ENT Pharma

Question 1

What are the common bacteria that cause rhinosinusitis

Answer 1

–Streptococcus pneumoniae
–Haemophilus influenzae
–Moraxella catarrhalis
–Staphylococcus aureus
–Streptococcus pyogenes

Question 2

What are the three consistent symptoms of bacteria rhinosinusitis?

Answer 2

Persistent sx for >10 days without waxing and waning
Severe sx
-purulent nasal dc
-fever>37 C
-facial pain for >3 days
Sx that worsen after initially getting better

Question 3

With true penicillin allergy, what drug would you choose for sinusitis?

Answer 3

Doxycycline

Question 4

Guaifenesin is a supportive therapy that does what?

Answer 4

breaks up secretions

Question 5

Dextromethorphan does what?

Answer 5

suppresses cough

Question 6

When would abx be indicated for bronchitis?

Answer 6

pneumonia

Question 7

Strep throat without the following sx persistent fever, night sweats, tender lymph nodes, swollen tonsils, palatal petechiae NO cough

Answer 7

Bacterial pharyngitis

Question 8

What centor criteria for acute pharyngitis(strep)?

Answer 8

fever
tonsilar exudates
tender cervical lymphadenopathy
absence of cough

Question 9

What is the most common bug in acute pharyngitis

Answer 9

group a strep

Question 10

A strep test comes back negative but sx still indicates bacterial acute pharyngitis, what is the first line tx assuming no allergies?
2nd line w/allergies?
3rd linew/allergies?

Answer 10

no allergies pcn or amoxicillin
Mild allergies cephalexin
true allergies azithromycin or clindamycin

Question 11

What is the tx duration for the tx of acute bacterial pharyngitis?

Answer 11

10 days

Question 12

What is the superior tx frequency for acute bacterial pharyngitis abx therapy?

Answer 12

2-3x a day

Question 13

Acute otitis media with otorrhea would you watch and wait or tx with abx

Answer 13

tx with abx

Question 14

What is the primary pathogen to target in therapy for acute otitis media?

Answer 14

strep pneumo