#11 Flashcards

1
Q

Which one of the following is recommended as initial therapy for allergic rhinitis symptoms affecting quality of life?

A. Second-generation oral antihistamines.

B. Intranasal corticosteroids.

C. Intranasal antihistamines.

D. Immunotherapy.

A

B. Intranasal corticosteroids.

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2
Q

Which one of the following statements about intranasal corticosteroids for allergic rhinitis is correct?

A. They work by inhibiting histamine release in tissues.

B. They are generally considered less effective than oral antihistamines.

C. None are available over the counter.

D. They may take hours to days to be fully effective.

A

D. They may take hours to days to be fully effective.

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3
Q

Which one of the following statements about immunotherapy for allergic rhinitis is correct?

A. Treatment effects can last for more than 10 years after discontinuation.

B. Sublingual options are available for many allergens.

C. The cost of one year’s treatment is similar to that of oral antihistamine therapy.

D. Sublingual immunotherapy has a higher risk of anaphylaxis than subcutaneous immunotherapy.

A

A. Treatment effects can last for more than 10 years after discontinuation.

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4
Q

A newborn presents with a respiratory rate of more than 60 respirations per minute with nasal flaring, grunting, intercostal retractions, and cyanosis. Which one of the following statements is correct?

A. C-reactive protein levels of less than 10 mg per L (95.24 nmol per L) at 24 and 48 hours rule out sepsis.

B. 100% oxygen is preferred over blended oxygen.

C. Noninvasive ventilation should be used only in children transferred to tertiary care centers.

D. Oral feedings should be increased to meet the infant’s energy requirements.

A

A. C-reactive protein levels of less than 10 mg per L (95.24 nmol per L) at 24 and 48 hours rule out sepsis.

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5
Q

A newborn presents with mild tachypnea soon after a cesarean delivery. Breath sounds are clear. Chest radiography reveals hyperexpansion and perihilar densities with fissure fluid. Which one of the following is an appropriate treatment?

A. Furosemide (Lasix).

B. Chest tube placement.

C. Fluid restriction.

D. Antibiotics.

A

C. Fluid restriction.

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6
Q

Which one of the following types of leukocytosis is correctly paired with a typical etiology?

A. Monocytosis; parasitic infections.

B. Eosinophilia; leukemias.

C. Neutrophilia; chronic inflammation.

D. Lymphocytosis; autoimmune disease.

A

C. Neutrophilia; chronic inflammation.

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7
Q

Which one of the following initial laboratory evaluations should be performed in all patients with leukocytosis?

A. Repeat complete blood count with peripheral smear.

B. Blood cultures.

C. Body fluid aspirate.

D. Mononucleosis spot test.

A

A. Repeat complete blood count with peripheral smear.

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8
Q

Which of the following statements about the use of chewing gum to help decrease the risk of postoperative ileus are correct?
(check all that apply)

A. It reduces the time to first flatus in patients who have had colorectal surgery.

B. It reduces the time to first flatus in patients who have had cesarean delivery.

C. It reduces the time to first bowel movement in patients who have had cesarean delivery.

D. It reduces the length of hospitalization among all patients who have had colorectal surgery or cesarean delivery.

A

All Answers Are Correct

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