Colds pt 1

Question 1

What are the first 3 symptoms that occur in cold for day or 2

Answer 1

Sore throat, rhinorrhea( runny nose), sneezing

Question 2

What symptoms of cold develop around day 3

Answer 2

Nasal congestion (usually one nostril), sinus headache, plugged ears (moreso in kids)

Question 3

How long does it take for cough to appear in cold

Answer 3

Around 6 days and can linger

Question 4

What are the 3 chest colds in increasing severity

Answer 4

Bronchitis, bronchiolitis, pneumonia
-bronchiolitis more concerning in kids

Question 5

What is congested/productive cough and is it useful

Answer 5

Chest congestion and expectoration of phlegm. Is useful

Question 6

What is congested/non-productive cough and is it useful

Answer 6

Associated with chest congestion but only some phlegm. Becomes productive, has one medication to help

Question 7

What is dry/non-productive cough and is it useful

Answer 7

Cough not from chest congestion and no phlegm. Is not useful

Question 8

How do colds in children differ

Answer 8

Infants: Increased frequency, but need to be bit more cautious
early fever of about 39, Gi upset causing diarrhea

Children: less fever than babies and more like adult

Question 9

What are ways to spread cold

Answer 9

Direct contact, inhaled droplets, eye/nose contact with hands. Possibility of kissing

Question 10

Does cold and wet weather cause colds?

Answer 10

No, causes a vasomotor response due to going in/out and having drastic temperature change causing nose to run

Question 11

What is a concern with hand washing and children

Answer 11

Over doing it and wash hands too frequently, making hands raw

Question 12

How does influenza differ from CC

Answer 12

Hits hard, fast onset and bad for couple days, systemic symptoms of body aches, cough more severe and dry, spiking fever, fatigue, last hours to weeks

Question 13

How does CC differ from influenza

Answer 13

Builds over 48 hours, runny nose and eyes, stuffy and congested, sneezing and coughing, 3-10 days

Question 14

How many deaths from flu are elderly

Answer 14

90% as requiring fever and cough as system misses many elderly patient. These are not always exhibited

Question 15

What flu symptom in elderly is similar to fever

Answer 15

Malaise

Question 16

What is the main difference in flu treatment from CC

Answer 16

Addition of acetaminophen

Question 17

When does influenza prescribing occur

Answer 17

When it is a declared epidemic or pandemic

Question 18

What are the common viruses that cause common cold

Answer 18

Rhinovirus and coronavirus

Question 19

What is the major difference between covid and flu

Answer 19

With covid, the effects can linger for a time

Question 20

What are the symptoms of asthma

Answer 20

Persistent cough, frequent chest colds, worse at night, induced by cold but no CC symptoms, wheezing shortness of breath
Inflammation of lower airways
May think bronchitis, but no production
Recommend to MD, not usually caught in pharmacy

Question 21

What are the symptoms of GERD (Gastroesophageal reflux disease)

Answer 21

Irritated throat or heartburn, unproductive cough
Acid in throat can develop into chronic cough

Question 22

What are the symptoms of post-nasal drip

Answer 22

Sore throat (clearing), unproductive cough, sinus involvement
Drains and irritates via allergies

Question 23

What are the symptoms of allergic rhinitis

Answer 23

Frequency in the summer season, either seasonal or chronic and lasts longer than a cold, rhinitis, sneezing, itching, ocular symptoms, cough rare or else from PND

Question 24

What are the symptoms of smokers cough

Answer 24

worse in morning and minimal sputum, almost hot cough, develops into COPD after about 30 years
Usually older patient who mentions the smoke

Question 25

What are the symptoms of Chronic bronchitis (COPD)

Answer 25

In addition to smokers cough symptoms, now have lots of sputum production, colour of sputum mentioned

Question 26

What are the symptoms of acute bronchitis

Answer 26

Lower infection (chest cold), increased cough in comparison to CC and earlier, non-productive to productive, lasts up to 3 weeks, sputum is greenish

Question 27

What effect do ACE inhibitors have on cough

Answer 27

bp medication antitussive leading to chronic cough, 10-30%. Is dry and raspy cough from bronchoconstriction, takes about 1 year to develop, will go away if change medication or stop

Question 28

What are the symptoms of strep throat

Answer 28

percent of actual strep are 37% kids 5-15, 15% in adults.
Have increase fever and pain, not likely cough, exudate at back of throat (but need to test), swollen glands, rash
Bacterial infection
Quick onset

Question 29

What are the best questions to ask about strep

Answer 29

Do you have a cough: strep does not
Do you have a fever: does have

Question 30

What are downstream complications of strep throat

Answer 30

Rheumatic fever: common in children 5-15, can cause heart murmur
Leads to Rhematic hear disease: damaged valve in heart