Chapter 49 (3)

Question 1

Caleb is an adult with an upper respiratory infection (URI). Treatment would include:

Answer 1

Topical oxymetazoline

Question 2

Rose is a 3-year-old patient with a URI. Treatment would include:

Answer 2

nasal saline spray

Question 3

Patients who should be cautious about using decongestants for a URI include:

Answer 3

patients with cardiac disease

Question 4

Jaheem is a 10-year-old low-risk patient with sinusitis. Treatment is:

Answer 4

Levofloxacin

Question 5

Jacob has been diagnosed with sinusitis. He is the parent of a child in daycare. Treatment for him includes:

Answer 5

Amoxicillin-clavulanate 500 mg bid for 7 days

Question 6

The length of treatment for sinusitis in a low-risk patient should be:

Answer 6

5-7 days

Question 7

Patient education for a patient who is prescribed antibiotics for sinusitis includes:

Answer 7

use of nasal saline washes

Question 8

Myles is a 2-year-old patient who has been diagnosed with acute otitis media. He is afebrile and has not been treated with antibiotics recently. First-line treatment for his otitis media would include:

Answer 8

Amoxicillin

Question 9

Alyssa is a 15-month-old patient who has been on amoxicillin for 2 days for acute otitis media. She is still febrile and there is no change in her tympanic membrane examination. What would be the plan of care for her?

Answer 9

change the antibiotic to amoxicillin-clavulanate

Question 10

A child that may warrant “watchful waiting” instead of prescribing an antibiotic for acute otitis media includes patients who:

Answer 10

all of the above

Question 11

Whether prescribing an antibiotic for a child with acute otitis media or not, the parents should be educated about:

Answer 11

providing adequate pain relief for at least the first 24 hours`

Question 12

First-line therapy for a patient with acute otitis externa (swimmer’s ear) and an intact tympanic membrane include:

Answer 12

Ciprofloxacin and hydrocortisone drops