Adult Primary Care - Exams #1 and Final
Exam Questions And Answers. Verified And
Updated.
Causes of viral rhinitis - Answer✔#1 Rhinovirus
Coronavirus
Influenza virus
Adenovirus
What should you be worried about with viral rhinitis with smokers, elderly or
immunocompromised? - Answer✔Their viral rhinitis may develop into pneumonia
Symptoms of viral rhinitis - Answer✔Rhinorrhea
PND causing cough
Sore throat
Cough
Low grade fever, chills
Muscle aches
Headaches
Treatments for viral rhinitis - Answer✔Decongestations
Expectorants, antitussives
Antipyretics
Antihistamines (H2 blocker preferred)
Rest and FLUIDS
What do you want to know r/t allergic rhinitis and medications? - Answer✔Taking Afrin? Risk of
rebound congestion
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What should you suspect with someone who has allergic rhinitis and a fever and/or purulent
drainage? - Answer✔That they have a secondary bacterial infection --> often progresses to
sinusitis
What can longstanding allergies cause? - Answer✔Adenoidal hypertrophy which can increase
asthma risk
What do you think when a person has blue, boggy, edematous turbinates? - Answer✔Allergic
rhinitis
What are Dennie's lines? - Answer✔An infraorbital fold indicative of allergic rhinitis
What can alleviate allergic shiners? - Answer✔2nd generation antihistamines; topical nasal
steroids
Treatment for allergic rhinitis? - Answer✔**Allergen avoidance
Antihistamines
Decongestants
Topical nasal steroids (e.g. Rhinocort/Nasocort)
Hydration
With what condition is IgE elevated? With what condition is it normal? - Answer✔Elevated =
allergic rhinitis
Normal = vasomotor rhinitis
What would you expect when someone complains of nasal congestion/discharge that came on
suddenly after exposure to stimuli and they have pale or hyperemic turbinates? -
Answer✔Vasomotor rhinitis
What might you suspect after someone has had viral rhinitis for over a week (7-10 days)? -
Answer✔Sinusitis
Most common pathogens causing sinusitis - Answer✔Strep pneumoniae
H. flu
M. catarrhalis
What would make you suspect acute sinusitis over a URI? - Answer✔1) Symptoms that last over
10 days
2) Onset with severe symptoms fever (>101), purulent nasal drainage for at least 3-4 days at
beginning of illness
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