NU 674 EXAM 1 QUESTIONS WITH COMPLETE
SOLUTIONS
acute bronchitis Correct Answers characterized by a dry or
productive cough of <3 weeks' duration (most prevalent in
winter) in the absence of signs and symptoms of pneumonia and
of evidence of pneumonia on chest radiography and is primarily
caused by viruses
acute otitis media Correct Answers results when pathogens
from the nasopharynx are introduced into the inflammatory fluid
collected in the middle ear (eg nose blowing during a URI);
diagnosis requires demonstration of fluid in the middle ear with
tympanic membrane immobility
acute otitis media Correct Answers tx is first-choice antibiotic
is amoxicillin 1 g orally every 8 hours for 5-7 days
acute pyelonephritis Correct Answers common causative
organisms included Escherchia coli, Klebsiella pneumoniae, and
Staphylococcus saprophyticus
acute pyelonephritis Correct Answers 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
acute pyelonephritis Correct Answers lab results reveal +
leukocyte estrase, pyuria and/or hematuria, and leukocytosis
, acute pyelonephritis Correct Answers SS include dysuria,
urgency, frequency, suprapubic pain or pressure, hematuria, foul
odor, fever, chills, tachycardia, hypotension, CVA tenderness,
flank or abdominal pain, abrupt onset
acute pyelonephritis Correct Answers tx includes ciprofloxacin
500mg po BID x 1 week, levofloxacin 750mg po daily x 5 days,
or TMP-SMX 160/800mg po BID x 2 weeks
bronchitis Correct Answers characterized by purulent nasal
excretion, post-nasal drip, sinus tenderness, cervical
lymphadenopathy, wheezes, rales, rhonchi, tahcypnea, injected
pharynx, and tachycardia
bronchitis Correct Answers 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
bronchitis Correct Answers treated with amoxicillin 500mg
q8h OR bactrim BID
bronchitis Correct Answers 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
SOLUTIONS
acute bronchitis Correct Answers characterized by a dry or
productive cough of <3 weeks' duration (most prevalent in
winter) in the absence of signs and symptoms of pneumonia and
of evidence of pneumonia on chest radiography and is primarily
caused by viruses
acute otitis media Correct Answers results when pathogens
from the nasopharynx are introduced into the inflammatory fluid
collected in the middle ear (eg nose blowing during a URI);
diagnosis requires demonstration of fluid in the middle ear with
tympanic membrane immobility
acute otitis media Correct Answers tx is first-choice antibiotic
is amoxicillin 1 g orally every 8 hours for 5-7 days
acute pyelonephritis Correct Answers common causative
organisms included Escherchia coli, Klebsiella pneumoniae, and
Staphylococcus saprophyticus
acute pyelonephritis Correct Answers 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
acute pyelonephritis Correct Answers lab results reveal +
leukocyte estrase, pyuria and/or hematuria, and leukocytosis
, acute pyelonephritis Correct Answers SS include dysuria,
urgency, frequency, suprapubic pain or pressure, hematuria, foul
odor, fever, chills, tachycardia, hypotension, CVA tenderness,
flank or abdominal pain, abrupt onset
acute pyelonephritis Correct Answers tx includes ciprofloxacin
500mg po BID x 1 week, levofloxacin 750mg po daily x 5 days,
or TMP-SMX 160/800mg po BID x 2 weeks
bronchitis Correct Answers characterized by purulent nasal
excretion, post-nasal drip, sinus tenderness, cervical
lymphadenopathy, wheezes, rales, rhonchi, tahcypnea, injected
pharynx, and tachycardia
bronchitis Correct Answers 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
bronchitis Correct Answers treated with amoxicillin 500mg
q8h OR bactrim BID
bronchitis Correct Answers 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
