FNP2 Quiz 2 - Nose

  1. With infectious rhinitis, secretions are ________.
    mucopurulent
  2. Nasal smear for infectious rhinitis would show?
    • neutrophils
    • bacteria
    • debris
  3. Color of turbinates for infectious rhinitis? Allergic rhinitis?
    • infectious = red
    • allergic = bluish/pale
  4. Boggy, edematous mucous membranes; dark circles under eyes; mouth breathing; fever is rare; pale mucous membranes.
    allergic rhinitis
  5. With vasomotor rhinitis, ther is minimal __________ and nasal obstruction is aggravated by changes in ________ or exposure to irritants such as tobacco smoke.
    • itching, sneezing, rinorrhea
    • temperature/humidity
  6. Persistent illness or nasal discharge of any quality, or daytime cough, or both lasting more than 10 days w/o improvement.
    Acute bacterial sinusitis
  7. A worsening course of URI or new onset of nasal discharge, daytime cough, or fever after initial improvement.
    Acute bacterial sinusitis
  8. Severe onset of URI w/ fever > 102.2 and purulent nasal discharge for at least 3 days.
    Acute bacterial sinusitis
  9. Cough is worse when ___________ with acute bacterial sinusitis.
    lying down
  10. Beefy red turbinates is a sign of?
    acute bacterial sinusitis
  11. For sinusitis in kids younger than 2 yrs, uncomplicated & kid does not attend day care and no recent abx tx in last month, what is tx?
    Amox 45mg/kg/day BID x 14 days
  12. For a child younger than 2 yrs with sinusitis in a community with a high prevalence of nonsusceptible S. pneuma, how do you treat?
    Amox 80-90 mg/kg/day BID x 14 days
  13. For a child older than 2 yrs with sinusitis & moderate or severe s/s, attends child care, or who has recently been treated with abx within last month, what is tx?
    amox/clav 80-90 mg/kg/day BID x 14 days
  14. What tx can be used for sinusitis if child is vomiting or unable to tolerate po meds or unlikely to comply with po meds?
    single dose cetriaxone 50 mg/kg IM
  15. Complaint of obstruction on one side of nose after trauma can be a sign of?
    septal hematoma
  16. Tx of broken nose.
    • ice
    • acetaminophen
    • head elevation
  17. When can broken nose be reduced?
    • within 1-3 hours after injury or
    • 5-10 days pst trauma
    • (fibrous union occurs 2-3 weeks post injury)
  18. tx for septal hematoma
    broad spectrum abx
  19. Acute sinusitis usually follows what?
    acute viral URI
  20. Abrupt onset of nasal congestion, purulent nasal discharge, headache that becomes more intense with bending over, fever, fatigue.
    bacterial sinusitis
  21. First line choice abx for adults with acute sinusitis.
    Augmentin x 5-7 days
  22. Tx for sinusitis if PCN allergy.
    • doxycycline if > 8 yrs
    • respiratory quinilone if > 18 yrs
  23. What is not recommended as tx for sinusitis?
    decongestants or antihistamines
  24. In ________ sinusitis, nasal drip and cough are often present and symptoms are worse at night when in supine position.
    chronic
  25. Tx for chronic sinusitis.
    Beta lactase 2-4 wks (rx by ENT)
  26. Limit use of OTC nasal sprays to ________.
    three days
  27. Tx for chronic nasal congestion.
    depends on cause
  28. ________ may be an effective tx for allergic rhinitis but slow onset. Best to use this to pre-treat or take daily.
    Intranasal steroids
  29. __________ is an INeffective decongestant and poses a stroke risk in the elderly.
    • Phenylephrine (Sudafed PE) &
    • Pseudoephedrine (Sudafed)
  30. Some ________ can cause rebound congestion and should not be used longer than _________.
    • OTC nasal sprays
    • three days
  31. The presence of ______ excludes dx of vasomotor rhinitis.
    polyps
  32. Tx of vasomotor rhinitis.
    • oral decongestant q 6 hrs
    • intranasal steroids
    • *does NOT respond to antihistamines
  33. What is hyposmia?
    Smell distortion
  34. What is hypogeusia?
    diminished taste
  35. What is aliageusia?
    unpleasant taste
  36. What is dysgeusia?
    persistant taste
  37. Most common malignant tumor of nose.
    squamous cell carcinoma
  38. Most common benign tumor of nose.
    inverted papilloma (from wall b/w nose & maxillary sinuses)
  39. Tx for nasal trauma.
    • (refer to ER immediately)
    • Cool localized pressure
Author
MeganM
ID
320261
Card Set
FNP2 Quiz 2 - Nose
Description
FNP2
Updated