AHN 568 Unit 1 Exam ||Verified Exam!!|| Most Recent
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what is the 1st line of treatment for allergic rhinitis -
Answer--non-sedating antihistamines: LORATADINE,
CETRIZINE
-intranasal corticosteroids
-mast cell stabilizers: CROMOLYN
-Montelukast: SINGULAR
what is the 1st line treatment for Bacterial Rhinosinusitis in
adults? - Answer-OTC NSAIDS or acetaminophen
nasal corticosteroids
decongestants
-diagnosis is made when symptoms last longer than 10
days w/o improvement OR worsening of symptoms w/in
20 days after initial improvement of symptoms.
-for pts w/focal signs such as periorbital edema, severe
sinus tenderness, or severe headache--do not wait 10
days for antibiotics
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------1st line therapy: amoxicillin, bactrim, doxycycline,
amoxicillian-clavulanate
------1st line therapy after recent abx use: levofloxacin,
amoxicillain-clavulanate
what antibiotic do you avoid if you think the patient may
have mono? - Answer-amoxicillin b/c drug often
precipitates a rash
every pt who complains of hearing loss should be referred
for audiologic evaluation except in what scenario? -
Answer-when the cause is easily remediable.
example: cerumen impaction or otitis media. have child
return at 4 wk intervals to check progress of effusion. refer
for audiology after 3 mo of continuous effusion in children
<3yr or at risk of language delay
what is the 1st line treatment for acute bacterial
pharyngitis in adults? in peds? - Answer-Adults & children
> 27kg: Penicillin VK 250 mg orally TID or 500 mg BID for
10 days. Penicillin G IM if compliance or amoxicillin
--erythromycin/azithromycin or cephalosporins are used if
PCN allergy.
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PEDS: penicillin VK 50-70 mg/kg/d in 3 divided doses,
benzathine penicillin 600,000 units IM in <27kg, 1.2 million
units if >27kg, single dose. For PCN allergy use
azithromycin
A nurse practitioner is examining the eyes of a 5-year-old.
On shining a light onto the cornea so that it is seen on
both eyes, the NP notes that is it at the 10 o'clock in the
right eye and 2 O'clock in the left eye. Interpretation of this
finding is:
A. nystagmus
B. Myopia
C. Normal
D. Strabismus - Answer-strabismus
The following statement of strabismus is true except:
A. Esotropia may be intermittent up to age 6 months
B. Exotropia is normal after age 2 months
C. Strabismus may be latent (occurs only under binocular
vision)
D. Strabismus requires ophthalmological referral if present
after age 1 year - Answer---exotropia is normal after 2 mo
of age
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--strabismus requires an ophthalmological referral if
present after the age of 1 yr (earlier tx is better)
A 45 yo mail comes the clinic with c/o right eye pain. It has
been occuring constantly over the last two days and is
associated with redness. There has been no increase
lacrimation, purulent discharge, or HA. In addition to the
fundusocpic exam, it is crucial that the NP access:
A. visual fields
B. Cranial nerve 7,
C. Visual acuity,
D. The corneal reflex - Answer-visual acuity
A 75 yo pt c/o intense eye pain and generalized HA, after
watching a movie in the theater. The NP records the
following findings OD with red sclera and dilated pupil, OD
> OS, decreased VA OD, OS WNL, no temporal
tenderness. These findings are most appropriately
suggest: A. Acute glaucoma,
B. Open angle glaucoma,
C. Temporal arteritis,
D. retinal detachment - Answer-acute glaucoma