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Week 1 – ENTRANCE
Patient has been diagnosed with acute rhinosinusitis. Symptoms began 3 days
ago. Based on the most likely etiology, how should this patient be managed?
Azithromycin and
decongestant
Decongestant and
analgesic Levofloxacin
Amoxicillin with clavulanate
The vast majority of rhinosinusitis is of viral etiology, antibiotics would
not be helpful and would only lead to continued antibacterial resistance.
If symptoms persist for longer than 10 days, reevaluation is necessary
with possible antibiotics at that time
A 20-year-old male of Hispanic descent who reports a history of a cold that
resolved 2 weeks ago except for a dry cough and pain over his right cheek that
worsens when he bends down. The patient denies fever. The patient tells you
that he is very allergic to Keflex and erythromycin. Vital signs are stable except
temperature is 99.2°F. Which showed the following conditions is most likely?
Fever secondary to previous
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viral URI Acute sinusitis
Acute
bronchitis
Hay fever
Patient's symptoms match most closely to acute sinusitis which includes
cough, facial pain, low- grade fever
An adult patient has epiglottitis secondary to a chemical burn. Which medication
will be given initially to prevent complications?
Chloramphenicol biopsyrecu
Dexamethasone
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Metronidaz
ole
Clindamyci
n
What are factors associated with acute suppurative parotitis? (Select all that
apply.)
Anticholinergic medications
Diabetes mellitus
Radiother
apy
Hypervole
mia
Allergies
A 39 year old has a sudden onset of painful right red eye. He reports sensitivity
to light and the sensation of a foreign body, though his history for a foreign body
is negative. He does not wear contact lenses. How should the NP manage this?
Observe for 24 hours if visual
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acuity is normal Treat for bacterial
conjunctivitis
Treat for viral conjunctivitis
Refer to ophthalmology
No clear diagnosis can be made from signs/symptoms, but there are
several red flags. collectively the red flags necessitate a referral. There is
no mention of eye discharge necessary for conjunctivitis. Red flags
present point more towards active corneal process although glaucoma
should also be a differential.
A 17-year-old has a complaint of ear pain. If he has otitis externa, which complaint
is most likely/most common?
Concurrent
URI Fever
Difficulty hearing TV
Tragal pain
A patient has an initial episode otitis external associated with swimming. The
patient’s ear canal is mildly inflamed and the tympanic membrane is not involved.
Which medication will be ordered?
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