Adult 1 Maryville University- exam 1 | Questions AND ANSWERS
(The questions and the answers are interchanged, but this is the full exam review. sorry for the inconvenience
caused )
Answers Questions
Presentation includes fever, sore throat, "hot potato" muffled
voice, drooling, may be sitting in tripod position. May not be
Tonsillar abscess able to perform an exam due to edema and pain. May note a
deviated uvula, peritonsillar edema, edema to neck with
cervical and submandibular lymphadenopathy.
Yes, if suspected airway Is tonsillar abscess a medical emergency?
restriction.
Needle aspiration or excision What is treatment for tonsillar abscess?
of abscess followed by
antibiotics and close follow
up.
Augmentin 875 mg PO BID Which antibiotics are used in the treatment of tonsillar
x 14 days Clindamycin 300- abscess after needle aspiration or excision?
450 mg PO QID x 14 days
Hydration, analgesics for pain What is supportive care for tonsillar abscess?
control.
Acute viral syndrome with classic triad of fever, exudative
Infectious Mononucleosis pharyngitis, adenopathy (posterior cervical). Epstein-Barr
virus (EBV). Spread via saliva. Common in young adults and
teens and group settings. S/s include the triad plus fatigue
and headache.
,LFTs, elevated lymphocytes Which labs would be abnormal for a patient with infectious
with atypical cells in mononucleosis?
common, heterophil
antibody (monospot)
positive in 90% cases.
CBC with diff, heterophil Which labs should be ordered for a patient with suspected or
antibody (monospot), rapid strep diagnosed infectious mononucleosis?
test (throat culture), LFTs,
Spleen because it can Which organ is of particular concern with infectious mononucleosis and
become enlarged with why?
infectious mononucleosis.
Symptomatic treatment unless What is the treatment for infectious mononucleosis?
severe. Corticosteroids may be
necessary. Consult with
specialist if necessary. If
concurrent strep, treat with
erythromycin to avoid rash with
amoxicillin or penicillins.
, Avoid contact sports for the What patient education is important for patients with infectious
first 21 days after diagnosis mononucleosis?
and follow up every 1-2
weeks.
Why should a patient with infectious mononucleosis avoid
Risk of splenic rupture for first 21
contact sports for the first 21 days?
days.
Acute onset with fever, headache, pain, swollen lymph nodes.
Group A B-hemolytic strep
Petechia of palate, erythema, exudates. Treatment aimed at
(GABHS)
preventing complications and infectivity.
Penicillin V 500 mg TID x 10 What is the recommended treatment for group A B-hemolytic strep
days Benzathine Penicillin G IM (GABHS)?
1-2 million units Amoxicillin
500 mg TID x 10 days
Erythromycin, cephalexin,
cefadroxil, and azithromycin
are alternatives if the patient
has a penicillin allergy.
Erythromycin, cephalexin, Which medications are alternatives to treat group A B-
cefadroxil, or azithromycin hemolytic strep (GABHS) if that patient has a allergy to
penicillin?
low Is the incidence of strep pharyngitis and rheumatic fever high or low
for adults?
No Do you examine a patient with drooling, stridor, or trouble breathing for
pharyngitis?
Determine onset, duration, What history do you obtain for pharyngitis?
associated s/s, exposure.
EENT, heart, lungs, skin What systems do you examine for pharyngitis?
(The questions and the answers are interchanged, but this is the full exam review. sorry for the inconvenience
caused )
Answers Questions
Presentation includes fever, sore throat, "hot potato" muffled
voice, drooling, may be sitting in tripod position. May not be
Tonsillar abscess able to perform an exam due to edema and pain. May note a
deviated uvula, peritonsillar edema, edema to neck with
cervical and submandibular lymphadenopathy.
Yes, if suspected airway Is tonsillar abscess a medical emergency?
restriction.
Needle aspiration or excision What is treatment for tonsillar abscess?
of abscess followed by
antibiotics and close follow
up.
Augmentin 875 mg PO BID Which antibiotics are used in the treatment of tonsillar
x 14 days Clindamycin 300- abscess after needle aspiration or excision?
450 mg PO QID x 14 days
Hydration, analgesics for pain What is supportive care for tonsillar abscess?
control.
Acute viral syndrome with classic triad of fever, exudative
Infectious Mononucleosis pharyngitis, adenopathy (posterior cervical). Epstein-Barr
virus (EBV). Spread via saliva. Common in young adults and
teens and group settings. S/s include the triad plus fatigue
and headache.
,LFTs, elevated lymphocytes Which labs would be abnormal for a patient with infectious
with atypical cells in mononucleosis?
common, heterophil
antibody (monospot)
positive in 90% cases.
CBC with diff, heterophil Which labs should be ordered for a patient with suspected or
antibody (monospot), rapid strep diagnosed infectious mononucleosis?
test (throat culture), LFTs,
Spleen because it can Which organ is of particular concern with infectious mononucleosis and
become enlarged with why?
infectious mononucleosis.
Symptomatic treatment unless What is the treatment for infectious mononucleosis?
severe. Corticosteroids may be
necessary. Consult with
specialist if necessary. If
concurrent strep, treat with
erythromycin to avoid rash with
amoxicillin or penicillins.
, Avoid contact sports for the What patient education is important for patients with infectious
first 21 days after diagnosis mononucleosis?
and follow up every 1-2
weeks.
Why should a patient with infectious mononucleosis avoid
Risk of splenic rupture for first 21
contact sports for the first 21 days?
days.
Acute onset with fever, headache, pain, swollen lymph nodes.
Group A B-hemolytic strep
Petechia of palate, erythema, exudates. Treatment aimed at
(GABHS)
preventing complications and infectivity.
Penicillin V 500 mg TID x 10 What is the recommended treatment for group A B-hemolytic strep
days Benzathine Penicillin G IM (GABHS)?
1-2 million units Amoxicillin
500 mg TID x 10 days
Erythromycin, cephalexin,
cefadroxil, and azithromycin
are alternatives if the patient
has a penicillin allergy.
Erythromycin, cephalexin, Which medications are alternatives to treat group A B-
cefadroxil, or azithromycin hemolytic strep (GABHS) if that patient has a allergy to
penicillin?
low Is the incidence of strep pharyngitis and rheumatic fever high or low
for adults?
No Do you examine a patient with drooling, stridor, or trouble breathing for
pharyngitis?
Determine onset, duration, What history do you obtain for pharyngitis?
associated s/s, exposure.
EENT, heart, lungs, skin What systems do you examine for pharyngitis?
