Respiratory

Question 1

How do we know if treatment is successful in asthma patients?

Answer 1

based on how often they use their inhaler

Question 2

What medication inhaler do we never prescribe by itself?

Answer 2

LABA
Formoterol
Salmeterol

Question 3

What three things effect peak flow reading results?

Answer 3

Height
Age
Gender

Question 4

What do you “step up” for intermittent symptoms?

Answer 4

ICS-LABA

Question 5

What is the preferred ICS-LABA combo?

Answer 5

Budesonide-Formoterol

Question 6

How to diagnose COPD?

Answer 6

FEV1/FVC ratio <0.7

Question 7

What are the 2 things that make up COPD

Answer 7

Chronic bronchitis and emphysema

Question 8

For COPD, what is group A, B, C, D?

Answer 8

Group A: Bronchodilator (SABA or LABA)
Group B: long acting bronchodilator (LABA or LAMA)
Group C: LAMA
Group D: LAMA or combo (LAMA-ICS)

Question 9

What antibiotics do you order for pneumonia healthy outpatient adults?

Answer 9

Macrolide or
Amoxicillin or
Doxycycline

Question 10

What antibiotics do you order for someone that has comorbidities or had antibiotics in the last 90 days?

Answer 10

Fluoroquinolone (Levaquin) or
Augmentin AND macrolide

Question 11

What is the CURB-65 criteria for who gets admitted?

Answer 11

Confusion
BUN >19
Respiratory Rate
Blood Pressure
>65 years

Question 12

What lab value means HIV turns into AIDS?

Answer 12

CD4 <200

Question 13

What prophylactic antibiotic do we prescribe for peumonia prophylaxis in patients with CD4 <200

Answer 13

Bactrim

Question 14

What is the confirmatory test for TB?

Answer 14

sputum cultures

Question 15

What clinical findings to determine if someone has strep or mono?

Answer 15

Mono = splenomegaly

Strep = palantine petechiae

Question 16

What antibiotic for strep?

Answer 16

amoxicillin

Question 17

Your patient has a sandpaper rash and a terrible looking throat…they never got antibiotics…what is the rash and diagnosis?

Answer 17

Scarlatina rash
Untreated strep throat

Question 18

What are complications of untreated strep throat?

Answer 18

rheumatic fever
glomerulonephritis

Question 19

What antibiotic to treat a patient that has strep throat and mono at the same time?

Answer 19

macrolide or
cephalosporin

Question 20

Why can’t we treat a patient with strep and mono at the same time with penicillin?

Answer 20

morbilliform rash

Question 21

Giving a patient with pertussis an antibiotic does not decrease the length of their symptoms but it will reduce how contagious they are….what antibiotic do you prescribe?

Answer 21

Azithromycin

Question 22

Your patient had an acute URI…7 to 10 days later they have a recurrence of symptoms and pain when bending over, a unilateral toothache…
Dx
Tx
Why do we need to treat?

Answer 22

Sinus infection

Tx: Augmentin

Trying to prevent periorbital cellulitis

Question 23

What is someone with chronic nasal infections going to be at higher risk for?

Answer 23

nasal polyps

Question 24

What’s the management plan for someone with allergic rhinitis?

Answer 24

Avoid triggers
1st: intra-nasal corticosteroids
2nd: antihistamine Benadryle