HEENT 3 questions will be on the test

Question 1

What are most common bacteria that causes AOM?

Answer 1

Strep pneumonia
H. influenza
Moraxella catarrhalis

Question 2

What is the most common cause of acute sinusitis viral or bacteria?

Answer 2

Viral is the most common cause are viruses are rhinovirus, parainfluenza virus, influenza. virus

Question 3

What are some risk factors for sinusitis?

Answer 3

Atopic illness (asthma)
allergic rhinitis
GERD
IMMUNODEFICIENCY
nasal polyps

Question 4

Children with GABHS present with abd pain, vomiting, rash.
What kid of rash is this and can you describe
Also think how it is spread and how it typically begin?

Answer 4

Scarlatiniform rash. begins 2-3 days before person feels ill or up to 7 days after
The rash typically begins on the neck, groin, and under arms then spreads to the rest of the body

Question 5

If someone with GABHS has allergy to penicillin you cannot rx amoxicillin what meds will you prescribe?

Answer 5

Depending to the hypersensitivity reaction you can rx cephalexin (Keflex) or azithromycin (Zithromax), clarithromycin (Biaxin), clindamycin ( clinda has big risk for C dif

Question 6

What will be your education for someone with scarlet fever with strep A/ key for short answer question

Answer 6

take abx as prescribed. complete them take priobiotics
stay home until fever free and on abx 24 hr—KEY!
don’tshare drinks and utensils with your siblings
change out toothbrush at the end of the treatment
use saltwater garles, lozenges, sprays with topical anesthetics
take motrin tylenol
prevention is KEY! so handwashing, cover mouth/nose when coughing/sneezing, avoid touching eyes/nose/mouth

Question 7

What are some abnormal labs you see in Mononucleosis ( kissing disease EBV virus)

Answer 7

more white blood cells (lymphocytes) than normal
unusual looking white blood cells (atypical lymphocytes)
fewer than normal neutrophils or platelets
abnormal liver function

Question 8

What will you avoid in Mono to prevent complications/

Answer 8

Avoid aspirin (Reye’s syndrome)
Avoid augmentin, amoxicillin—- itchy maculopapular rash
Refrain from any strenuous activity—- heavy lifting untill sxs subside

Question 9

What is the complication of mumps?

Answer 9

Mumps-orchitis occur 1-2 weeks post infection
orchitis
epididymitis

Question 10

What other complications of mumps?

Answer 10

orchitis (swelling of the testicles) in males
oophoritis (swelling of the ovaries) and/or mastitis (swelling of the breasts) in females
encephalitis (swelling of the brain)
meningitis (swelling of the tissue covering the brain and spinal cord)
loss of hearing (temporary or permanent)