Upper respiratory disease

Question 1

Treatment for Sinusitis

Answer 1

Augmentin
Doxycycline

Alternative: fluoroquinolones

Question 2

What are the two most common forms of upper respiratory disorder

Answer 2

staphylococcus aureus

strep pneumonia

Question 3

Treatment for pharyngitis

Answer 3

Amoxicillin x 10 days
Penicillin x 10 days

Question 4

Phases of Pertussis

Answer 4

Catarrhal
Paroxysmal
Recovery

Question 5

Daytime symptoms for Asthma

Answer 5

Mild intermittent: < or = 2 days/wk

Persistent mild: > 2 days/week but not daily

Persistent moderate: Daily

Persistent severe: Continual

Question 6

Night time symptoms for Asthma

Answer 6

Mild intermittent: < or = 2 nights/month

Persistent mild: > 2 nights/month

Persistent moderate: > 1 night /week but not nightly

Persistent severe: Frequent

Question 7

PEF or FEV

Answer 7

Mild intermittent: > 80%

Persistent mild: > 80%

Persistent moderate: > 60 and < 80%

Persistent severe: < or = 60%

Question 8

Interference with normal activitity

Answer 8

Mild intermittent: None

Persistent mild: Minor

Persistent moderate: Some

Persistent severe: Extremely limited

Question 9

Use of short-acting medication

Answer 9

Mild intermittent: < or = 2 days/week

Persistent mild: > 2 days/week but not daily and not more than 1 time/day

Persistent moderate: Daily

Persistent severe: several times/day

Question 10

Asthma exacerbation Frequency

Answer 10

Mild intermittent: 0-1/year

Persistent mild: > or = 2/year

Persistent moderate: > or = 2/year

Persistent severe: > or = 2/year

Question 11

Step 1 for Asthma control

Answer 11

Intermittent:

SABA

Question 12

Step 2 For Asthma persistent mild and above

Answer 12

Daily low dose ICS and
PRN SABA

Question 13

Step 3 for Asthma persistent mild and above

Answer 13

Daily and PRN combination low-dose ICS
Formoterol

Question 14

Step 4 for Asthma persistent mild and above

Answer 14

Daily and PRN combination medium dose ICS- Formoterol

Question 15

Step 5 for Asthma persistent mild and above

Answer 15

Daily medium-high lose ICS - LABA + LAMA and PRN SABA

Question 16

Step 6 for Asthma persistent mild and above

Answer 16

Daily high dose ICS- LABA + oral systemic corticosteroids + PRN SABA

Question 17

Tuberculosis skin test induration > or = 5 mm is considered positive in

Answer 17

HIV infected persons

A recent contact of a person with infectious TB disease

Persons with fibrotic changes on chest x-ray

Persons with organ transplants

Persons who are immunosuppressed for other reasons

Question 18

Tuberculosis skin test induration > or = 10 mm is considered positive in

Answer 18

Persons recently in the United states (< 5 years) from high-prevalence countries (Asia, Africa, Eastern Europe, Latin America, Russia)

Injection drug users

Residents and employees of high risk congregate settings

Mycobacteriology laboratory personnel

Persons with clinical conditions that place them at high risk (diabetes, silicosis, severe kidney disease, certain types of cancer, and some intestinal conditions)

Children < 5 years of age

Infants, children and adolescents exposed to adults in high risk categories

Question 19

Tuberculosis skin test induration > or = 15 mm is considered positive in

Answer 19

Any person with no known risk factors to TB

Question 20

How long is the Pertussis phase Catarrhal last

Answer 20

1-2 weeks

Question 21

How long is the Pertussis phase paroxysmal last

Answer 21

1-6 weeks

Question 22

How long is the recovery phase Catarrhal last