NURP 532 Exam 1 (second go around) Questions With
Complete Solutions
clinical presentation of:
sore throat
fever
evidence of large, beefy tonsils covered with exudate
pharyngeal erythema
palatal petechiae
bilateral anterior cervical lymphadenopathy
pharyngitis caused by s. pyogenes
_______________________ associated with bacterial
pharyngitis is the clinical condition seen when a scarlatiniform
rash with a fine sandpaer-like texture, usually without
significance pruritis, erupts during strep pharyngitis, usually on
the second day of illness. Rash starts on the trunk and spreads
widely, usually sparing the palms and soles, usually peels during
recovery
scarlet fever
what is used to test for strep?
RST
When performing an RST you swab the tonsils or posterior
pharynx making sure to avoid what?
teeth, gums, and tongue
,If a RST test is positive what should be done immediately?
antibiotics
Initial tx for RST?
Im pcn; if allergy to pcn then cephalosporins can be given
If pt has severe allergy to pcn and needs tx for strep what should
be given?
azithromycin or clindamycin (macrolides)
Patients with bacterial pharyngitis are no longer contagious after
how long?
within 24 hours of initiation of appropriate antimicrobial therapy
and when without fever
Complications of bacterial pharyngitis?
peritonsillar abscess
acute glomerulonephritis
rheumatic fever
_______________________________ is often caused by
fusobacterium necrophorum GABHS or group C and G
streptococcus
peritonsillar abscess
Clinical presentation of ______________________________:
progressively worsening sore throat, often worse on one side,
trismus (inability or difficulty in opening mouth), drooling, or
muffled "hot potato" voice with an erythematous, swollen tonsil
,with contralateral uvular deviation and cervical
lymphadenopathy
peritonsillar abscess
Because of the potential airway compromise and potentially life
threatening consequence of peritonsillar abscess
______________________ should be done promptly to confirm
diagnosis.
ultrasonography or CT
What should you do with a patient with peritonsillar abscess?
referral to emergency and specialty ENT care and tx with
appropriate abx therapy, needle aspiration, and airway
management
Infectious mono is an acute systemic viral illness usually caused
by....
nearly all cases occur in people younger than....
EBV
35 years old
incubation period for EBV
30-50 days
clinical presentation of ___________________:
includes a 3-5 day prodrome of headache, malaise, myalgia, and
anorexia; followed by acute symptoms that last about 5-15 days
, with fatigue, exudative pharyngitis and tonsillar enlargement,
fever, and headache.
marked anterior and posterior cervical lymphadenopathy is
usually noted
infectious mono
full recovery time for mono varies but is usually about
____________
4-6 weeks
diagnostic testing for mono includes
heterophile antibody test (monospot)
85% of patients with mono have a twofold to threefold increase
in __________________ by the second and third week of illness
hepatic enzymes
treatment of mono is usually _______________
supportive
when should mono be treated with a systemic corticosteroid
such as prednisone even though very little evidence exists to
support this practice
when upper pharyngeal obstruction is present
In uncomplicated infectious mono cases, neither the use of
_____________ agents nor routing prescribing of systemic
____________ agents is indicated
antiviral; corticosteroid
Complete Solutions
clinical presentation of:
sore throat
fever
evidence of large, beefy tonsils covered with exudate
pharyngeal erythema
palatal petechiae
bilateral anterior cervical lymphadenopathy
pharyngitis caused by s. pyogenes
_______________________ associated with bacterial
pharyngitis is the clinical condition seen when a scarlatiniform
rash with a fine sandpaer-like texture, usually without
significance pruritis, erupts during strep pharyngitis, usually on
the second day of illness. Rash starts on the trunk and spreads
widely, usually sparing the palms and soles, usually peels during
recovery
scarlet fever
what is used to test for strep?
RST
When performing an RST you swab the tonsils or posterior
pharynx making sure to avoid what?
teeth, gums, and tongue
,If a RST test is positive what should be done immediately?
antibiotics
Initial tx for RST?
Im pcn; if allergy to pcn then cephalosporins can be given
If pt has severe allergy to pcn and needs tx for strep what should
be given?
azithromycin or clindamycin (macrolides)
Patients with bacterial pharyngitis are no longer contagious after
how long?
within 24 hours of initiation of appropriate antimicrobial therapy
and when without fever
Complications of bacterial pharyngitis?
peritonsillar abscess
acute glomerulonephritis
rheumatic fever
_______________________________ is often caused by
fusobacterium necrophorum GABHS or group C and G
streptococcus
peritonsillar abscess
Clinical presentation of ______________________________:
progressively worsening sore throat, often worse on one side,
trismus (inability or difficulty in opening mouth), drooling, or
muffled "hot potato" voice with an erythematous, swollen tonsil
,with contralateral uvular deviation and cervical
lymphadenopathy
peritonsillar abscess
Because of the potential airway compromise and potentially life
threatening consequence of peritonsillar abscess
______________________ should be done promptly to confirm
diagnosis.
ultrasonography or CT
What should you do with a patient with peritonsillar abscess?
referral to emergency and specialty ENT care and tx with
appropriate abx therapy, needle aspiration, and airway
management
Infectious mono is an acute systemic viral illness usually caused
by....
nearly all cases occur in people younger than....
EBV
35 years old
incubation period for EBV
30-50 days
clinical presentation of ___________________:
includes a 3-5 day prodrome of headache, malaise, myalgia, and
anorexia; followed by acute symptoms that last about 5-15 days
, with fatigue, exudative pharyngitis and tonsillar enlargement,
fever, and headache.
marked anterior and posterior cervical lymphadenopathy is
usually noted
infectious mono
full recovery time for mono varies but is usually about
____________
4-6 weeks
diagnostic testing for mono includes
heterophile antibody test (monospot)
85% of patients with mono have a twofold to threefold increase
in __________________ by the second and third week of illness
hepatic enzymes
treatment of mono is usually _______________
supportive
when should mono be treated with a systemic corticosteroid
such as prednisone even though very little evidence exists to
support this practice
when upper pharyngeal obstruction is present
In uncomplicated infectious mono cases, neither the use of
_____________ agents nor routing prescribing of systemic
____________ agents is indicated
antiviral; corticosteroid
