NURS 5433 FNP II NURS 5433 University Of Texas
- Arlington -Final Exam Questions With Complete
Solutions| BRAND NEW PDF!! 2026
aspirin
irreversible COX1 and COX2 inhibitor in order to provide analgesia, anti-
inflammatory
inhibits COX-1, reducing thromboxane A2 production, which prevents platelet
aggregation and blood clot formation, lowering the risk of heart
attack and stroke
avoid in children with viral infections due to reyes syndrome (life threatening
condition effecting the liver)
oitis media causative agents
strep pneumoniae (most common)
staph
m. catarrhalis
h. flu
otitis media diagnosis
1a) diagnose with moderate severe bulging of the TM with otalgia OR new
otorrhea not d/t otitis externa and otalgia
1b) mild bulging of the TM and <48 hour onset of ear pain OR intense erythema of
TM with otalgia
Treatment of otitis media
AOM < 2 y.o - 10 days
AOM > 2 y.o - 5-7 days
,only give abx to <6 months old, severe AOM, <24 months with bilateral AOM,
child with unk follow up, or temp 102.2
1st line treatment: Amoxicillin 80-90mg/kg/day divided in 2 doses
Augmentin if unresponsive to amoxicillin or had abx within 30 days or concurrent
with bilateral conjunctivitis
PCN allergy: cefdinir, cefuroxime, cefpodoxime
Ofloxacin 0.3% solution 6mo-13 yo - 5 drops x7 days
predisposing factors to otitis media
exposure to smoke
daycare
younger siblings in the home
bottle feeding
otitis externa causative agents
strep
staph
pseudomonas
fungal: aspergillis, candida albicans
otitis externa treatment
>1 year old: Ciprofloxacin and hydrocortisone 3 drops bid x 7 days
> 6 months: cipro + dex 4 drops bid x 7 days
allergic rhinitis
1st line tx: mild- 2nd gen antihistamine (cetririzine, loratadine) and mod-severe-
intranasal corticosteroid (fluticasone, budenoside)
2nd line: nasal antihistamine (azelastine), leukotreine receptor antagonists
(montelukast), decongestants (pseudophedrine, phenylephrine), cromolyn
,non allergic rhinitis
response to environmental triggers but not immune mediated
vasomotor rhinitis
overeactive response of nasal blood vessels to triggers (change in temp, humidity,
stress, odors)
sinusitis
inflammation of at least 1 paranasal sinus d/t bacteria, virus, fungus, or allergy
pathogens: strep pneumo, M cat, H flu
predisposing factors:
URIs, allergies, immunodeficiency, smoking, dental infections, anatomical
abnormalities
bacterial sinusitis causative agents
strep pneumoniae
h. flu
m catarrhalis
sx >7-10 days or worsening after 5 days OR temp >102 with purulence OR
worsening after initial treatment indicates bacterial
bacterial sinusitis treatment
abx only for persistent sx >10 days or high fever >102, purulent discharge
1st line: Amoxicillin 500mg tid OR Augmentin 875mg/125mg bid x5-7 days
PCN allergy: doxycycline or levofloxacin
AVOID macrolides and bactrim d/t bacterial resistance
vertigo
, peripheral - 90% of cases, otogenic, toxic, meniere's, BPPV
central - migraine, TIA, postural hypotension
neurologic - MS, temporal lobe szs, cervical disorders, cerebellar lesions, acoustic
tumor
other causes: Labrynthitis or neuronitis (viral causes), menieres disease
vertigo tx
antihistamines, vestibular suppressants (meclizine), anticholinergics
(scopolamine), antivirals, anxiolytics, corticosteroids, antiemetics, promethazine,
benzos
BPPV tx: epley's maneuver
Meniere's: salt restriction, thiazide diuretics
Labryinthitis: meclizine, steroids, antiemetics
dx with dix hallpike maneuver (BPPV)
Benign Paroxysmal Positional Vertigo
caused by sediment such as calcium carbonate that are in inner ear, last 60
seconds with position changes as sediment settles
epiglotitis
caused by h. influenzae
medical emergency
cardinal signs: stridor, tripoding, drooling
lateral soft tissue side view xray will show "thumb sign"
apthous ulcers
Canker sores
painful, shallow lesions of MM, immune system dysregulation
tx: topical corticosteroids, topical anesthetic, oral steroids, antimicrobial
- Arlington -Final Exam Questions With Complete
Solutions| BRAND NEW PDF!! 2026
aspirin
irreversible COX1 and COX2 inhibitor in order to provide analgesia, anti-
inflammatory
inhibits COX-1, reducing thromboxane A2 production, which prevents platelet
aggregation and blood clot formation, lowering the risk of heart
attack and stroke
avoid in children with viral infections due to reyes syndrome (life threatening
condition effecting the liver)
oitis media causative agents
strep pneumoniae (most common)
staph
m. catarrhalis
h. flu
otitis media diagnosis
1a) diagnose with moderate severe bulging of the TM with otalgia OR new
otorrhea not d/t otitis externa and otalgia
1b) mild bulging of the TM and <48 hour onset of ear pain OR intense erythema of
TM with otalgia
Treatment of otitis media
AOM < 2 y.o - 10 days
AOM > 2 y.o - 5-7 days
,only give abx to <6 months old, severe AOM, <24 months with bilateral AOM,
child with unk follow up, or temp 102.2
1st line treatment: Amoxicillin 80-90mg/kg/day divided in 2 doses
Augmentin if unresponsive to amoxicillin or had abx within 30 days or concurrent
with bilateral conjunctivitis
PCN allergy: cefdinir, cefuroxime, cefpodoxime
Ofloxacin 0.3% solution 6mo-13 yo - 5 drops x7 days
predisposing factors to otitis media
exposure to smoke
daycare
younger siblings in the home
bottle feeding
otitis externa causative agents
strep
staph
pseudomonas
fungal: aspergillis, candida albicans
otitis externa treatment
>1 year old: Ciprofloxacin and hydrocortisone 3 drops bid x 7 days
> 6 months: cipro + dex 4 drops bid x 7 days
allergic rhinitis
1st line tx: mild- 2nd gen antihistamine (cetririzine, loratadine) and mod-severe-
intranasal corticosteroid (fluticasone, budenoside)
2nd line: nasal antihistamine (azelastine), leukotreine receptor antagonists
(montelukast), decongestants (pseudophedrine, phenylephrine), cromolyn
,non allergic rhinitis
response to environmental triggers but not immune mediated
vasomotor rhinitis
overeactive response of nasal blood vessels to triggers (change in temp, humidity,
stress, odors)
sinusitis
inflammation of at least 1 paranasal sinus d/t bacteria, virus, fungus, or allergy
pathogens: strep pneumo, M cat, H flu
predisposing factors:
URIs, allergies, immunodeficiency, smoking, dental infections, anatomical
abnormalities
bacterial sinusitis causative agents
strep pneumoniae
h. flu
m catarrhalis
sx >7-10 days or worsening after 5 days OR temp >102 with purulence OR
worsening after initial treatment indicates bacterial
bacterial sinusitis treatment
abx only for persistent sx >10 days or high fever >102, purulent discharge
1st line: Amoxicillin 500mg tid OR Augmentin 875mg/125mg bid x5-7 days
PCN allergy: doxycycline or levofloxacin
AVOID macrolides and bactrim d/t bacterial resistance
vertigo
, peripheral - 90% of cases, otogenic, toxic, meniere's, BPPV
central - migraine, TIA, postural hypotension
neurologic - MS, temporal lobe szs, cervical disorders, cerebellar lesions, acoustic
tumor
other causes: Labrynthitis or neuronitis (viral causes), menieres disease
vertigo tx
antihistamines, vestibular suppressants (meclizine), anticholinergics
(scopolamine), antivirals, anxiolytics, corticosteroids, antiemetics, promethazine,
benzos
BPPV tx: epley's maneuver
Meniere's: salt restriction, thiazide diuretics
Labryinthitis: meclizine, steroids, antiemetics
dx with dix hallpike maneuver (BPPV)
Benign Paroxysmal Positional Vertigo
caused by sediment such as calcium carbonate that are in inner ear, last 60
seconds with position changes as sediment settles
epiglotitis
caused by h. influenzae
medical emergency
cardinal signs: stridor, tripoding, drooling
lateral soft tissue side view xray will show "thumb sign"
apthous ulcers
Canker sores
painful, shallow lesions of MM, immune system dysregulation
tx: topical corticosteroids, topical anesthetic, oral steroids, antimicrobial
