NR 545 Exam 1 Questions with
Verified Solutions
infection of the middle ear - ANSWER-What is otitis media?
-examination with otoscope will reveal bulging tympanic membrane
-fluid bubbles may be observed behind a reddened tympanic membrane - ANSWER-
diagnosis of otitis media
-fever, pain; infant may pull at ear
-enlarged lymph nodes
-discharge from ear (if drum is ruptured)
-upper respiratory symptoms
-vomiting, diarrhea - ANSWER-signs and symptoms of otitis media
antibiotics like amoxicillin - ANSWER-treatment of otitis media
inflammation of external auditory canal aka "swimmer's ear" - ANSWER-What is otitis
externa?
Diagnosis is based on inspection - The ear canal usually appears edematous and
erythematous in external otitis. Debris or cerumen is typically yellow, brown, white, or
gray. - ANSWER-diagnosis of otitis externa
antihistamine, glucocorticoids, allergen immunotherapy such as reduction of seasonal
increases of IL-4 and IgE - ANSWER-Treatment of allergic rhinitis
-Infection of the sinuses
often due to URI or allergy (Viral: 5 to 7 days, Bacterial: up to 4 weeks) - ANSWER-what
is acute sinusitis
Lasting longer then 3 weeks. A persistent infection usually associated with allergies and
nasal polyps. Usually results from repeated episodes of acute sinusitis that results in
irreversible loss of the normal ciliated epithelium lining the sinus cavity. - ANSWER-
what is chronic sinusitis
1. Increased pressure in the face/nasal area
2. Facial headache
3. Tenderness over the sinuses
4. Post nasal drip
, 5. Leads to lower respiratory illness - ANSWER-signs and symptoms of sinusitis
(1) decongestants
(2) antimicrobial therapy
- recommendation is to NOT use antibiotics (usually viral and resolves w/in 2 weeks) but
if resolution does not occur, give amoxicillin
aceteminophen
fluids
rest - ANSWER-treatment of sinusitis
common cold or URI - ANSWER-What is nasopharyngitis?
high fever (children younger than 3); nasal discharge; irritability; sore throat; cough; may
have n/v/d, Watch for signs of dehydration - ANSWER-signs and symptoms of
nasopharyngitis
- ANSWER-Treatment of nasopharyngitis
when bacteria secondarily infects an inflamed sinus cavity, occurs as complication of
viral infection - ANSWER-what is bacterial rhinosinusitis
Purulent nasal discharge
Swollen/erythematous nasal mucosa
Facial/tooth pain
Unilateral maxillary sinus tenderness
Worsening symptoms after initial improvement - ANSWER-signs and symptoms of
bacterial rhinosinusitis
1st line=amoxicillin/clavulanate (Augmentin) x 10 - 14 days - ANSWER-treatment of
bacterial rhinosinusitis
hearing loss caused by damage to the cochlea's receptor cells or to the auditory nerves;
also called nerve deafness - ANSWER-What is sensorineural hearing loss?
Disorder in the auditor canal, ear drum, or ossicles from infection, inflammation, foreign
body, trauma or ear wax - ANSWER-What is conductive hearing loss?
-Elimination of possible offending medications (such as aspirin-containing products and
NSAIDs) is a priority
-Learning to cope with tinnitus is necessary
-Avoidance of risk factors
-Possible supplementation with vitamin A, vitamin C, cyanocobalamin, and nicotinic acid
or with magnesium or copper
-Protective earplugs
-Tinnitus-masking devices
-Oral antidepressants may be effective
Verified Solutions
infection of the middle ear - ANSWER-What is otitis media?
-examination with otoscope will reveal bulging tympanic membrane
-fluid bubbles may be observed behind a reddened tympanic membrane - ANSWER-
diagnosis of otitis media
-fever, pain; infant may pull at ear
-enlarged lymph nodes
-discharge from ear (if drum is ruptured)
-upper respiratory symptoms
-vomiting, diarrhea - ANSWER-signs and symptoms of otitis media
antibiotics like amoxicillin - ANSWER-treatment of otitis media
inflammation of external auditory canal aka "swimmer's ear" - ANSWER-What is otitis
externa?
Diagnosis is based on inspection - The ear canal usually appears edematous and
erythematous in external otitis. Debris or cerumen is typically yellow, brown, white, or
gray. - ANSWER-diagnosis of otitis externa
antihistamine, glucocorticoids, allergen immunotherapy such as reduction of seasonal
increases of IL-4 and IgE - ANSWER-Treatment of allergic rhinitis
-Infection of the sinuses
often due to URI or allergy (Viral: 5 to 7 days, Bacterial: up to 4 weeks) - ANSWER-what
is acute sinusitis
Lasting longer then 3 weeks. A persistent infection usually associated with allergies and
nasal polyps. Usually results from repeated episodes of acute sinusitis that results in
irreversible loss of the normal ciliated epithelium lining the sinus cavity. - ANSWER-
what is chronic sinusitis
1. Increased pressure in the face/nasal area
2. Facial headache
3. Tenderness over the sinuses
4. Post nasal drip
, 5. Leads to lower respiratory illness - ANSWER-signs and symptoms of sinusitis
(1) decongestants
(2) antimicrobial therapy
- recommendation is to NOT use antibiotics (usually viral and resolves w/in 2 weeks) but
if resolution does not occur, give amoxicillin
aceteminophen
fluids
rest - ANSWER-treatment of sinusitis
common cold or URI - ANSWER-What is nasopharyngitis?
high fever (children younger than 3); nasal discharge; irritability; sore throat; cough; may
have n/v/d, Watch for signs of dehydration - ANSWER-signs and symptoms of
nasopharyngitis
- ANSWER-Treatment of nasopharyngitis
when bacteria secondarily infects an inflamed sinus cavity, occurs as complication of
viral infection - ANSWER-what is bacterial rhinosinusitis
Purulent nasal discharge
Swollen/erythematous nasal mucosa
Facial/tooth pain
Unilateral maxillary sinus tenderness
Worsening symptoms after initial improvement - ANSWER-signs and symptoms of
bacterial rhinosinusitis
1st line=amoxicillin/clavulanate (Augmentin) x 10 - 14 days - ANSWER-treatment of
bacterial rhinosinusitis
hearing loss caused by damage to the cochlea's receptor cells or to the auditory nerves;
also called nerve deafness - ANSWER-What is sensorineural hearing loss?
Disorder in the auditor canal, ear drum, or ossicles from infection, inflammation, foreign
body, trauma or ear wax - ANSWER-What is conductive hearing loss?
-Elimination of possible offending medications (such as aspirin-containing products and
NSAIDs) is a priority
-Learning to cope with tinnitus is necessary
-Avoidance of risk factors
-Possible supplementation with vitamin A, vitamin C, cyanocobalamin, and nicotinic acid
or with magnesium or copper
-Protective earplugs
-Tinnitus-masking devices
-Oral antidepressants may be effective
