Trigeminal neuralgia
-Migraine
-Trauma
-ENT neoplasms
-TMJ dysfunction
, AOM presentation child: differentials - Answer --Otitis externa
-Transient middle ear infection
-Mastoiditis
-TMJ
-Mumps
-Dental disorder
-Tonsillitis
-Foreign body
-Head or ear trauma
AOM TM PE - Answer --Bulging TM, erythematous
-TM retracted, full, bulging; grey and red; TM cloudy
-No TM movement
AOM TM PE Full - Answer --VS/fever?
-Inspect HEENT
-Palpate frontal, maxillary sinuses, mastoid bone
-Palpate lymphs
-Eye exam
-Otoscope for TM eval
-Throat exam
-Pulmonary
-Cardiac
-Abdomen
AOM treatment symptom management - Answer --NSAIDs/acetaminophen
-Tessalon perles, cough medicine
-Topical benzocaine
-Warm compresses
-Oral or nasal steroids (if allergic in origin)
-Home remedies (olive oil to loosen wax, garlic antibacterial, tea tree oil to heal infection)
Questions with Approved Answers
Guaranteed Pass Graded A
3 cardinal symptoms of bacterial sinusitis - Answer -
1) Mucopurulent discharge
2) Nasal obstruction
3) Facial pain, pressure
4 cardinal symptoms of chronic sinusitis - Answer -
1) Mucopurulent discharge
2) Nasal obstruction
3) Facial pain, pressure
4) Decreased or loss of smell > 12 weeks
ABS prevention tips - Answer --Treat allergies, asthma symptoms
-Avoid cigarette smoke
-Humidifier
-Avoid getting URI
-Consider decongestant when flying if problems
-Avoid chlorine in swimming pools
-Avoid scuba diving
Adult AOM antibiotic choice - Answer --Augmentin 875/12.5mg PO BID x 5 days (first line)
-Amoxicillin 750-875mg PO BID x 5 days
Adult AOM antibiotic choice if PCN allergy - Answer --Cefdinir 300mg PO BID x 10 days
-Doxycycline 100mg PO BID x 5-7 days
-Azithromycin 500mg PO day 1 then 250mg PO day 2-5
-Clarithromycin 500mg BID x 10 days
,Allergic conjunctivitis presentation - Answer --Itching of eye primary complaint; may have eye
grittiness, burning, or irritation
-Watery discharge
-Pink conjutiva; bulgar may be puffy, tarsal may be follicular
-Associated with nasal congestion, sneezing, wheezing
Allergic conjunctivitis treatment - Answer --Remove allergen if able
-Cool compresses, lubricant eye drops
-Oral antihistamine (consider antihistamine + vasoconstrictor)
-Mast cell stabilizer (if persistent)
Antibiotics for sinusitis should cover what bacteria? - Answer --S pneumonia
-Morexella
-H flu
AOM HPI Important Pearls - Answer --Prior ear infections?
-URI?
-Allergies?
-Smoke exposure?
-Any treatments so far?
AOM is more common in what population for adults? - Answer -smokers
AOM presentation adult: differentials - Answer --OM with effusion
-Herpes zoster
-Deep space infections
-Giant cell arteritis
-Chest pain
-Dental problem
-Trigeminal neuralgia
-Migraine
-Trauma
-ENT neoplasms
-TMJ dysfunction
, AOM presentation child: differentials - Answer --Otitis externa
-Transient middle ear infection
-Mastoiditis
-TMJ
-Mumps
-Dental disorder
-Tonsillitis
-Foreign body
-Head or ear trauma
AOM TM PE - Answer --Bulging TM, erythematous
-TM retracted, full, bulging; grey and red; TM cloudy
-No TM movement
AOM TM PE Full - Answer --VS/fever?
-Inspect HEENT
-Palpate frontal, maxillary sinuses, mastoid bone
-Palpate lymphs
-Eye exam
-Otoscope for TM eval
-Throat exam
-Pulmonary
-Cardiac
-Abdomen
AOM treatment symptom management - Answer --NSAIDs/acetaminophen
-Tessalon perles, cough medicine
-Topical benzocaine
-Warm compresses
-Oral or nasal steroids (if allergic in origin)
-Home remedies (olive oil to loosen wax, garlic antibacterial, tea tree oil to heal infection)
