Adult gerontology primary care test 1 Questions with Verified Answers,100% CORRECT

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Adult gerontology primary care test 1 Questions with Verified Answers Common cold pathogens - CORRECT ANSWER rhinoviruses coronaviruses adenoviruses myxoviruses echoviruses coxasicle viruses... Pharyngitis pathogens - CORRECT ANSWER adenoviruese herpes simples coxasicle viruses S. Pyrogenes C. dipthereia Otitus meida pathogens - CORRECT ANSWER S. Pnumoneia H. Influenzea M. Cattarrhalis Otits Externa - CORRECT ANSWER Psuedeamonas Viral rhinitis (common cold) - CORRECT ANSWER rhinovirus- the most common S/S: nasal congestion, sore throat, cough, low grade fever, chills, myalgia, headache - All or none of these SX\* do not rely on fever to dx bacterial vs. viral* Low grade fever is *less than 101* Physical exam: red nostrils, red skin around nose *tx* liquids, rest, decongestants, expectorants, antitussives, antipyretics Alternative treatments: zinc, vit C, echinesea *remeber who cannot take echinecea: immunocompromised, HIV + MS, autoimmune. Allergic rhinitis - CORRECT ANSWER *IgE mediated- presents seasonally, *perenially* or both common allergens: seasonal, ragwee, pollen, grass pollesn Perinnial allergens: chrnoic and related to animal danders, molds, dust mites, *important to think of timeing* *subjective dats* this is KEY, complains of sneezing, puritis of eyes and nose, post nasal drip, cough *Look for family hx* Allergic rhinits xphysical assessment - CORRECT ANSWER nasal: clear watery discharge, turbinates are pale,blue, and boggy eyes: conjunctiva red, tearing up, edema of ht upper lids mouth: dryness from mouth breathing allergic shinner: salute, and dennies lines Allergy DX testing - CORRECT ANSWER serum IgE testing: elevates sanal smear skin testing> would not do this in office if not expereinced> can lead to anaphalaxtic reaction Allergic rhinitis TX - CORRECT ANSWER *allergen avoidance* antihistamines, decongestants, *topical asal steriods are most effective* Pt education: proper use of nasal spray, teach them about affrin *rebound effect* and that "nondrowsy *can still make you drowsy* Vasomotor Rhinitis - CORRECT ANSWER -Non allergic/ non inflammatory *IgE is NORMAL, ABRUBT ONSET* etilolgy is autonomic response> vascular dilation of submuccosal vessels in nose -Related to cold, eating hot/ spicy foods, anger drug therapies, and dont forget *cocaine use* Acute bacterial sinusitis - CORRECT ANSWER inflammation/infection of the paranasal sinuses or membrane lined air spaces around the nose commonly follows a URI, there are also chronic ones, longerr than3 months. Bacterial sinusitis - CORRECT ANSWER *subjective data* any of the Three >10 days of symp onset severe sx or high fever, purulent drainage, facial pain x 3-4 days worsening sx with new onest of fever headache, purulent drainage pain, fever, congestion, ear pain, dental pain, jalitosis. Sinus infection - CORRECT ANSWER dx testin not usually needed Treatment: Non-pharm: start here> no smoking, increase fluids, stem inhalation, allergen avoidance, avoid swimming pharm tx: *amoxacillin* if allergic use doxycyclilne *no cephlasporins or macrolides!* sinus infection complications - CORRECT ANSWER periorbital edema, cellulitis, osteomylitis, cavernous sinus thrmobosis, brain abcess, Emergency!! [Show More]

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