CMN568 UNIT 2 REVIEW Questions With Verified Answers

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CMN568 UNIT 2 REVIEW Questions With
Verified Answers

BRONCHITIS - Answers✔Clinicians should not perform testing or initiate antibiotic therapy in
patients with ________ unless pneumonia is suspected.

Group A Streptococcal pharyngitis - Answers✔persistent fevers
anterior cervical adenitis
tonsillopharyngeal exudates

rapid antigen detection - Answers✔Clinicians should test patients with symptoms suggestive of
group A streptococcal pharyngitis (for example, persistent fevers, anterior cervical adenitis, and
tonsillopharyngeal exudates or other appropriate combination of symptoms) by
__________________ test and/or culture for group A Streptococcus. Clinicians should treat
patients with antibiotics only if they have confirmed streptococcal pharyngitis.

acute rhinosinusitis - Answers✔Clinicians should reserve antibiotic treatment for
_______________ for patients with persistent symptoms for more than 10 days, onset of severe
symptoms or signs of high fever (>39 °C) and purulent nasal discharge or facial pain lasting for
at least 3 consecutive days, or onset of worsening symptoms following a typical viral illness that
lasted 5 days that was initially improving (double sickening).

Common cold - Answers✔Clinicians should not prescribe abx for patients with the
___________.

purulent - Answers✔________ secretions in the nares and throat (commonly reported and seen in
patients with an uncomplicated, URI neither predict bacterial infetion nor benefit from abx use.

GABHS - Answers✔The benefits of abx tx of adult pharyngitis are limited to those pts with
_________ infection. all patients with pharyngitis should be offered appropriate doses of
analgesics, antipyretics, and other supportive care
Hx of fever
tonsillar exudates


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no cough

tender anterior cervical lymphadenopathy - Answers✔Clincally screen all adult pts with
pharyngitis for the presence of the 4 centor criteria which include?

2 - Answers✔Test pts for GABHS with ____ or more criteria using a rapid antigen test. Limit
antibiotic therapy to pts with a positive test

Throat cultures - Answers✔__________ are not recommended for the routine primary evaluation
of adults with pharyngitis, nor for the confirmation of negative rapid antigen tests.
Penicillin
or

Erythromycin for a PCN allergic patient - Answers✔What is the preferred abx tx for acute
GABHS pharyngitis?

Acute rhinosinusitis - Answers✔Most cases of __________ diagnosed in ambulatory care are
due to uncomplicated viral, URI.

7 - Answers✔The clinical diagnosis of acute bacterial rhinosinusitis should be reserved for
patients with rhinosinusitis symptoms lasing _____ days or more and who have maxillary
facial/tooth pain or tenderness and purulent nasal secretions.

Symptomatic tx - Answers✔What is the preferred, initial management strategy for patients with
mild symptoms of acute bacterial rhinosinusitis?

pneumonia - Answers✔In the healthy, non-elderly adult, ______ is uncommon in the absence of
vital sign abnormalities or asymmetrical lung sounds, and chest radiography is usually not
indicated.

3 - Answers✔In patients with a cough lasting ____ weeks or longer, chest radiography is
warranted in the absence of other known causes.

Nasal saline - Answers✔______________ solutions can be given safely to infants and children to
help relieve symptoms of upper respiratory tract infection and are recommended by the
American Academy of Pediatrics over OTC cough/cold products

Croup - Answers✔Results from a narrowing of the subglottic airway secondary to inflammation
associated with certain viral respiratory tract infections and is represented by the sudden onset of
a barking cough.

spasmodic or allergic croup - Answers✔recurrent episodes of croup
6mos-3yr


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Peak at 2 yoa - Answers✔When does croup typically occur in children

Foreign body obstruction - Answers✔What mimics the symptoms of croup and has to be ruled
out before a diagnosis of croup can be made?

Epiglottitis - Answers✔What is a medical emergency and must also be considered in children
presenting with signs and symptoms of croup?

High fever and toxic appearance - Answers✔What symptoms can help you distinguish between
croup and epiglottitis?

Epiglottitis - Answers✔High fever, toxic appearance, sore throat, drooling, sitting or leaning
forward

Haemophilus influenzae - Answers✔Which vaccine can help prevent epiglottitis?

Bacterial tracheitis - Answers✔Presents like croup, usually presents as an abrupt deterioration
following a moderate illness. It does not respond to racemic epinephrine and requires tx with abx

parainfluenza viruses - Answers✔What is the most common cause of croup today?

Rhinovirus - Answers✔This coinfection is common in croup

Parainfluenza type 1 - Answers✔peak season: autumn of odd numbered years

Parainfluenza type 2 - Answers✔Peak season: autumn to winter

Parainfluenza type 3 - Answers✔Peak season: spring to autumn

Wesley croup score - Answers✔Assirgns points based on the severity of croup symptoms

Mild croup - Answers✔Score <2: barking cough and hoarseness

corticosteroids - Answers✔Tx for mild croup

Moderate croup - Answers✔Score 3-7: barking cough, hoarseness, stridor and chest wall
retractions at rest
Corticosteroids and observation; if no improvement within 4 hours of tx, consider hospitilization
- Answers✔Tx for moderate croup

Severe croup - Answers✔Score >/8: barking cough, hoarseness, stridor, chest wall retractions at
rest, sternal contractions and agitation/fatigue
corticosteroids, racemic epinephrine; Hospitilization if little to no response within 2 hrs of tx -
Answers✔Tx for severe croup?


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