NU 674 EXAM 1 questions and answers A+ Grade
healthy people 2020
- correct answer a set of goals and objectives with 10 year targets designed to guide national health
promotion and disease prevention efforts to improve the health of all people in the US
primary prevention
- correct answer prevents the onset of disease/condition; e.g. vaccinations/seatbelts
secondary prevention
- correct answer identifies and treats asymptomatic people; e.g. screenings and identifying risk factors
tertiary prevention
- correct answer care of established disease and preventing complications
HI-5
- correct answer community wide approaches to prevent or reduce several diseases and conditions
egophony
- correct answer "EEE" sounds like "AHH" on auscultation; sound is distorted due to no O2 perfusion;
consider pneumonia
pulsus paradoxus
- correct answer beats have weaker amplitude with respiratory inspiration, stronger with expiration;
think COPD, asthma, or pericardial disease
bronchitis
- correct answer typically viral, but can be caused by bacteria such as bordatella pertussis, H. influenza,
S. pneumoniae
, bronchitis
- correct answer 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 answer characterized by purulent nasal excretion, post-nasal drip, sinus tenderness, cervical
lymphadenopathy, wheezes, rales, rhonchi, tahcypnea, injected pharynx, and tachycardia
bronchitis
- correct answer 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
bronchitis
- correct answer treated with amoxicillin 500mg q8h OR bactrim BID
pneumonia
- correct answer complications include MI, CHF of new onset up to 1 year after pt is hospitalized,
arrhythmias, and death
pneumonia
- correct answer CXR is most definitive diagnosis; sputum culture and sensitivity with gram stain tells
you exactly what abx to prescribe; begin abx presumptively to decrease morbidity and can change
regimen if needed
pneumonia
- correct answer urine tested to detect pneumococcal or legionella antigen; elevated PCT level indicates
likely bacterial etiology; CRP elevation while treating can indicate worsening or tx failure; PSI and
CURB65 used to identify who needs hospitalization
pneumonia
- correct answer select empiric abx regimen that targets both typical pathogens and atypical pathogens
healthy people 2020
- correct answer a set of goals and objectives with 10 year targets designed to guide national health
promotion and disease prevention efforts to improve the health of all people in the US
primary prevention
- correct answer prevents the onset of disease/condition; e.g. vaccinations/seatbelts
secondary prevention
- correct answer identifies and treats asymptomatic people; e.g. screenings and identifying risk factors
tertiary prevention
- correct answer care of established disease and preventing complications
HI-5
- correct answer community wide approaches to prevent or reduce several diseases and conditions
egophony
- correct answer "EEE" sounds like "AHH" on auscultation; sound is distorted due to no O2 perfusion;
consider pneumonia
pulsus paradoxus
- correct answer beats have weaker amplitude with respiratory inspiration, stronger with expiration;
think COPD, asthma, or pericardial disease
bronchitis
- correct answer typically viral, but can be caused by bacteria such as bordatella pertussis, H. influenza,
S. pneumoniae
, bronchitis
- correct answer 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 answer characterized by purulent nasal excretion, post-nasal drip, sinus tenderness, cervical
lymphadenopathy, wheezes, rales, rhonchi, tahcypnea, injected pharynx, and tachycardia
bronchitis
- correct answer 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
bronchitis
- correct answer treated with amoxicillin 500mg q8h OR bactrim BID
pneumonia
- correct answer complications include MI, CHF of new onset up to 1 year after pt is hospitalized,
arrhythmias, and death
pneumonia
- correct answer CXR is most definitive diagnosis; sputum culture and sensitivity with gram stain tells
you exactly what abx to prescribe; begin abx presumptively to decrease morbidity and can change
regimen if needed
pneumonia
- correct answer urine tested to detect pneumococcal or legionella antigen; elevated PCT level indicates
likely bacterial etiology; CRP elevation while treating can indicate worsening or tx failure; PSI and
CURB65 used to identify who needs hospitalization
pneumonia
- correct answer select empiric abx regimen that targets both typical pathogens and atypical pathogens
