FNP Board Review: HEENT Exam | Questions with
100% Correct Answers | Verified | Latest Update
2026
Save
Terms in this set (179)
What med is inappropriate for Amoxicillin
treatment of a patient who has acute
rhinosinusitis?
What are indications for urgent High persistent fever > 102 F
referral in Acute Bacterial Periorbital edema
Rhinosinusitis (ABRS)? Vision change
Severe headaches
How is allergic rhinitis managed? Intranasal glucocorticoids: single most effective
treatment
- Ex: budesonide, fluticasone, mometasone,
ciclesonide
Antihistamines (nonsedating and sedating
available)
What is the most common bacterial Streptococcus Group A
cause of pharyngitis?
What is the most common cause of Viral
pharyngitis?
,What are signs and symptoms of Sudden onset sore thorat
Group A Strep (GAS) pharyngitis? Fever
Tonsillopharyngeal edema
Tonsillar exudates
Cervical lymphadenitis (anterior)
Scarlatiniform skin rash
History of GAS exposure
What are causes of noninfectious Allergies (seasonal and environmental)
phayrngitis? GERD
Smokers
Secondhand smoke
Dry environments
What is the usual causative agent of Epstein Barr virus
mononucleosis?
What is an example of co-infection Mononucleosis (virus) + Strep (bacteria)
pharyngitis?
What treatment is inappropriate in a Penicillin cannot be used
patient with strep and mono?
What are complications of Acute rheumatic fever
streptococcus? Poststreptococcal reactive arthritis
Scarlet fever
Acute glomerulonephritis
PANDAS syndrome
What are characteristics of Fever
mononucleosis? Tonsilar pharyngitis
Lymphadenopathy
, What triad is found in infectious Fever
mononucleosis? Pharyngitis (can be painful, severe, exudative)
Lymphadenopathy (anterior and posterior nodes)
What finding is almost always Fatigue
present in infectious mononucleosis?
What are diagnostic studies used to Monospot used for screening of heterophil
diagnose infectious mononucleosis? antibodies: most likely time to be positive is 2nd or
3rd week of illness
EBV titers (only order if presentation is unusual)
CBC (lymphocytosis is common)
Atypical lymphocytes (75% of patients)
Elevated ALT, AST
When should activity be resumed in No earlier than 21 days after illness onset
patients with mononucleosis?
Spelenic injury risk (50% have splenomegaly):
percussion, palpation vs ultrasound (ultrasound
safest before return to contact sports, but
expensive). Rupture risk is negligible after the 4th
week
Resolution of fatigue...could take up to 3 or more
months (risk of chronic fatigue syndrome)
100% Correct Answers | Verified | Latest Update
2026
Save
Terms in this set (179)
What med is inappropriate for Amoxicillin
treatment of a patient who has acute
rhinosinusitis?
What are indications for urgent High persistent fever > 102 F
referral in Acute Bacterial Periorbital edema
Rhinosinusitis (ABRS)? Vision change
Severe headaches
How is allergic rhinitis managed? Intranasal glucocorticoids: single most effective
treatment
- Ex: budesonide, fluticasone, mometasone,
ciclesonide
Antihistamines (nonsedating and sedating
available)
What is the most common bacterial Streptococcus Group A
cause of pharyngitis?
What is the most common cause of Viral
pharyngitis?
,What are signs and symptoms of Sudden onset sore thorat
Group A Strep (GAS) pharyngitis? Fever
Tonsillopharyngeal edema
Tonsillar exudates
Cervical lymphadenitis (anterior)
Scarlatiniform skin rash
History of GAS exposure
What are causes of noninfectious Allergies (seasonal and environmental)
phayrngitis? GERD
Smokers
Secondhand smoke
Dry environments
What is the usual causative agent of Epstein Barr virus
mononucleosis?
What is an example of co-infection Mononucleosis (virus) + Strep (bacteria)
pharyngitis?
What treatment is inappropriate in a Penicillin cannot be used
patient with strep and mono?
What are complications of Acute rheumatic fever
streptococcus? Poststreptococcal reactive arthritis
Scarlet fever
Acute glomerulonephritis
PANDAS syndrome
What are characteristics of Fever
mononucleosis? Tonsilar pharyngitis
Lymphadenopathy
, What triad is found in infectious Fever
mononucleosis? Pharyngitis (can be painful, severe, exudative)
Lymphadenopathy (anterior and posterior nodes)
What finding is almost always Fatigue
present in infectious mononucleosis?
What are diagnostic studies used to Monospot used for screening of heterophil
diagnose infectious mononucleosis? antibodies: most likely time to be positive is 2nd or
3rd week of illness
EBV titers (only order if presentation is unusual)
CBC (lymphocytosis is common)
Atypical lymphocytes (75% of patients)
Elevated ALT, AST
When should activity be resumed in No earlier than 21 days after illness onset
patients with mononucleosis?
Spelenic injury risk (50% have splenomegaly):
percussion, palpation vs ultrasound (ultrasound
safest before return to contact sports, but
expensive). Rupture risk is negligible after the 4th
week
Resolution of fatigue...could take up to 3 or more
months (risk of chronic fatigue syndrome)
