Mer Scott
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PHCY310 Quiz sobre L20 Upper respiratory tract infections, criado por Mer Scott em 13-04-2019.

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L20 Upper respiratory tract infections

Questão 1 de 13

1

Choose the incorrect statement about pharyngitis.

Selecione uma das seguintes:

  • Presents with acute, painful inflammation of the throat

  • Caused by a rhinovirus, coronavirus, adenovirus, influenza virus, parainfluenza virus, or Epstein-Barr virus

  • Common in late summer or early autumn

  • Spreads easily through direct contact of secretions

  • Clusters of infection common within families, classrooms and other crowded areas

Explicação

Questão 2 de 13

1

Match the cause of a sore throat to it's likeliness to present in community pharmacy:
- Most likely (70-90%)
- Likely
- Unlikely
- Very Unlikely

Selecione a opção abaixo para completar o texto destacado

    Viral infection
    Streptococcal infection
    Glandular fever, trauma
    Carcinoma, medicines

Explicação

Questão 3 de 13

1

Select all the features of a sore throat which indicate it is bacterial, not viral.

Selecione uma ou mais das seguintes:

  • Common in schoolchildren.

  • Exudate.

  • 3-7 day duration.

  • Cough present.

  • High grade fever.

  • Rash.

  • Headache.

Explicação

Questão 4 de 13

1

Red flags for referral of sore throat:
- Duration of more than weeks
- Marked tonsillar accompanied by high and glands
- Adverse drug reaction risk
- Dysphagia ( difficulty) and/or dysphonia ( voice)
- Higher risk groups (Māori or Pacific peoples, especially 3-35 years old).

Selecione a opção abaixo para completar o texto destacado

    2
    exudate
    temperature
    swollen
    swallowing
    hoarse
    demographic

Explicação

Questão 5 de 13

1

Antibiotics are overprescribed for sore throats of which 70% are viral in origin. Reasons to prescribe antibiotics for sore throats include reducing the risk of like ARF, if the patient appears very , if the patient to be prescribed antibiotics, etc.

Antibiotics are recommended if there is a high of rheumatic fever, i.e. personal, family or household , OR 2+ of the following:
- ethnicity
- Aged years
- Living in circumstances or in socioeconomic areas

Selecione a opção abaixo para completar o texto destacado

    complications
    unwell
    expects
    risk
    history
    Māori or Pacific
    3-35
    crowded
    lower

Explicação

Questão 6 de 13

1

People at high risk of rheumatic fever should have a throat swab taken at the same time that empiric antibiotic treatment is initiated, and those who test negative for Group A streptococcus (GAS) can discontinue antibiotic use.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 7 de 13

1

Which of these antibiotics is NOT likely to be prescribed for GAS?

Selecione uma das seguintes:

  • Phenoxymethylpenicillin (Penicillin V)

  • Roxithromycin

  • Erythromycin

  • Amoxycillin

  • Doxycycline

Explicação

Questão 8 de 13

1

Corticosteroids are proven to be effective for sore throats an are not recommended.
Paracetamol and ibuprofen are for pain reduction. Evidence suggests they should be taken in the day rather than ‘as needs’ basis. A combination is not than one or the other.

Selecione a opção abaixo para completar o texto destacado

    not
    effective
    regularly
    more effective

Explicação

Questão 9 de 13

1

Local anaesthetics like are fine for adults and children over years. They all have a duration of action and frequent dosing is required. Minimal side effects, pregnancy & breastfeeding compatible, okay for diabetics (minimal sugar).

Selecione a opção abaixo para completar o texto destacado

    lignocaine and benzocaine
    6
    short

Explicação

Questão 10 de 13

1

Local anti-inflammatories:
1. Benzydamine
- For adults and children (yrs+)
- Pregnancy – limit use after weeks, breast feeding okay

2. Flurbiprofen
- For adults and children (yrs+)
- Avoid/caution: peptic , asthma, impairment, failure
- Avoid in (esp. third trimester)

Selecione a opção abaixo para completar o texto destacado

    6
    12
    30
    ulcer
    renal
    heart
    pregnancy

Explicação

Questão 11 de 13

1

Laryngitis is mostly acute, a common and generally self-limiting inflammation of the larynx. Can be infective (viral, bacterial or fungal) or inflammatory (trauma e.g. coughing). Symptoms include hoarseness, pain or discomfort in , cough, throat clearing, feeling of in throat (globus pharyngeus).
Most common cause is viral. The pain is to mucosa appearance. Bacterial causes . 10% of causes are and this is under diagnosed, causes speckling of glottis or supraglottis but can show erythema and oedema without these plaques. It can also be caused by .

Selecione a opção abaixo para completar o texto destacado

    neck
    lump
    disproportionate
    purulence
    fungal
    white
    reflux

Explicação

Questão 12 de 13

1

Laryngitis treatment: Voice (until its comfortable to hum), hydration (250ml per waking hour, chewing ), humidification, limiting intake (dehydration and encourages reflux), alcohol and smoking intake .
If acute airways – urgent referral. Otherwise, most cases are self-limiting and typically resolve within .

Selecione a opção abaixo para completar o texto destacado

    rest
    gum
    caffeine
    reduced
    compromised
    2 weeks

Explicação

Questão 13 de 13

1

Tonsillitis:
Symptoms - Sore throat (+/- other cold symptoms), difficult or painful , swollen and tender , bad breath, fever and chills, tiredness and headache, enlarged and tonsils with spots of white/yellow pus, mouth breathing, noisy breathing, and/or snoring.
Duration: Usually resolves after but may last 2 weeks even with treatment
Causes: Majority of cases (cold virus most common), 15-30% (strep).
Treatment: Rest, fluids, regular meals (soft food, smoothies). Throat . Paracetamol and . Possibly antibiotics after culture.

Selecione a opção abaixo para completar o texto destacado

    swallowing
    glands
    reddened
    3-4 days
    viral
    bacterial
    lozenges
    ibuprofen

Explicação