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NUR 524 EXAM 1 NEWEST 2024 ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS ( VERIFIED ANSWERS )
|ALREADY GRADED A+
Pt presents with a really bad sore throat for the past 6 days, what is on your differential diagnosis? - ANSWER- Post nasal drip Strep throat Tonsillitis Epiglottitis Viral pharyngitis GERD MONO
Pt presents ℅ minor ear fullness but can only hear out of one side. It appears to have excess cerumen. You cannot see the membrane. What are you going to do? - ANSWER- Refer to ENT-you cannot rule out possible membrane rupture and should not attempt irrigation.
Who is at high risk for mycoplasma? - ANSWER- HIV Immunosuppressed people College age kids 1 / 4
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What do you usually find in otitis media? - ANSWER- Pain, bulging, cloudy eardrum, redness
What are you going to observe/assess in both adults and peds with acute otitis media? - ANSWER- Membrane mobility -if infection present you will not have mobility
What are the pathogens for otitis media? - ANSWER- S.pneumoniae
- influenza
- cataralas
Do you always treat with antibiotics with otitis media? - ANSWER- No Serous otitis does not warrant antibiotics
Treatment for allergic rhinitis? - ANSWER- Avoid allergens Nasal irrigation Humidifier Nasal steroid such as Flonase, Nasacort
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If I am going to prescribe a nasal steroid, how long does it take to kick in? - ANSWER- One week
If symptoms are very severe and cannot wait a week for nasal steroid to kick in for congestion to kick in, what do you give? - ANSWER- Claratin, zyrtec, allegra antihistamine (reduce response of histamine mediated symptoms by binding to receptor)
What is the differential for allergies vs conjunctivitis? -
ANSWER- Allergies:
clear and stringy drainage Itchiness
Conjunctivitis:
green, sticky drainage
Pt presents with upper respiratory symptoms for ten days, still has fatigue, nasal drainage, cough, sore throat, possible fever.What is your differential? - ANSWER- COVID Bronchitis Sinusitis
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When do you treat someone with Paxlovid? - ANSWER- First 48 hours
What are the bacterial organisms for sinusitis? - ANSWER- S pneumonia H influenza M catarrhalis
If someone is already placed on antibiotics in the last six weeks and comes back for further bacterial treatment, what class of meds do you use? - ANSWER- Fluoroquinolones (-floxacin drugs)
Macular degeneration, is there a cure for it? - ANSWER- no
What is the treatment for macular degeneration? - ANSWER- supportive
If someone comes in post eye surgery, what would raise immediate concern? - ANSWER- Sudden decrease in visual acuity is a concern Send to ER
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