NU 674 EXAM 1 QUESTIONS WITH
CORRECT ANSWERS
a |set |of |goals |and |objectives |with |10 |year |targets |designed |to |guide |national |health |
promotion |and |disease |prevention |efforts |to |improve |the |health |of |all |people |in |the |
US |- |VERIFIED |ANSWER✔✔-healthy |people |2020
prevents |the |onset |of |disease/condition; |e.g. |vaccinations/seatbelts |- |VERIFIED |
ANSWER✔✔-primary |prevention
identifies |and |treats |asymptomatic |people; |e.g. |screenings |and |identifying |risk |
factors |- |VERIFIED |ANSWER✔✔-secondary |prevention
care |of |established |disease |and |preventing |complications |- |VERIFIED |ANSWER✔✔-
tertiary |prevention
community |wide |approaches |to |prevent |or |reduce |several |diseases |and |conditions |- |
VERIFIED |ANSWER✔✔-HI-5
"EEE" |sounds |like |"AHH" |on |auscultation; |sound |is |distorted |due |to |no |O2 |perfusion; |
consider |pneumonia |- |VERIFIED |ANSWER✔✔-egophony
beats |have |weaker |amplitude |with |respiratory |inspiration, |stronger |with |expiration; |
think |COPD, |asthma, |or |pericardial |disease |- |VERIFIED |ANSWER✔✔-pulsus |
paradoxus
typically |viral, |but |can |be |caused |by |bacteria |such |as |bordatella |pertussis, |H. |
influenza, |S. |pneumoniae |- |VERIFIED |ANSWER✔✔-bronchitis
sudden |onset |in |12-24 |hours |without |evidence |of |COPD, |pneumonia, |or |asthma; |
cough |is |initially |dry |but |then |turns |productive |and |is |worse |at |night; |afebrile |or |low |
grade |temp; |malaise, |HA, |chest |burning/tightness, |dyspnea, |wheezing |- |VERIFIED |
ANSWER✔✔-bronchitis
characterized |by |purulent |nasal |excretion, |post-nasal |drip, |sinus |tenderness, |
cervical |lymphadenopathy, |wheezes, |rales, |rhonchi, |tahcypnea, |injected |pharynx, |
and |tachycardia |- |VERIFIED |ANSWER✔✔-bronchitis
treatment |methods |include |rest, |fluids, |room |humidification, |inhaler |if |
bronchospasms |present, |abx |if |specific |organism |identified, |NOT |mucolytics |or |
antihistamines |b/c |they |dry |out |airways |and |exacerbate |symptoms |- |VERIFIED |
ANSWER✔✔-bronchitis
treated |with |amoxicillin |500mg |q8h |OR |bactrim |BID |- |VERIFIED |ANSWER✔✔-
bronchitis
complications |include |MI, |CHF |of |new |onset |up |to |1 |year |after |pt |is |hospitalized, |
arrhythmias, |and |death |- |VERIFIED |ANSWER✔✔-pneumonia
, CXR |is |most |definitive |diagnosis; |sputum |culture |and |sensitivity |with |gram |stain |tells
|you |exactly |what |abx |to |prescribe; |begin |abx |presumptively |to |decrease |morbidity |
and |can |change |regimen |if |needed |- |VERIFIED |ANSWER✔✔-pneumonia
urine |tested |to |detect |pneumococcal |or |legionella |antigen; |elevated |PCT |level |
indicates |likely |bacterial |etiology; |CRP |elevation |while |treating |can |indicate |
worsening |or |tx |failure; |PSI |and |CURB65 |used |to |identify |who |needs |hospitalization |- |
VERIFIED |ANSWER✔✔-pneumonia
select |empiric |abx |regimen |that |targets |both |typical |pathogens |and |atypical |
pathogens |- |VERIFIED |ANSWER✔✔-pneumonia
for |patients |without |comorbidities |and |abx |use, |treat |with |azithromycin, |
clarithromycin, |doxycycline, |amoxicillin-clavulonate, |or |cefpodoxime |PLUS |
macrolide, |or |fluoroquinolone |monotherapy |for |5-7 |days |- |VERIFIED |ANSWER✔✔-
pneumonia
for |patients |with |major |comorbidities |and/or |have |recently |used |abx, |treat |with |
fluoroquinolone |alone |or |combination |therapy |with |beta-lactam |PLUS |macrolide |or |
doxycycline |for |5-7 |days |- |VERIFIED |ANSWER✔✔-pneumonia
empiric |tx |is |mucinex, |delsym, |robitussin, |and |dextromethorophan; |can |move |to |
inhaled |corticosteroids |after |OTC |tx |fails |- |VERIFIED |ANSWER✔✔-cough/dyspnea
infection |of |the |kidneys, |renal |parenchyma, |and |pelvis |that |usually |results |from |
ascent |of |a |bacterial |pathogen |up |the |ureters |from |the |bladder; |ALWAYS |requires |a |
urine |culture |and |empiric |antimicrobial |therapy |- |VERIFIED |ANSWER✔✔-acute |
pyelonephritis
WBCs |in |the |urine |- |VERIFIED |ANSWER✔✔-pyuria
responsible |organisms |include |Escherichia |coli, |Staphylococcus |
saprophyticus,Enterobacteria, |Proteus |miabillis, |and |Klebsiella |pneumoniae |- |
VERIFIED |ANSWER✔✔-UTI
SS |include |dysuria, |frequency, |urgency, |bladder |fullness, |discomfort |- |VERIFIED |
ANSWER✔✔-lower |UTI
SS |include |fever, |chilld, |n/v, |CVA |tenderness, |and |dysuria |- |VERIFIED |ANSWER✔✔-
upper |UTI
occurs |in |persons |with |normal |urinary |tract, |normal |urine |flow, |and |mostly |in |
females |of |child-bearing |age |- |VERIFIED |ANSWER✔✔-uncomplicated |UTI
occurs |in |persons |whose |urinary |tract |has |structural |or |functional |abnormalities, |
abnormal |urine |flow, |and |males |- |VERIFIED |ANSWER✔✔-complicated |UTI
tx |for |non-pregnant |females |includes |TMP-SMX |(Bactrim) |160/800mg |BID |x |3 |days, |
fosfomycin |3gm |once, |nitrofurantion |100mg |BID |x |5-7 |days, |fluoroquinolones, |and |
CORRECT ANSWERS
a |set |of |goals |and |objectives |with |10 |year |targets |designed |to |guide |national |health |
promotion |and |disease |prevention |efforts |to |improve |the |health |of |all |people |in |the |
US |- |VERIFIED |ANSWER✔✔-healthy |people |2020
prevents |the |onset |of |disease/condition; |e.g. |vaccinations/seatbelts |- |VERIFIED |
ANSWER✔✔-primary |prevention
identifies |and |treats |asymptomatic |people; |e.g. |screenings |and |identifying |risk |
factors |- |VERIFIED |ANSWER✔✔-secondary |prevention
care |of |established |disease |and |preventing |complications |- |VERIFIED |ANSWER✔✔-
tertiary |prevention
community |wide |approaches |to |prevent |or |reduce |several |diseases |and |conditions |- |
VERIFIED |ANSWER✔✔-HI-5
"EEE" |sounds |like |"AHH" |on |auscultation; |sound |is |distorted |due |to |no |O2 |perfusion; |
consider |pneumonia |- |VERIFIED |ANSWER✔✔-egophony
beats |have |weaker |amplitude |with |respiratory |inspiration, |stronger |with |expiration; |
think |COPD, |asthma, |or |pericardial |disease |- |VERIFIED |ANSWER✔✔-pulsus |
paradoxus
typically |viral, |but |can |be |caused |by |bacteria |such |as |bordatella |pertussis, |H. |
influenza, |S. |pneumoniae |- |VERIFIED |ANSWER✔✔-bronchitis
sudden |onset |in |12-24 |hours |without |evidence |of |COPD, |pneumonia, |or |asthma; |
cough |is |initially |dry |but |then |turns |productive |and |is |worse |at |night; |afebrile |or |low |
grade |temp; |malaise, |HA, |chest |burning/tightness, |dyspnea, |wheezing |- |VERIFIED |
ANSWER✔✔-bronchitis
characterized |by |purulent |nasal |excretion, |post-nasal |drip, |sinus |tenderness, |
cervical |lymphadenopathy, |wheezes, |rales, |rhonchi, |tahcypnea, |injected |pharynx, |
and |tachycardia |- |VERIFIED |ANSWER✔✔-bronchitis
treatment |methods |include |rest, |fluids, |room |humidification, |inhaler |if |
bronchospasms |present, |abx |if |specific |organism |identified, |NOT |mucolytics |or |
antihistamines |b/c |they |dry |out |airways |and |exacerbate |symptoms |- |VERIFIED |
ANSWER✔✔-bronchitis
treated |with |amoxicillin |500mg |q8h |OR |bactrim |BID |- |VERIFIED |ANSWER✔✔-
bronchitis
complications |include |MI, |CHF |of |new |onset |up |to |1 |year |after |pt |is |hospitalized, |
arrhythmias, |and |death |- |VERIFIED |ANSWER✔✔-pneumonia
, CXR |is |most |definitive |diagnosis; |sputum |culture |and |sensitivity |with |gram |stain |tells
|you |exactly |what |abx |to |prescribe; |begin |abx |presumptively |to |decrease |morbidity |
and |can |change |regimen |if |needed |- |VERIFIED |ANSWER✔✔-pneumonia
urine |tested |to |detect |pneumococcal |or |legionella |antigen; |elevated |PCT |level |
indicates |likely |bacterial |etiology; |CRP |elevation |while |treating |can |indicate |
worsening |or |tx |failure; |PSI |and |CURB65 |used |to |identify |who |needs |hospitalization |- |
VERIFIED |ANSWER✔✔-pneumonia
select |empiric |abx |regimen |that |targets |both |typical |pathogens |and |atypical |
pathogens |- |VERIFIED |ANSWER✔✔-pneumonia
for |patients |without |comorbidities |and |abx |use, |treat |with |azithromycin, |
clarithromycin, |doxycycline, |amoxicillin-clavulonate, |or |cefpodoxime |PLUS |
macrolide, |or |fluoroquinolone |monotherapy |for |5-7 |days |- |VERIFIED |ANSWER✔✔-
pneumonia
for |patients |with |major |comorbidities |and/or |have |recently |used |abx, |treat |with |
fluoroquinolone |alone |or |combination |therapy |with |beta-lactam |PLUS |macrolide |or |
doxycycline |for |5-7 |days |- |VERIFIED |ANSWER✔✔-pneumonia
empiric |tx |is |mucinex, |delsym, |robitussin, |and |dextromethorophan; |can |move |to |
inhaled |corticosteroids |after |OTC |tx |fails |- |VERIFIED |ANSWER✔✔-cough/dyspnea
infection |of |the |kidneys, |renal |parenchyma, |and |pelvis |that |usually |results |from |
ascent |of |a |bacterial |pathogen |up |the |ureters |from |the |bladder; |ALWAYS |requires |a |
urine |culture |and |empiric |antimicrobial |therapy |- |VERIFIED |ANSWER✔✔-acute |
pyelonephritis
WBCs |in |the |urine |- |VERIFIED |ANSWER✔✔-pyuria
responsible |organisms |include |Escherichia |coli, |Staphylococcus |
saprophyticus,Enterobacteria, |Proteus |miabillis, |and |Klebsiella |pneumoniae |- |
VERIFIED |ANSWER✔✔-UTI
SS |include |dysuria, |frequency, |urgency, |bladder |fullness, |discomfort |- |VERIFIED |
ANSWER✔✔-lower |UTI
SS |include |fever, |chilld, |n/v, |CVA |tenderness, |and |dysuria |- |VERIFIED |ANSWER✔✔-
upper |UTI
occurs |in |persons |with |normal |urinary |tract, |normal |urine |flow, |and |mostly |in |
females |of |child-bearing |age |- |VERIFIED |ANSWER✔✔-uncomplicated |UTI
occurs |in |persons |whose |urinary |tract |has |structural |or |functional |abnormalities, |
abnormal |urine |flow, |and |males |- |VERIFIED |ANSWER✔✔-complicated |UTI
tx |for |non-pregnant |females |includes |TMP-SMX |(Bactrim) |160/800mg |BID |x |3 |days, |
fosfomycin |3gm |once, |nitrofurantion |100mg |BID |x |5-7 |days, |fluoroquinolones, |and |
