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NURP 423 > Exam 1 Practice Questions > Flashcards

Exam 1 Practice Questions Flashcards

1
Q

Most comm bacterial pathogen for community acquired pneumonia?

A

S. Pneumoniae

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2
Q

What do you not use to treat bronchitis?

A

ABX

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3
Q

What criteria is needed for a CXR?

A

RR > 20

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4
Q

What infection requires ABX?

A

Sinusitis

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5
Q

What do you use for COPD exacerbation?

A

Systemic corticoid burst

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6
Q

ICS education

A

Rinse mouth after use

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7
Q

How do you use a SABA for asthma exacerbation?

A

x2 q20 min, q3-4 hrs PRN

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8
Q

What do ALL pts with any level severity of COPD use?

A

Bronchodilators

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9
Q

Criteria for prescribing antibiotics for exacerbation?

A

Increased purulent sputum

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10
Q

When do you use LABA?

A

LABA + ICS is Step 4 or >

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11
Q

Found in both supply & demand

A

HR & BP

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12
Q

ACE role in angina

A

Increase blood supply

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13
Q

MOA Aspirin

A

Block prostaglandin synthesis

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14
Q

Who does not take aspirin?

A

Hepatic dysfunction

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15
Q

How many days will it take to see improvement in PNA on ABX?

A

48-72 hours

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16
Q

What is a side effect of benadryl?

A

Drowsiness which can cause falls

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17
Q

What does atrovent do?

A

Inhibits nasal secretions

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18
Q

What is mechanism of cough?

A

Bradykinins

19
Q

What are the side effects of psuedoephedrine and oxymetazoline hydrochloride?

A

Increased HR & BP, dizziness, palpitations, headache, GI, insomnia, tremor

20
Q

Contraindications of pseudoephedrine and oxymetazoline hydrochloride

A 
Hypersensitivity
Narrow angle glaucoma)
Sev. uncontrolled HTN
CAD
MAO inhibitor within 14days
<4yrs
21
Q

When do you treat sinusitis?

A

> 10 days

3 or more of the following:

  • Nasal Congestion
  • Nasal Discharge
  • Facial pain or HA
  • Anosmia (loss of smell)- Adults
  • Cough - peds
22
Q

What is the goal of tx for sinusitis

A

Drain sinuses

23
Q

Pedatric dose of intranasal cromolyn

A

2+ years, 1 spray in each nostril, 3-6x/day, then q8-12hr

24
Q

Goals of asthma tx

A

reduce impairment and reduce risk, pt/family should be satisfied w/tx

25
Q

Steroid contraindications

A

Bone density issues

26
Q

COPD Cardinal Signs

A

Increased dyspnea, increased sputum volume, increased sputum purulence

27
Q

Side effects of oral steroids

A

Edema, increased bp, exacerbation of chf, hyperglycemia, incresed appetite and weigth gain, CNS stimulation, peptic ulcer, leukocytosis

28
Q

bronchitis organism

A

h flu

29
Q

Tx of bronchitis

A

Amoxil, augmentin, macrolide for myco

30
Q

When do you use quinolones?

A

Last resort

31
Q

Why use nasal antihistamines at night?

A

Reduce side effects

32
Q

What is ICS first line for?

A

COPD, asthma, allergic rhinitis

33
Q

What med is on beers list?

A

1st gen antihistamine

34
Q

What is the MOA of delsym (dextromorphan)

A

diminish cough reflex by direct inhibition of of cough center in medula

35
Q

When can singulair be used in peds?

A

1+ year

36
Q

Tx for moderate persistent asthma in adults?

A

Low-dose ICS + laba

Med-dose ICS + laba

37
Q

LABA + ICS

A

Synergistic effects

38
Q

Xolair MOA

A

binding to IgM

39
Q

Signs of theophylline toxicity

A

seizures, arythmias, tachy

40
Q

Duration of nasal decongestant

A

3 days

41
Q

Afib + hf

A

digitalis level

42
Q

Nondihydropyridines SE

A

Constipation, fatigue, dizziness, headache, flushing, gingival hyperplasia

43
Q

Writing Rx

A

Medication, dose, frequency, dispense number, refill, directions

44
Q

CURB-65

A 
Confusion
Uremia
Respiratory Rate
Low BP
Over 65 years

NURP 423 (16 decks)

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