NUR 621 final exam questions with correct
answers
In children and adolescents, what should the follow up intervention be
for a negative RADT strep test but continued symptoms? Correct
Answer-A throat culture should be performed
Does a positive RADT for GAS pharyngitis require back up culture?
Correct Answer-no, positive RADT is highly specific
If an adult is symptomatic but has a negative RADT for GAS, should
throat cultures be performed? Correct Answer-No. risk for rheumatic
fever is low so back up culture is not required
If patient has acute pharyngitis with cough, rhinorrhea, and oral ulcers
should patient be tested for GAS? Correct Answer-No- other symptoms
suggest viral etiology.
What is recommended drug of choice for GAS pharyngitis? Correct
Answer-Penicillin or Amoxicillin 10 day course
Treatment of GAS pharyngitis in penicillin-allergic (not anaphylaxis)
Correct Answer-1st gen cephalosporin 10 days (Keflex of cefadroxil),
clindamycin or clarithromycin 10 days, or azithromycin 5 days.
,If patient has recurrent GAS pharyngitis, should a tonsillectomy be
performed? Correct Answer-Tonsillectomy should not be done solely to
reduce frequency of GAS
Most common pathogen that causes pharyngitis among college students
and adults? Correct Answer-Group C strep
Which test is more sensitive for detecting GAS? RADT or blood agar
plate culture? Correct Answer-Blood agar is more sensitive.
T/F Diagnostic studies are not usually indicated for children <3? Correct
Answer-True. Unless the child has an older sibling with confirmed GAS.
This is because the risk of rheumatic fever is rare in children <3
Tonsillectomy is indicated for patients who have had ________ or more
throat infections in one year Correct Answer-7 or more infections.
Tonsillectomy is indicated for patients who have had ______ or more
throat infections per year in the past 2 years. Correct Answer-5 or more
per year
What might be the diagnosis for a patient that is experiencing
fluctuating, unilateral, hearing loss and feels dizzy Correct Answer-
meniere's disease
Patient complains of unilateral progressive hearing loss and frequent
headaches. What is the most likely diagnosis?
,a. acoustic neuroma
b. menieres disease
c. prebycusis
d. conductive hearing loss Correct Answer-Acoustic neuroma
Which of the following are causes of sensorineural hearing loss?
a. cerumen impaction
b. presbycusis
c. acustic neuroma
d.otosclerosis
e. aminoglycoside induced hearing loss
f.congential abnormalities Correct Answer-b. presbycusis
c. acustic neuroma
e. aminoglycoside induced hearing loss
All others are conductive hearing loss
Patient presents with sudden, sensorineural hearing loss. What is the
next step for the provider? Correct Answer-refer to
otorhinolaryngologist
What else should be included in the assessment of patients with
presbycusis? Correct Answer-Mental health assessment. high risk for
suicide
, Which type of hearing loss is considered reversible? Sensorineural or
conductive? Correct Answer-Conductive
What is the best treatment for acute attack of menieres disease? Correct
Answer-resting with the eyes closed and protection from falling.
A patient with Meniere's disease has sound lateralization to the non
affected ear when a tuning fork is placed midline on the top of the head.
What is the name of this test? Correct Answer-Weber test
What are two medications safe to prescribe in patients with bacterial
otitis externa and perforated tympanic membrane? Correct Answer-1.
ciprofloxacin drops
2. ofloxacin drops
A patient with otitis externa asks when they can return to swimming.
How would you advise? Correct Answer-The ear must be kept dry
without being submerged in water for 4-6 weeks.
Medications of choice for a pediatric patient with AOM and has a hx of
an anaphylaxis reaction to penicillin? (3) Correct Answer-
clarithromycin, bactrim, or azithromycin
Pediatric patient recently completed course of amoxicillin but continues
to have symptoms of AOM. What is the next step? Correct Answer-
Augmentin
answers
In children and adolescents, what should the follow up intervention be
for a negative RADT strep test but continued symptoms? Correct
Answer-A throat culture should be performed
Does a positive RADT for GAS pharyngitis require back up culture?
Correct Answer-no, positive RADT is highly specific
If an adult is symptomatic but has a negative RADT for GAS, should
throat cultures be performed? Correct Answer-No. risk for rheumatic
fever is low so back up culture is not required
If patient has acute pharyngitis with cough, rhinorrhea, and oral ulcers
should patient be tested for GAS? Correct Answer-No- other symptoms
suggest viral etiology.
What is recommended drug of choice for GAS pharyngitis? Correct
Answer-Penicillin or Amoxicillin 10 day course
Treatment of GAS pharyngitis in penicillin-allergic (not anaphylaxis)
Correct Answer-1st gen cephalosporin 10 days (Keflex of cefadroxil),
clindamycin or clarithromycin 10 days, or azithromycin 5 days.
,If patient has recurrent GAS pharyngitis, should a tonsillectomy be
performed? Correct Answer-Tonsillectomy should not be done solely to
reduce frequency of GAS
Most common pathogen that causes pharyngitis among college students
and adults? Correct Answer-Group C strep
Which test is more sensitive for detecting GAS? RADT or blood agar
plate culture? Correct Answer-Blood agar is more sensitive.
T/F Diagnostic studies are not usually indicated for children <3? Correct
Answer-True. Unless the child has an older sibling with confirmed GAS.
This is because the risk of rheumatic fever is rare in children <3
Tonsillectomy is indicated for patients who have had ________ or more
throat infections in one year Correct Answer-7 or more infections.
Tonsillectomy is indicated for patients who have had ______ or more
throat infections per year in the past 2 years. Correct Answer-5 or more
per year
What might be the diagnosis for a patient that is experiencing
fluctuating, unilateral, hearing loss and feels dizzy Correct Answer-
meniere's disease
Patient complains of unilateral progressive hearing loss and frequent
headaches. What is the most likely diagnosis?
,a. acoustic neuroma
b. menieres disease
c. prebycusis
d. conductive hearing loss Correct Answer-Acoustic neuroma
Which of the following are causes of sensorineural hearing loss?
a. cerumen impaction
b. presbycusis
c. acustic neuroma
d.otosclerosis
e. aminoglycoside induced hearing loss
f.congential abnormalities Correct Answer-b. presbycusis
c. acustic neuroma
e. aminoglycoside induced hearing loss
All others are conductive hearing loss
Patient presents with sudden, sensorineural hearing loss. What is the
next step for the provider? Correct Answer-refer to
otorhinolaryngologist
What else should be included in the assessment of patients with
presbycusis? Correct Answer-Mental health assessment. high risk for
suicide
, Which type of hearing loss is considered reversible? Sensorineural or
conductive? Correct Answer-Conductive
What is the best treatment for acute attack of menieres disease? Correct
Answer-resting with the eyes closed and protection from falling.
A patient with Meniere's disease has sound lateralization to the non
affected ear when a tuning fork is placed midline on the top of the head.
What is the name of this test? Correct Answer-Weber test
What are two medications safe to prescribe in patients with bacterial
otitis externa and perforated tympanic membrane? Correct Answer-1.
ciprofloxacin drops
2. ofloxacin drops
A patient with otitis externa asks when they can return to swimming.
How would you advise? Correct Answer-The ear must be kept dry
without being submerged in water for 4-6 weeks.
Medications of choice for a pediatric patient with AOM and has a hx of
an anaphylaxis reaction to penicillin? (3) Correct Answer-
clarithromycin, bactrim, or azithromycin
Pediatric patient recently completed course of amoxicillin but continues
to have symptoms of AOM. What is the next step? Correct Answer-
Augmentin
