NUR 524 Midterm Exam 1 Questions And
Correct Answers.
What medication would you give for bacterial sinusitis? - Answer Amoxicillin
Augmentin (Aminopenicillin Antibiotic - Beta-lactamase Inhibitor Combinations)
Someone with sinusitis >7 days or with a course that got better and then worse and they have a
penicillin allergy? What antibiotic would you give? - Answer Doxycycline
Patient comes in and wants management recommendations for allergic rhinitis. What recommendations
would you give first? - Answer Stay away from triggers
Patient says nasal irrigation should not be recommended because causes nose bleeds-educate patient
that this is inaccurate - Answer Nasal irrigations help hydrate and flush out some of the allergens
True or False: Patient says cannot use nasal decongestant spray for longer than 5 days because it can
cause trigger congestion. - Answer This is true-no longer than 5 days
True or False: Oral decongestants can cause hypertension (sudafed, claritin, zyrtec) - Answer true
Pt has dry, non-productive cough, fever, sore throat, and look put together, have 98% spo2, with possible
bronchitis. What is your treatment? - Answer supportive care
no antibiotic
What are the CENTOR criteria? - Answer Centor Criteria clinical prediction rules
Criteria (1 point for each positive)
Tonsillar exudates
Swollen and tender anterior cervical lymph nodes
Lack of cough
History of fever (>100.4)
, Centor Criteria scoring and what to test. - Answer Scores (American College of Physicians-Internal
medicine)
0-1: no testing indicated
2-3: test for RADT and culture
4: presumptive diagnosis of GAS and confirmatory testing not required
Know how to read a Snellen chart. What does a 20/15 vision mean? - Answer You can see what normal
people can see at 20 feet where the majority of people can see at 15 feet
Pt presents with a "bloody eye". What does this mean? What can use for relieving discomfort? - Answer
Small hemorrhage that is not dangerous and clears up on its own
Can use artificial tears to help with discomfort
Pt presents with a really bad sore throat for the past 6 days, what is on your differential diagnosis? -
Answer Post nasal drip
Strep throat
Tonsillitis
Epiglottitis
Viral pharyngitis
GERD
MONO
Pt presents ℅ minor ear fullness but can only hear out of one side. It appears to have excess cerumen.
You cannot see the membrane. What are you going to do? - Answer Refer to ENT-you cannot rule out
possible membrane rupture and should not attempt irrigation.
Who is at high risk for mycoplasma? - Answer HIV
Immunosuppressed people
College age kids
Correct Answers.
What medication would you give for bacterial sinusitis? - Answer Amoxicillin
Augmentin (Aminopenicillin Antibiotic - Beta-lactamase Inhibitor Combinations)
Someone with sinusitis >7 days or with a course that got better and then worse and they have a
penicillin allergy? What antibiotic would you give? - Answer Doxycycline
Patient comes in and wants management recommendations for allergic rhinitis. What recommendations
would you give first? - Answer Stay away from triggers
Patient says nasal irrigation should not be recommended because causes nose bleeds-educate patient
that this is inaccurate - Answer Nasal irrigations help hydrate and flush out some of the allergens
True or False: Patient says cannot use nasal decongestant spray for longer than 5 days because it can
cause trigger congestion. - Answer This is true-no longer than 5 days
True or False: Oral decongestants can cause hypertension (sudafed, claritin, zyrtec) - Answer true
Pt has dry, non-productive cough, fever, sore throat, and look put together, have 98% spo2, with possible
bronchitis. What is your treatment? - Answer supportive care
no antibiotic
What are the CENTOR criteria? - Answer Centor Criteria clinical prediction rules
Criteria (1 point for each positive)
Tonsillar exudates
Swollen and tender anterior cervical lymph nodes
Lack of cough
History of fever (>100.4)
, Centor Criteria scoring and what to test. - Answer Scores (American College of Physicians-Internal
medicine)
0-1: no testing indicated
2-3: test for RADT and culture
4: presumptive diagnosis of GAS and confirmatory testing not required
Know how to read a Snellen chart. What does a 20/15 vision mean? - Answer You can see what normal
people can see at 20 feet where the majority of people can see at 15 feet
Pt presents with a "bloody eye". What does this mean? What can use for relieving discomfort? - Answer
Small hemorrhage that is not dangerous and clears up on its own
Can use artificial tears to help with discomfort
Pt presents with a really bad sore throat for the past 6 days, what is on your differential diagnosis? -
Answer Post nasal drip
Strep throat
Tonsillitis
Epiglottitis
Viral pharyngitis
GERD
MONO
Pt presents ℅ minor ear fullness but can only hear out of one side. It appears to have excess cerumen.
You cannot see the membrane. What are you going to do? - Answer Refer to ENT-you cannot rule out
possible membrane rupture and should not attempt irrigation.
Who is at high risk for mycoplasma? - Answer HIV
Immunosuppressed people
College age kids
