NSG 6420 QUIZ 1 Adult/Gero Questions With Complete
Solutions
ACD most common in who? Correct Answer Hospitalized
patients
ACD type? Correct Answer Usually normocytic,
normochromic
with hgb >10
30% are micro, hypo
Allergic Rhinitis Correct Answer IgE mediated inflammation
Antibiotic to avoid in mono? Correct Answer Amoxicillin,
Ampicillin
B12 deficiency s/sx? Correct Answer Beefy red tongue
-abd tenderness, hepatosplenomegaly, tachycardia/tachypnea,
pallor
Complications from B12 deficiency? Correct Answer
Irreversible neurologic damage
-weakness, ataxia, poor coordination
-Good prognosis is dx/tx w/in 6 months of onset
Difference bt micro, normo, and macrocytic anemia? Correct
Answer MCV- SIZE
MICRO: MCV <80 (ICD, THALASSEMIA)
NORMO: 80-100 (ACD)
MACRO: >100 (VIT B12, FOLATE)
, Epistaxis causes in elderly? Correct Answer Aging sclerotic
vessels in older AVM
-Atherosclerosis, infections, HTN, drugs (ASA)
Posterior epistaxis is more common in elderly
GAS pharyngitis tx? Correct Answer PCN or amoxicillin
recommended DOC
*Pen V K- 500 BID or TID x 10days
-PCN allergies: 1st gen cephalosporin (cephalexin 250 TID x 10
days), clinda or clarithromycin x 10days, or azithromycin x5
days
E-mycin 500mg BID x10 days
How long is tx for sinusitis? Correct Answer Adults: 5-7 days
Children: 10-14 days
Chronic: Tx until pt is well x 7 days
IDA type of anemia Correct Answer Microcytic, hypochromic
IgE mediated allergic cycle Correct Answer Allergen
introduced
IgE antibodies produced
Antibodies bind to MAST CELLS
Allergen re-introduced
MAST CELL DEGRANULATION
Histamine, leukotrienes, prostaglandin release
This causes vascular endothelial dilation
Causing leakage and mucosal edema
= Nasal obstruction, congestion, redness, tearing, swelling, ear
pressure and PND
Solutions
ACD most common in who? Correct Answer Hospitalized
patients
ACD type? Correct Answer Usually normocytic,
normochromic
with hgb >10
30% are micro, hypo
Allergic Rhinitis Correct Answer IgE mediated inflammation
Antibiotic to avoid in mono? Correct Answer Amoxicillin,
Ampicillin
B12 deficiency s/sx? Correct Answer Beefy red tongue
-abd tenderness, hepatosplenomegaly, tachycardia/tachypnea,
pallor
Complications from B12 deficiency? Correct Answer
Irreversible neurologic damage
-weakness, ataxia, poor coordination
-Good prognosis is dx/tx w/in 6 months of onset
Difference bt micro, normo, and macrocytic anemia? Correct
Answer MCV- SIZE
MICRO: MCV <80 (ICD, THALASSEMIA)
NORMO: 80-100 (ACD)
MACRO: >100 (VIT B12, FOLATE)
, Epistaxis causes in elderly? Correct Answer Aging sclerotic
vessels in older AVM
-Atherosclerosis, infections, HTN, drugs (ASA)
Posterior epistaxis is more common in elderly
GAS pharyngitis tx? Correct Answer PCN or amoxicillin
recommended DOC
*Pen V K- 500 BID or TID x 10days
-PCN allergies: 1st gen cephalosporin (cephalexin 250 TID x 10
days), clinda or clarithromycin x 10days, or azithromycin x5
days
E-mycin 500mg BID x10 days
How long is tx for sinusitis? Correct Answer Adults: 5-7 days
Children: 10-14 days
Chronic: Tx until pt is well x 7 days
IDA type of anemia Correct Answer Microcytic, hypochromic
IgE mediated allergic cycle Correct Answer Allergen
introduced
IgE antibodies produced
Antibodies bind to MAST CELLS
Allergen re-introduced
MAST CELL DEGRANULATION
Histamine, leukotrienes, prostaglandin release
This causes vascular endothelial dilation
Causing leakage and mucosal edema
= Nasal obstruction, congestion, redness, tearing, swelling, ear
pressure and PND
