Respiratory

Question 1

Symptoms of common cold

Answer 1

• Runny/blocked nose
• Sneezing/Cough
• Headache
• slight temperature
• Sore throat

Question 2

Symptoms of Influenza

Answer 2

• common cold symptoms
• bed bound
• fever of 38
• fatigue

Question 3

treatment for sore throat

Answer 3

Demuclents - Strepsles

Question 4

Treatment for congestion

Answer 4

Steam inhalation

Sudafed

Question 5

Side effects of decongestants

Answer 5

• Rebound

- CNS stimulants

Question 6

Patient groups who can not have decongestants

Answer 6

Heart diseases
Diabetes
hyperthyroidism

Question 7

In ability to sleep treatment

Answer 7

Antihistamine - Night nurse

Question 8

Treatment for cold and flu in children

Answer 8

paracetamol
fluids
rest
vapour rubs/ saline drops

Question 9

Referral criteria for Cold and Flu

Answer 9

Adults; Lung conditions, Earache, coloured sputum, suspected influenza, chest pain and dyspnoea

Children; Asthma symptoms, ear tugging, persistant high temperature, cough at night

Question 10

Other causes of cough

Answer 10

URTI, atmosphere, smoking, Asthma/COPD/heart

Medications (ACEI)

Question 11

Name an Antitussive and how its used

Answer 11

Pholcodine; 6-12years; 5ml QDS (max 5 days)

Adults; 10ml Six times a day

Question 12

Name an expectorant

Answer 12

Guaifenesin

Administration; 12years+ 10ml QDS

Question 13

When do you refer for Allergic Rhinitis

Answer 13

1. Failed medication (OTC use > 5 days)
2. Facial pain
3. Earache
4. Cough
5. Conjunctivitis with sticky/coloured pus discharge
6. Wheezing

Question 14

Treatment for Hayfever with symptoms of Congestion

Answer 14

• Beclometasone and fluticasone (prophylactics)
• Continue use throughout hay fever season
• Can use for up to 3 months
• SE: dryness & irritation of nose, nose bleeds
• C/I: pregnancy & breastfeeding, nose/eye infections, glaucoma, < 18 years

Question 15

Treatment for children with hayfever

Answer 15

• Non-sedative  loratadine (2years+ >30kg), ONE daily

Question 16

Give general counselling points for hayfever

Answer 16

Avoid going out when pollen count is high; Keep windows and doors closed; Wear sunglasses; Shower and change clothes after being outside; Avoid picnics, camping, mowing lawn; Do not leave clothes on washing line; Caution contact lens wearers

Question 17

Name a mast cell stabiliser and its use

Answer 17

• Sodium Cromoglycate (Murine hayfever eye drops)
• Start 1 week before hay fever season and continue use

Adults and Children over 6 years:
One or two drops to be administered into each eye four times daily.

Question 18

Suggest a combination product that can be used for Hayfever

Answer 18

Benadryl Relief Plus 12years +(Acrivastine + Decongestant) 1 TDS

Question 19

State General Counselling points for Hayfever

Answer 19

Counselling (HAYFEVER): Avoid going out when pollen count is high; Keep windows and doors closed; Wear sunglasses; Shower and change clothes after being outside; Avoid picnics, camping, mowing lawn; Do not leave clothes on washing line; Caution contact lens wearers

Counselling (PERENNIAL): Use acaricide and fungicides; Non-allergenic pillows; Mattress and pillow covers; Wash bedding weekly at 60◦C; Damp dust; Vacuum often