REGIS 664 EXAM 1 ACTUAL QUESTIONS AND

REGIS 664 EXAM 1 ACTUAL / QUESTIONS AND

VERIFIED ANSWERS ( A+ GRADED)

What radiographic finding is diagnostic for croup? - --- Answers---Steeple sign (Subglottic airway narrowing at the cricoid cartilage)

A school-age child who has an abrupt onset of sore throat, nausea, headache, and a temperature of 102.3 F. An examination reveals petechiae on the soft palate, beefy-red tonsils with yellow exudate, and scarlatiniform rash. A rapid antigen detection test (RADT) is negative, what is the next step in the management for this child? - ---Answers---Perform a follow-up throat culture

Fluorescein staining could be used to detect this. - --- Answers---Corneal abrasion

Insidious onset: headache, sore throat, malaise Usually in

persons <35 years old Nonproductive, dry cough Usually milder, but may take up to 6 weeks to resolve 10-20% develop maculopapular rash Normal CBC, unimpressive exam, negative sputum - ---Answers---MYCOPLASMA PNUEMONIA

Begins with severe sore throat Similar in presentation to mycoplasma Cough, fever, usually milder Occurs in those in close living facilities - ---Answers---CHLAMYDOPHILA PNA

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Water/contaminated aerosols/plumbing Mild self limited to

severe with respiratory failure Risk factors: COPD, smoking,

DM, immunocompromised - ---Answers---LEOGINELLA PNA ***

Outbreaks seen in communities/facilities Starts with URI but progresses to paroxysms of coughing (nonproductive "whoop"), convalescent phase can last 1-3 months - --- Answers---Nasal swab or serology if patient presenting later in course BORDATELLA PERTUSIS

*NEW GUIDELINES FOR THE U.S. DUE INCREASED TO S.

PNEUMONIAE >25% CAP (WITHOUT) COMORBIDITY OR RECENT ABX USE(within 3 mos)* - ---Answers---Doxycycline 100mg bid

TREATING CAP IN PREGNANCY - ---Answers---Consider

combination BETA LACTAM therapy with: ceftriaxone,

cefuroxime, or ampi-sulbactum + Azithromycin

Mild COPD PFT - ---Answers--->80%

Moderate COPD PFT - ---Answers---50-79%

Severe COPD PFT - ---Answers---30-49%

Very severe COPD PFT - ---Answers---<29% 2 / 3

Asthma severe persistent - ---Answers---Continuous symptoms, frequent nocturnal symptoms, <60% FEV

Moderate persistent asthma - ---Answers---Daily symptoms, >1 time a week nocturnal symptoms, 60-80% FEV

Mild persistent asthma - ---Answers--->1 time a week but not daily symptoms, >2 times a month nocturnal symptoms, >80% FEV

Intermittent asthma - ---Answers---<1 time a week symptoms, <2 times a month nocturnal symptoms, >80% FEV

Step 1 asthma treatment - ---Answers---SABA prn

Step 2 asthma treatment - ---Answers---SABA prn + Low dose inhaled corticosteroid

Step 3 asthma treatment - ---Answers---Combination low dose inhaled corticosteroid and LABA + SABA prn

Step 4 asthma treatment - ---Answers---Combination high dose inhaled corticosteroid and LAConfirming the diagnosis that newborn chlamydia conjunctivitis would be best done by obtaining this. - ---Answers---Culture of conjunctival scrapings

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