MSN 623 Exam 1 Questions With Complete
Solutions
10. Treatment for cat bites, cellulitis and cellulitis
caused by MRSA (community acquired). Correct
Answers a. Augmentin is what is used to treat cat
bites
b. Clindamycin next choice.
c. Levaquin: black box warning! Fluoroquinolones
d. Cellulitis: cephalosporins, cephalexin or Keflex. If
community acquired caused by MRSA: use Bactrim.
If bad use clindamycin and Bactrim
e. Send out cultures
a. Decongestants: Correct Answers
pseudoephedrine. They work like the sympathetic
nervous system they cause vasoconstriction, so
the histamine doesn't cause boogers, drainage,
inflammation
b. Cause blood vessels to constrict
Allergic rhinitis: Correct Answers i. Sneezing
ii. Rhinorrhea
iii. Pruritus
iv. Nasal congestion
v. For some people: Conjunctivitis, sinusitis, and
asthma
vi. Seasonal and perennial
vii. Triggered by airborne allergens
, viii. Allergens bind to immunoglobulin E (IgE) on
mast cells
ix. Triggers release of inflammatory mediators
1. Histamine, leukotrienes, prostaglandins
Antihistamine-sympathomimetic combinations
Correct Answers 1. Ipratropium bromide [Atrovent]
2. Montelukast [Singulair]
3. Omalizumab [Xolair]
asthma action plan Correct Answers Asthma
Pharmacologic stepped approach to treating
asthma symptoms
1) Step 1- mild intermittent- beta 2 agonist
2) Step 2.- mild persistent - add cromolyn
3) Step 3.- moderate persistent- add inhaled
corticosteroid , may add theophylline.
4) Step 4.- Severe persistent- add po steroids
asthma medications Correct Answers Medications
• Quick relief (rescue): Short-acting β2 agonists,
systemic corticosteroids
• Long term (preventer): Corticosteroids,
antiallergy agents, NSAIDS, long-acting β2
agonists, leukotriene modifiers (Singulair), long-
acting bronchodilators, nebulizers
Theophylline: monitor serum levels-ER settings
Solutions
10. Treatment for cat bites, cellulitis and cellulitis
caused by MRSA (community acquired). Correct
Answers a. Augmentin is what is used to treat cat
bites
b. Clindamycin next choice.
c. Levaquin: black box warning! Fluoroquinolones
d. Cellulitis: cephalosporins, cephalexin or Keflex. If
community acquired caused by MRSA: use Bactrim.
If bad use clindamycin and Bactrim
e. Send out cultures
a. Decongestants: Correct Answers
pseudoephedrine. They work like the sympathetic
nervous system they cause vasoconstriction, so
the histamine doesn't cause boogers, drainage,
inflammation
b. Cause blood vessels to constrict
Allergic rhinitis: Correct Answers i. Sneezing
ii. Rhinorrhea
iii. Pruritus
iv. Nasal congestion
v. For some people: Conjunctivitis, sinusitis, and
asthma
vi. Seasonal and perennial
vii. Triggered by airborne allergens
, viii. Allergens bind to immunoglobulin E (IgE) on
mast cells
ix. Triggers release of inflammatory mediators
1. Histamine, leukotrienes, prostaglandins
Antihistamine-sympathomimetic combinations
Correct Answers 1. Ipratropium bromide [Atrovent]
2. Montelukast [Singulair]
3. Omalizumab [Xolair]
asthma action plan Correct Answers Asthma
Pharmacologic stepped approach to treating
asthma symptoms
1) Step 1- mild intermittent- beta 2 agonist
2) Step 2.- mild persistent - add cromolyn
3) Step 3.- moderate persistent- add inhaled
corticosteroid , may add theophylline.
4) Step 4.- Severe persistent- add po steroids
asthma medications Correct Answers Medications
• Quick relief (rescue): Short-acting β2 agonists,
systemic corticosteroids
• Long term (preventer): Corticosteroids,
antiallergy agents, NSAIDS, long-acting β2
agonists, leukotriene modifiers (Singulair), long-
acting bronchodilators, nebulizers
Theophylline: monitor serum levels-ER settings
