NURS 5338 Final Exam | UPDATED Questions with 100%
Verified Answers
Q1: Which of the following is the First Line Treatment for Strep
Pharyngitis?
A: C. Amoxicillin
Q2: A. Cephalexin
B. Trimethoprim-Sulamethozaloe
C. Amoxicillin
D. Azithromycin
E. Cefadroxil
A:
Q3: Which if the following medications would you give to a patient
with Streptococcal Pharyngitis, who has an Anaphylactic
reaction to Penicillin?
A: D. Azithromycin
Alternative Clindamycin
Q4: A. Cephalexin
B. Trimethoprim-Sulamethozaloe
C. Amoxicillin
D. Azithromycin
E. Cefadroxil
A:
Q5: A patient comes in with sore throat and tonsillar exudates,
tender anterior cervical lymphadenopathy, sore throat, and
fever. Which of the following can you assess to possibly
differentiate between strep and mononucleosis?
A: D. Conduct and abdominal exam
Mononucleosis can present with hepatosplenomegaly or Splenic enlargement
Q6: A. Complete an EKG
B. Assess the patients breathing
C. Do a neurological exam
D. Conduct and abdominal exam
A:
Q7: Which of the following bacteria are the most common culprit
for Otitis Media?
,A: B. Haemophilus Influenzae
Q8: A. Streptococcus Pyogenes
B. Haemophilus Influenzae
C. Moraxella catarrhalis
D. Streptococcus pneumoniae
A:
Q9: Which of the following are the First line treatment for Acute
Otitis Media?
A: A. Amoxicillin 80-90mg/kg/day BID X 10 days
Q10: A. Amoxicillin 80-90mg/kg/day BID X 10 days
B. Amoxicillin/clavulanate 80-90 mg/kg/day orally BID X 10
days
C. Cefdinir 14mg/kg/day
D. Cefuroxime 30 mg/kg/day divided BID
E. Ciprofloxacin 0.3% 10 drops to the affected ear BID
A:
Q11: The patient has Otitis Media from Haemophilus influenzae with
a Penicillin Allergy, which of the following medications would
you consider? (SATA)
A: C. Cefdinir 14mg/kg/day
D. Cefuroxime 30 mg/kg/day divided BID
Q12: A. Amoxicillin 80-90mg/kg/day BID X 10 days
B. Amoxicillin/clavulanate 80-90 mg/kg/day orally BID X 10
days
C. Cefdinir 14mg/kg/day
D. Cefuroxime 30 mg/kg/day divided BID
E. Ciprofloxacin 0.3% 10 drops to the affected ear BID
A:
Q13: A patient presents to the clinic. Upon examination, the
clinician finds the patient has tenderness of traction of the
pinna as well as when applying pressure over the tragus. These
findings are classic signs of?
A: D. Otitis Externa
Q14: A. Allergic rhinitis
B. Otitis Media
C. Sinusitis
D. Otitis Externa
,A:
Q15: What is the First line Treatment for Otitis Externa?
A: Antibiotic/steroid
ciprofloxacin/dexamethasone otic: (0.3%/0.1%) children ≥6 months of age and adults: 4
drops into the affected ear(s) twice daily for 7-10 days
Q16: A 45 year old man presents with Otitis Externa, which if the
following is the most likely pathogen?
A: D. Pseudomonas aeruginosa (most common)
Q17: A. Staphylococcus aureus
B. Haemophilus Influenzae
C. Moraxella catarrhalis
D. Pseudomonas aeruginosa
E. Streptococcus pyogenes
A:
Q18: A 45 year old man presents with Otitis Externa, which if the
following is the SECOND most likely pathogen?
A: A. Staphylococcus aureus
Q19: A. Staphylococcus aureus
B. Haemophilus Influenzae
C. Moraxella catarrhalis
D. Pseudomonas aeruginosa
E. Streptococcus pyogenes
A:
Q20: The patient comes in with Otitis media that has spontaneous
Tympanic membrane rupture. The patient has also had a
course of antibiotics within 30 days, which of following
medications should you consider using?
A: B. Amoxicillin/clavulanate 80-90 mg/kg/day orally BID X 10 days
Should be used if
The patient has antibiotics in the last 30 days
Conjunctivitis-otitis syndrome
Q21: A. Amoxicillin 80-90mg/kg/day BID X 10 days
B. Amoxicillin/clavulanate 80-90 mg/kg/day orally BID X 10
days
C. Cefdinir 14mg/kg/day
D. Cefuroxime 30 mg/kg/day divided BID
E. Ciprofloxacin 0.3% 10 drops to the affected ear BID
, A: Spontaneous TM rupture
Q22: Which of the following situations would you consider referral
to a specialist for sinusitis?
A: D. All of the above
Q23: A. Recurrent sinusitis
B. Peri-orbital edema
C. Sinusitis refractory to antibiotics
D. All of the above
A:
Q24: A patient presents with red eyes and mucopurulent discharge.
What is most likely the diagnosis?
A: C. Bacterial conjunctivitis
Q25: A. Viral conjunctivitis
B. Allergic conjunctivitis
C. Bacterial conjunctivitis
D. Chemical conjunctivitis
A:
Q26: Acute otitis media diagnostic finding?
A: B. Bulging Tympanic membrane
PLUS effusion
Q27: A. Red Tympanic membrane
B. Bulging Tympanic membrane
C. Pain only
D. Fever
A:
Q28: Most nosocomial pneumonias are caused by
A: C. Gram-negative bacteria
Q29: a. Fungi.
b. Viruses
c. Gram-negative bacteria.
d. Pneumococcal pneumonia.
A:
Verified Answers
Q1: Which of the following is the First Line Treatment for Strep
Pharyngitis?
A: C. Amoxicillin
Q2: A. Cephalexin
B. Trimethoprim-Sulamethozaloe
C. Amoxicillin
D. Azithromycin
E. Cefadroxil
A:
Q3: Which if the following medications would you give to a patient
with Streptococcal Pharyngitis, who has an Anaphylactic
reaction to Penicillin?
A: D. Azithromycin
Alternative Clindamycin
Q4: A. Cephalexin
B. Trimethoprim-Sulamethozaloe
C. Amoxicillin
D. Azithromycin
E. Cefadroxil
A:
Q5: A patient comes in with sore throat and tonsillar exudates,
tender anterior cervical lymphadenopathy, sore throat, and
fever. Which of the following can you assess to possibly
differentiate between strep and mononucleosis?
A: D. Conduct and abdominal exam
Mononucleosis can present with hepatosplenomegaly or Splenic enlargement
Q6: A. Complete an EKG
B. Assess the patients breathing
C. Do a neurological exam
D. Conduct and abdominal exam
A:
Q7: Which of the following bacteria are the most common culprit
for Otitis Media?
,A: B. Haemophilus Influenzae
Q8: A. Streptococcus Pyogenes
B. Haemophilus Influenzae
C. Moraxella catarrhalis
D. Streptococcus pneumoniae
A:
Q9: Which of the following are the First line treatment for Acute
Otitis Media?
A: A. Amoxicillin 80-90mg/kg/day BID X 10 days
Q10: A. Amoxicillin 80-90mg/kg/day BID X 10 days
B. Amoxicillin/clavulanate 80-90 mg/kg/day orally BID X 10
days
C. Cefdinir 14mg/kg/day
D. Cefuroxime 30 mg/kg/day divided BID
E. Ciprofloxacin 0.3% 10 drops to the affected ear BID
A:
Q11: The patient has Otitis Media from Haemophilus influenzae with
a Penicillin Allergy, which of the following medications would
you consider? (SATA)
A: C. Cefdinir 14mg/kg/day
D. Cefuroxime 30 mg/kg/day divided BID
Q12: A. Amoxicillin 80-90mg/kg/day BID X 10 days
B. Amoxicillin/clavulanate 80-90 mg/kg/day orally BID X 10
days
C. Cefdinir 14mg/kg/day
D. Cefuroxime 30 mg/kg/day divided BID
E. Ciprofloxacin 0.3% 10 drops to the affected ear BID
A:
Q13: A patient presents to the clinic. Upon examination, the
clinician finds the patient has tenderness of traction of the
pinna as well as when applying pressure over the tragus. These
findings are classic signs of?
A: D. Otitis Externa
Q14: A. Allergic rhinitis
B. Otitis Media
C. Sinusitis
D. Otitis Externa
,A:
Q15: What is the First line Treatment for Otitis Externa?
A: Antibiotic/steroid
ciprofloxacin/dexamethasone otic: (0.3%/0.1%) children ≥6 months of age and adults: 4
drops into the affected ear(s) twice daily for 7-10 days
Q16: A 45 year old man presents with Otitis Externa, which if the
following is the most likely pathogen?
A: D. Pseudomonas aeruginosa (most common)
Q17: A. Staphylococcus aureus
B. Haemophilus Influenzae
C. Moraxella catarrhalis
D. Pseudomonas aeruginosa
E. Streptococcus pyogenes
A:
Q18: A 45 year old man presents with Otitis Externa, which if the
following is the SECOND most likely pathogen?
A: A. Staphylococcus aureus
Q19: A. Staphylococcus aureus
B. Haemophilus Influenzae
C. Moraxella catarrhalis
D. Pseudomonas aeruginosa
E. Streptococcus pyogenes
A:
Q20: The patient comes in with Otitis media that has spontaneous
Tympanic membrane rupture. The patient has also had a
course of antibiotics within 30 days, which of following
medications should you consider using?
A: B. Amoxicillin/clavulanate 80-90 mg/kg/day orally BID X 10 days
Should be used if
The patient has antibiotics in the last 30 days
Conjunctivitis-otitis syndrome
Q21: A. Amoxicillin 80-90mg/kg/day BID X 10 days
B. Amoxicillin/clavulanate 80-90 mg/kg/day orally BID X 10
days
C. Cefdinir 14mg/kg/day
D. Cefuroxime 30 mg/kg/day divided BID
E. Ciprofloxacin 0.3% 10 drops to the affected ear BID
, A: Spontaneous TM rupture
Q22: Which of the following situations would you consider referral
to a specialist for sinusitis?
A: D. All of the above
Q23: A. Recurrent sinusitis
B. Peri-orbital edema
C. Sinusitis refractory to antibiotics
D. All of the above
A:
Q24: A patient presents with red eyes and mucopurulent discharge.
What is most likely the diagnosis?
A: C. Bacterial conjunctivitis
Q25: A. Viral conjunctivitis
B. Allergic conjunctivitis
C. Bacterial conjunctivitis
D. Chemical conjunctivitis
A:
Q26: Acute otitis media diagnostic finding?
A: B. Bulging Tympanic membrane
PLUS effusion
Q27: A. Red Tympanic membrane
B. Bulging Tympanic membrane
C. Pain only
D. Fever
A:
Q28: Most nosocomial pneumonias are caused by
A: C. Gram-negative bacteria
Q29: a. Fungi.
b. Viruses
c. Gram-negative bacteria.
d. Pneumococcal pneumonia.
A:
