NR 545 Exam 1 upper respiratory
UPDATED ACTUAL Exam Questions and
CORRECT Answers
First line treatment for strep throat - CORRECT ANSWER - Penicillin or amoxicillin
if allergic to penicillin give... - CORRECT ANSWER - Clindamycin, clarithromycin,
azithromycin
Antibiotics for Otitis... - CORRECT ANSWER - Amoxicillin PO, cefuroxime (PO),
Augmentin
Penicillin Allergy; levofloxacin (not safe for kids), clindamycin (used in kids)
Antibiotics for Acute Sinusitis are... - CORRECT ANSWER - Ambulatory; Augmentin
Severe; Unasyn (Sulbactam, ampicillin)
Penicillin Allergy; levofloxacin, moxifloxacin
Antibiotics for Pharyngitis - CORRECT ANSWER - Penicillin IM or PO, amoxicillin
Penicillin Allergy; levofloxacin, azithromycin, clarithromycin.
Antibiotics for bacterial conjunctivitis are... - CORRECT ANSWER - Fluoroquinolones:
Ciprofloxacin eye drops 0.3%, Tetracycline 1% ointment, Levofloxacin 0.5% drops
Antibiotics for Bronchitis are... - CORRECT ANSWER - doxycycline, erythromycin,
azithromycin (Zithromax), cefuroxime, amoxicillin, and amoxicillin/clavulanate (Augmentin).
,Antibiotics for pneumonia are... - CORRECT ANSWER - azithromycin (Zithromax) or
clarithromycin (Biaxin XL); or the tetracycline known as doxycycline.
what are early signs of ototoxicity? - CORRECT ANSWER - Early signs include tinnitus,
dizziness, loss of balance and difficulty understanding speech.
What are causes of ototoxicity? - CORRECT ANSWER - -aminoglycoside antibiotics,
-macrolide antibiotics,
-salicylates,
-chemotherapeutic agents such as cisplatin,
-loop diuretics,
-antimalarials,
-(NSAIDs),
-quinine
-acetaminophen
What is the most common cause of hearing loss in the elderly? - CORRECT ANSWER -
Most commonly, it is caused by changes in the inner ear that occur as you grow older. Your
genes and loud noise (for example from loud concerts or music headphones) may play a role.
The following factors contribute to age-related hearing loss:
-Family history (age-related hearing loss tends to run in families)
-Repeated exposure to loud noises
-Smoking (smokers are more likely to have such hearing loss than nonsmokers)
-Certain medical conditions, such as diabetes
-Certain medicines, such as chemotherapy drugs for cancer
, Signs and symptoms of sensorineural hearing loss are... - CORRECT ANSWER --
Muffled hearing.
-Difficulty understanding speech.
-Sudden or steady loss of hearing.
-Full or "stuffy" sensation in the ear.
-Ringing in the ear.
-Dizziness.
a Weber test to detect sensorineural hearing loss.
How do we manage tinnitus? - CORRECT ANSWER - -Earwax removal
-Treating a blood vessel condition
-Hearing aids. If your tinnitus is caused by noise-induced or age-related hearing loss, using
hearing aids may help improve your symptoms.
-Changing your medication. If a medication you're taking appears to be the cause of tinnitus
What is first line treatment for suspected perforated tympanic membrane? - CORRECT
ANSWER - Treatment is primarily supportive, as TM perforations generally heal
spontaneously. The ear should be kept dry as much as possible since it can predispose to
infection if the ear is wet.
Your provider may prescribe antibiotic drops if there's evidence of infection. EX
Fluoroquinolone antibiotics are preferred due to their lack of ototoxicity. ciprofloxacin,
gemifloxacin, levofloxacin, moxifloxacin, norfloxacin, and ofloxacin.
What are signs and symptoms of conductive hearing loss? - CORRECT ANSWER -A
conductive hearing loss happens when sounds cannot get through the outer and middle ear. It
may be hard to hear soft sounds. Louder sounds may be muffled.
S&S:
-Muffled hearing.
UPDATED ACTUAL Exam Questions and
CORRECT Answers
First line treatment for strep throat - CORRECT ANSWER - Penicillin or amoxicillin
if allergic to penicillin give... - CORRECT ANSWER - Clindamycin, clarithromycin,
azithromycin
Antibiotics for Otitis... - CORRECT ANSWER - Amoxicillin PO, cefuroxime (PO),
Augmentin
Penicillin Allergy; levofloxacin (not safe for kids), clindamycin (used in kids)
Antibiotics for Acute Sinusitis are... - CORRECT ANSWER - Ambulatory; Augmentin
Severe; Unasyn (Sulbactam, ampicillin)
Penicillin Allergy; levofloxacin, moxifloxacin
Antibiotics for Pharyngitis - CORRECT ANSWER - Penicillin IM or PO, amoxicillin
Penicillin Allergy; levofloxacin, azithromycin, clarithromycin.
Antibiotics for bacterial conjunctivitis are... - CORRECT ANSWER - Fluoroquinolones:
Ciprofloxacin eye drops 0.3%, Tetracycline 1% ointment, Levofloxacin 0.5% drops
Antibiotics for Bronchitis are... - CORRECT ANSWER - doxycycline, erythromycin,
azithromycin (Zithromax), cefuroxime, amoxicillin, and amoxicillin/clavulanate (Augmentin).
,Antibiotics for pneumonia are... - CORRECT ANSWER - azithromycin (Zithromax) or
clarithromycin (Biaxin XL); or the tetracycline known as doxycycline.
what are early signs of ototoxicity? - CORRECT ANSWER - Early signs include tinnitus,
dizziness, loss of balance and difficulty understanding speech.
What are causes of ototoxicity? - CORRECT ANSWER - -aminoglycoside antibiotics,
-macrolide antibiotics,
-salicylates,
-chemotherapeutic agents such as cisplatin,
-loop diuretics,
-antimalarials,
-(NSAIDs),
-quinine
-acetaminophen
What is the most common cause of hearing loss in the elderly? - CORRECT ANSWER -
Most commonly, it is caused by changes in the inner ear that occur as you grow older. Your
genes and loud noise (for example from loud concerts or music headphones) may play a role.
The following factors contribute to age-related hearing loss:
-Family history (age-related hearing loss tends to run in families)
-Repeated exposure to loud noises
-Smoking (smokers are more likely to have such hearing loss than nonsmokers)
-Certain medical conditions, such as diabetes
-Certain medicines, such as chemotherapy drugs for cancer
, Signs and symptoms of sensorineural hearing loss are... - CORRECT ANSWER --
Muffled hearing.
-Difficulty understanding speech.
-Sudden or steady loss of hearing.
-Full or "stuffy" sensation in the ear.
-Ringing in the ear.
-Dizziness.
a Weber test to detect sensorineural hearing loss.
How do we manage tinnitus? - CORRECT ANSWER - -Earwax removal
-Treating a blood vessel condition
-Hearing aids. If your tinnitus is caused by noise-induced or age-related hearing loss, using
hearing aids may help improve your symptoms.
-Changing your medication. If a medication you're taking appears to be the cause of tinnitus
What is first line treatment for suspected perforated tympanic membrane? - CORRECT
ANSWER - Treatment is primarily supportive, as TM perforations generally heal
spontaneously. The ear should be kept dry as much as possible since it can predispose to
infection if the ear is wet.
Your provider may prescribe antibiotic drops if there's evidence of infection. EX
Fluoroquinolone antibiotics are preferred due to their lack of ototoxicity. ciprofloxacin,
gemifloxacin, levofloxacin, moxifloxacin, norfloxacin, and ofloxacin.
What are signs and symptoms of conductive hearing loss? - CORRECT ANSWER -A
conductive hearing loss happens when sounds cannot get through the outer and middle ear. It
may be hard to hear soft sounds. Louder sounds may be muffled.
S&S:
-Muffled hearing.
