CHAMBERLAIN ACAGNP NR569 DIFF DX.
FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS
4 ctypes cof cconjunctivitis c- cCORRECT cANS✔✔Allergic
Bacterial
Toxic c
Viral
Allergic cConjunctivitis c- cCORRECT cANS✔✔Inflammation cof cthe cconjunctiva cdue cto
ca creaction cfrom callergies.
S/S: citching cof cthe ceyes
Characterized: cred ceyes, caccompanied cby csneezing
Bacterial cconjunctivitis c- cCORRECT cANS✔✔pinkeye; cvery ccontagious, c2nd cmost
ccommon cform. cpurulent cor cmucopurulent cdischarge cin cone cor cboth cthe ceyes. c
S/S: cred cand citchy ceyes
Toxic cConjunctivitis c- cCORRECT cANS✔✔typically cdevelops cfollowing cadministration
cof ca cmedication cor cdirect ccontact cwith ca ccorrosive cor cnoxious cchemical.
Viral cconjunctivitis c- cCORRECT cANS✔✔adenovirus; chighly ccontagious**
swimming cpools c- cepidemic ckeratoconjunctivitis
*erythema, ccopious cwatery cdischarge
tx: ceye clavage cwith cnormal csaline cBID cx7-14 cdays/vasoconstrictor-antihistamine
cdrops
Primary cOtalgia c- cCORRECT cANS✔✔Caused cby ca cproblem cdirectly cassociated cto
cthe cear, csuch cas cw/ can cear cinfection, cswimmer's cear, ctrauma, cXS ccerumen
Referred cotalgia c- cCORRECT cANS✔✔originates cin canother canatomic cstructure
csuch cas cin cthe cmouth, cthroat, cor cneck
, Acute cOtitis cMedia c(AOM) c- cCORRECT cANS✔✔an cinfection cof cthe cmiddle cear
cspace. cMost ccommon cin ckids c<8 cyo
cause cof cacute cotitis cmedia c- cCORRECT cANS✔✔Often csecondary cto cviral cURI
cw/eustachian ctube cdysfunction
Most ccommon cbacterial cagent: cStreptococcus cpneumoniae
symptoms cof cacute cotitis cmedia c- cCORRECT cANS✔✔unilateral cotalgia c(ear cpain),
cpulling c& ctugging cat cthe cears, cirritability, cheadache, crestlessness, cpoor cfeeding,
canorexia, cvomiting, cor cdiarrhea, cears cfeel cfull, clow cgrade cfever.
PE: ctympanic cmembrane cinflamed c(erythema) cand cbulging, cdecreased clight creflex,
cdecreased cmobility con cinsufflation.
How cis cacute cotitis cmedia cdiagnosed? c- cCORRECT cANS✔✔clinical cpresentation
objective cfindings con cphysical cexam c(otoscopy) ccombined cwith cthe cpatient's chistory
cand cpresenting csigns cand csymptoms
Management cof cacute cotitis cmedia c- cCORRECT cANS✔✔-the cgoal cof ctreatment cis
cto ccontrol cpain cand cto ctreat cthe cinfectious cprocess cwith cantibiotics
-Adults cwith cAOM cshould cbe ctreated cwith cantibiotics: cfirst cline cagent cis
camoxicillin/clavulanate
-Recurrent ccases cthat cdo cnot cresolve cdespite ctreatment cmay cneed creferral cto
cotolaryngologist
first cline ctreatment cfor cacute cotitis cmedia c- cCORRECT cANS✔✔amoxicillin c875 cmg
cwith cclavulanate c125 cmg corally ctwice cdaily.
mild cto cmoderate: cfive cto cseven cdays
severe: c10 cdays
otitis cmedia cwith ceffusion c- cCORRECT cANS✔✔presence cof cfluid cin cthe cmiddle cear
cwithout csymptoms cof cacute cinfection.
As cfluid cbuilds cup cin cthe cmiddle cear cand cEustachian ctube, cit cplaces cpressure con
cthe ctympanic cmembrane
precipitating cfactors cof cotitis cmedia cw/ ceffusion c- cCORRECT cANS✔✔URI
Symptoms cof cotitis cmedia cw/ ceffusion c- cCORRECT cANS✔✔hearing closs, c
ear cfullness, c
complain cof ccommunication cdifficulties, c
withdrawal, cand clack cof cattention, c
intermittent cotalgia, c
popping csensation cof cthe cear
Management cof cotitis cmedia cw/ ceffusion c- cCORRECT cANS✔✔-Otitis cmedia cwith
ceffusion cgenerally cresolves cspontaneously cwith cwatchful cwaiting.
FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS
4 ctypes cof cconjunctivitis c- cCORRECT cANS✔✔Allergic
Bacterial
Toxic c
Viral
Allergic cConjunctivitis c- cCORRECT cANS✔✔Inflammation cof cthe cconjunctiva cdue cto
ca creaction cfrom callergies.
S/S: citching cof cthe ceyes
Characterized: cred ceyes, caccompanied cby csneezing
Bacterial cconjunctivitis c- cCORRECT cANS✔✔pinkeye; cvery ccontagious, c2nd cmost
ccommon cform. cpurulent cor cmucopurulent cdischarge cin cone cor cboth cthe ceyes. c
S/S: cred cand citchy ceyes
Toxic cConjunctivitis c- cCORRECT cANS✔✔typically cdevelops cfollowing cadministration
cof ca cmedication cor cdirect ccontact cwith ca ccorrosive cor cnoxious cchemical.
Viral cconjunctivitis c- cCORRECT cANS✔✔adenovirus; chighly ccontagious**
swimming cpools c- cepidemic ckeratoconjunctivitis
*erythema, ccopious cwatery cdischarge
tx: ceye clavage cwith cnormal csaline cBID cx7-14 cdays/vasoconstrictor-antihistamine
cdrops
Primary cOtalgia c- cCORRECT cANS✔✔Caused cby ca cproblem cdirectly cassociated cto
cthe cear, csuch cas cw/ can cear cinfection, cswimmer's cear, ctrauma, cXS ccerumen
Referred cotalgia c- cCORRECT cANS✔✔originates cin canother canatomic cstructure
csuch cas cin cthe cmouth, cthroat, cor cneck
, Acute cOtitis cMedia c(AOM) c- cCORRECT cANS✔✔an cinfection cof cthe cmiddle cear
cspace. cMost ccommon cin ckids c<8 cyo
cause cof cacute cotitis cmedia c- cCORRECT cANS✔✔Often csecondary cto cviral cURI
cw/eustachian ctube cdysfunction
Most ccommon cbacterial cagent: cStreptococcus cpneumoniae
symptoms cof cacute cotitis cmedia c- cCORRECT cANS✔✔unilateral cotalgia c(ear cpain),
cpulling c& ctugging cat cthe cears, cirritability, cheadache, crestlessness, cpoor cfeeding,
canorexia, cvomiting, cor cdiarrhea, cears cfeel cfull, clow cgrade cfever.
PE: ctympanic cmembrane cinflamed c(erythema) cand cbulging, cdecreased clight creflex,
cdecreased cmobility con cinsufflation.
How cis cacute cotitis cmedia cdiagnosed? c- cCORRECT cANS✔✔clinical cpresentation
objective cfindings con cphysical cexam c(otoscopy) ccombined cwith cthe cpatient's chistory
cand cpresenting csigns cand csymptoms
Management cof cacute cotitis cmedia c- cCORRECT cANS✔✔-the cgoal cof ctreatment cis
cto ccontrol cpain cand cto ctreat cthe cinfectious cprocess cwith cantibiotics
-Adults cwith cAOM cshould cbe ctreated cwith cantibiotics: cfirst cline cagent cis
camoxicillin/clavulanate
-Recurrent ccases cthat cdo cnot cresolve cdespite ctreatment cmay cneed creferral cto
cotolaryngologist
first cline ctreatment cfor cacute cotitis cmedia c- cCORRECT cANS✔✔amoxicillin c875 cmg
cwith cclavulanate c125 cmg corally ctwice cdaily.
mild cto cmoderate: cfive cto cseven cdays
severe: c10 cdays
otitis cmedia cwith ceffusion c- cCORRECT cANS✔✔presence cof cfluid cin cthe cmiddle cear
cwithout csymptoms cof cacute cinfection.
As cfluid cbuilds cup cin cthe cmiddle cear cand cEustachian ctube, cit cplaces cpressure con
cthe ctympanic cmembrane
precipitating cfactors cof cotitis cmedia cw/ ceffusion c- cCORRECT cANS✔✔URI
Symptoms cof cotitis cmedia cw/ ceffusion c- cCORRECT cANS✔✔hearing closs, c
ear cfullness, c
complain cof ccommunication cdifficulties, c
withdrawal, cand clack cof cattention, c
intermittent cotalgia, c
popping csensation cof cthe cear
Management cof cotitis cmedia cw/ ceffusion c- cCORRECT cANS✔✔-Otitis cmedia cwith
ceffusion cgenerally cresolves cspontaneously cwith cwatchful cwaiting.
