NUR 621 final exam with verified detailed answers ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Terms in this set (249) ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Original
In children and adolescents, what should the follow up intervention be for a negative
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
RADT strep test but continued symptoms? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
A throat culture should be performed
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Does a positive RADT for GAS pharyngitis require back up culture?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
no, positive RADT is highly specific
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
If an adult is symptomatic but has a negative RADT for GAS, should throat cultures be
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
performed?
No. risk for rheumatic fever is low so back up culture is not required
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
If patient has acute pharyngitis with cough, rhinorrhea, and oral ulcers should patient be
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
tested for GAS? ||\\|//|| ||\\|//||
No- other symptoms suggest viral etiology.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What is recommended drug of choice for GAS pharyngitis? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
,Penicillin or Amoxicillin 10 day course ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Treatment of GAS pharyngitis in penicillin-allergic (not anaphylaxis) ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
1st gen cephalosporin 10 days (Keflex of cefadroxil), clindamycin or clarithromycin 10
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
days, or azithromycin 5 days. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
If patient has recurrent GAS pharyngitis, should a tonsillectomy be performed?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Tonsillectomy should not be done solely to reduce frequency of GAS ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Most common pathogen that causes pharyngitis among college students and adults?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Group C strep ||\\|//|| ||\\|//||
Which test is more sensitive for detecting GAS? RADT or blood agar plate culture? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Blood agar is more sensitive. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
T/F Diagnostic studies are not usually indicated for children <3?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
True. Unless the child has an older sibling with confirmed GAS. This is because the risk of
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
rheumatic fever is rare in children <3 ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Tonsillectomy is indicated for patients who have had ________ or more throat infections in ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
one year
||\\|//|| ||\\|//||
,7 or more infections.
||\\|//|| ||\\|//|| ||\\|//||
Tonsillectomy is indicated for patients who have had ______ or more throat infections per ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
year in the past 2 years. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
5 or more per year
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What might be the diagnosis for a patient that is experiencing fluctuating, unilateral,
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
hearing loss and feels dizzy ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
meniere's disease ||\\|//||
Patient complains of unilateral progressive hearing loss and frequent headaches. What is
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
the most likely diagnosis?||\\|//|| ||\\|//|| ||\\|//||
a. acoustic neuroma
||\\|//|| ||\\|//||
b. menieres disease
||\\|//|| ||\\|//||
c. prebycusis
||\\|//||
d. conductive hearing loss
||\\|//|| ||\\|//|| ||\\|//||
Acoustic neuroma ||\\|//||
Which of the following are causes of sensorineural hearing loss? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
a. cerumen impaction
||\\|//|| ||\\|//||
b. presbycusis
||\\|//||
c. acustic neuroma
||\\|//|| ||\\|//||
d.otosclerosis
, e. aminoglycoside induced hearing loss
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
f.congential abnormalities ||\\|//||
b. presbycusis
||\\|//||
c. acustic neuroma
||\\|//|| ||\\|//||
e. aminoglycoside induced hearing loss
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
All others are conductive hearing loss
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Patient presents with sudden, sensorineural hearing loss. What is the next step for the
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
provider?
refer to otorhinolaryngologist
||\\|//|| ||\\|//||
What else should be included in the assessment of patients with presbycusis?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Mental health assessment. high risk for suicide ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Which type of hearing loss is considered reversible? Sensorineural or conductive?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Conductive
What is the best treatment for acute attack of menieres disease?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
resting with the eyes closed and protection from falling.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Terms in this set (249) ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Original
In children and adolescents, what should the follow up intervention be for a negative
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
RADT strep test but continued symptoms? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
A throat culture should be performed
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Does a positive RADT for GAS pharyngitis require back up culture?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
no, positive RADT is highly specific
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
If an adult is symptomatic but has a negative RADT for GAS, should throat cultures be
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
performed?
No. risk for rheumatic fever is low so back up culture is not required
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
If patient has acute pharyngitis with cough, rhinorrhea, and oral ulcers should patient be
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
tested for GAS? ||\\|//|| ||\\|//||
No- other symptoms suggest viral etiology.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What is recommended drug of choice for GAS pharyngitis? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
,Penicillin or Amoxicillin 10 day course ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Treatment of GAS pharyngitis in penicillin-allergic (not anaphylaxis) ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
1st gen cephalosporin 10 days (Keflex of cefadroxil), clindamycin or clarithromycin 10
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
days, or azithromycin 5 days. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
If patient has recurrent GAS pharyngitis, should a tonsillectomy be performed?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Tonsillectomy should not be done solely to reduce frequency of GAS ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Most common pathogen that causes pharyngitis among college students and adults?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Group C strep ||\\|//|| ||\\|//||
Which test is more sensitive for detecting GAS? RADT or blood agar plate culture? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Blood agar is more sensitive. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
T/F Diagnostic studies are not usually indicated for children <3?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
True. Unless the child has an older sibling with confirmed GAS. This is because the risk of
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
rheumatic fever is rare in children <3 ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Tonsillectomy is indicated for patients who have had ________ or more throat infections in ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
one year
||\\|//|| ||\\|//||
,7 or more infections.
||\\|//|| ||\\|//|| ||\\|//||
Tonsillectomy is indicated for patients who have had ______ or more throat infections per ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
year in the past 2 years. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
5 or more per year
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What might be the diagnosis for a patient that is experiencing fluctuating, unilateral,
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
hearing loss and feels dizzy ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
meniere's disease ||\\|//||
Patient complains of unilateral progressive hearing loss and frequent headaches. What is
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
the most likely diagnosis?||\\|//|| ||\\|//|| ||\\|//||
a. acoustic neuroma
||\\|//|| ||\\|//||
b. menieres disease
||\\|//|| ||\\|//||
c. prebycusis
||\\|//||
d. conductive hearing loss
||\\|//|| ||\\|//|| ||\\|//||
Acoustic neuroma ||\\|//||
Which of the following are causes of sensorineural hearing loss? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
a. cerumen impaction
||\\|//|| ||\\|//||
b. presbycusis
||\\|//||
c. acustic neuroma
||\\|//|| ||\\|//||
d.otosclerosis
, e. aminoglycoside induced hearing loss
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
f.congential abnormalities ||\\|//||
b. presbycusis
||\\|//||
c. acustic neuroma
||\\|//|| ||\\|//||
e. aminoglycoside induced hearing loss
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
All others are conductive hearing loss
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Patient presents with sudden, sensorineural hearing loss. What is the next step for the
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
provider?
refer to otorhinolaryngologist
||\\|//|| ||\\|//||
What else should be included in the assessment of patients with presbycusis?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Mental health assessment. high risk for suicide ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Which type of hearing loss is considered reversible? Sensorineural or conductive?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Conductive
What is the best treatment for acute attack of menieres disease?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
resting with the eyes closed and protection from falling.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
