NUR 6111 EXAM 2
A patient was diagnosed with Strep pharyngitis and was prescribed
azithromycin. He is
now completed the 3rd day of treatment, with no improvement. He
has no known drug
allergies. What is the best course of action? - ANSWERS-A penicillin
or cephalosporin with beta
lactamase coverage should be considered
Patient presents with sore throat and fever (>101.5) x 2 days. He
denies post-nasal drip or
coughing. On exam, he has anterior cervical lymphadenopathy and
swollen tonsils. Based
on the Adult Centor criteria, what would be the recommendation for
this patient? - ANSWERS-Start the
patient on Amoxicillin 815 Q12 * 10days
What is the most common physical finding associated with strep
pharyngitis? - ANSWERS-Tonsillar exudate
A patient presents with a feeling of fullness in her right ear along with
fever > 101.5 F x 2
days. Physical exam reveals, middle ear effusion and erythema of the
tympanic
, membrane. TM is intact with no tubes. The patient has no allergies to
medications. Select
the appropriate initial treatments for this patient? (Select 3 answers) -
ANSWERS-Amoxicillin 500mg/
Amoxicillin/Clavulanate 500mg/Cefdinir 300mg --- so have to see the
answers because
these are not them... BUT most like it will be ibuprofen, ABX and
heat
Which of the following would you not use as part of a diagnostic
exam for otitis media?
History of acute onset of s/s. presence of middle ear infection, s/s
middle ear
inflammation. - ANSWERS-Haxil or something Maneuver
A physical exam finding that differentiates otitis externa from otitis
media is - ANSWERS-pain upon
palpation of the tragus or application of traction of pinna
Macular degeneration is manifested by - ANSWERS-loss of central
vision
In a patient presenting with a red eye, it is important to ask about this
to help establish the
seriousness of the problem: - ANSWERS-when there is reduction in
visual acuity
A patient was diagnosed with Strep pharyngitis and was prescribed
azithromycin. He is
now completed the 3rd day of treatment, with no improvement. He
has no known drug
allergies. What is the best course of action? - ANSWERS-A penicillin
or cephalosporin with beta
lactamase coverage should be considered
Patient presents with sore throat and fever (>101.5) x 2 days. He
denies post-nasal drip or
coughing. On exam, he has anterior cervical lymphadenopathy and
swollen tonsils. Based
on the Adult Centor criteria, what would be the recommendation for
this patient? - ANSWERS-Start the
patient on Amoxicillin 815 Q12 * 10days
What is the most common physical finding associated with strep
pharyngitis? - ANSWERS-Tonsillar exudate
A patient presents with a feeling of fullness in her right ear along with
fever > 101.5 F x 2
days. Physical exam reveals, middle ear effusion and erythema of the
tympanic
, membrane. TM is intact with no tubes. The patient has no allergies to
medications. Select
the appropriate initial treatments for this patient? (Select 3 answers) -
ANSWERS-Amoxicillin 500mg/
Amoxicillin/Clavulanate 500mg/Cefdinir 300mg --- so have to see the
answers because
these are not them... BUT most like it will be ibuprofen, ABX and
heat
Which of the following would you not use as part of a diagnostic
exam for otitis media?
History of acute onset of s/s. presence of middle ear infection, s/s
middle ear
inflammation. - ANSWERS-Haxil or something Maneuver
A physical exam finding that differentiates otitis externa from otitis
media is - ANSWERS-pain upon
palpation of the tragus or application of traction of pinna
Macular degeneration is manifested by - ANSWERS-loss of central
vision
In a patient presenting with a red eye, it is important to ask about this
to help establish the
seriousness of the problem: - ANSWERS-when there is reduction in
visual acuity
