CMN 568 Unit 2 Lessons Exam Solved 100% Correct

Should Abx be prescribed for non specific URI in which sinus, pharyngeal and lower airway symptoms are present but not prominent? - ANSWER-No-It is appropriate to offer symptomatic treatments such as decongestants, analgesics, and antipyretics. What are the s/s of sinusitis that require abx prescription? What are the first line abx? - ANSWER-Severe or persistent moderate symptoms and specific findings of bacterial sinusitis (such as unilateral facial pain, unilateral maxillary pain, and facial swelling lasting longer than 7 days) can be treated with antibiotics, in addition to appropriate symptomatic treatment. first-line agents (amoxicillin, trimethoprim-sulfa, and doxycycline). What is the preferred abx for GABHS pharyngitis? - ANSWER-penicillin or erythromycin in penicillin-allergic patients. In acute bronchitis, is the presence of green or yellow phlegm an indication of bacterial infection? What is the appropriate tx? - ANSWER-No Antibiotics are not recommended Appropriate doses of analgesics, cough suppressants, and other symptomatic relief should be offered. What are the symptoms of croup? - ANSWER-1. Croup is diagnosed primarily by its rapid onset and its characteristic barking cough. 2. hoarseness and 3. inspiratory stridor. 4. The cough associated with croup is nonproductive. 5. On exam the presence of cough and absence of drooling favor dx of viral croup over epiglottitis. What are the symptoms of Pertussis (whooping cough)? - ANSWER-1. Coryza (inflammation of nasal turbinates) 2. Low grade fever 3. Mild cough progressing to: Paroxysms of numerous, rapid coughs due to difficulty expelling thick mucus from the tracheobronchial tree. 4. Long inspiratory effort accompanied by a high-pitched "whoop" at the end of the paroxysms 5. Cyanosis 6. Vomiting and exhaustion Note: Paroxysmal attacks: