NR 566 WEEK 3 QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
Pros and cons of beta blocker use in glaucoma - ANSWER -pros: first line to lower IOP
-cons: can be absorbed systemically and cause bradycardia, heart block, bronchospasm
How do you treat glaucoma in someone with asthma or COPD - ANSWER BETAXOLOL
How do you treat of otitis media? - ANSWER -pain medication
-high dose amoxicillin
-for low pcn allergy: cefuroxime, cefdinir, cefpodoxime
-for high pcn allergy: azithromycin, clarithromycin,
What is the most common pathogen in otitis media? - ANSWER haemophilus influenzae
How do you treat resistant otitis media? - ANSWER -oral therapy with amoxicillin/clavulanate
(augmentin)
-s/e of clavulanate is diarrhea
What are the most common pathogens in otitis externa? - ANSWER pseudomonas aeruginosa and s.
aureus
How do you treat of otitis externa? - ANSWER -pain relievers
- topical acetic acid plus alcohol ear drops
-ciprofloxacin ear drops
-oral ciprofloxacin
-cephalexin (keflex) in kids due to risk of tendon rupture in less than age 18 with oral quinolones
-pt with diabetes or immune deficiency should receive systemic therapy or combination of systemic and
local
Bacterial vs. fungal otitis externa - ANSWER fungal is caused by aspergillis and candida
-manifests as intense pruitis and erythema, with our without pain or hearing loss
- tx with acidifying drops ( 2% acetic acid solution)
-clomitrazole (lotrimin) drops
-oral itraconazole and fluconazole
Treatment of mild acne - ANSWER -topical antibiotics and topical retinoids
-benzoyl peroxide
-salicylic acid
Treatment of moderate acne - ANSWER -oral abx (doxycycline, minocycline)
-comedolytics (retinoids and azelaid acid)
-birth control
-spironolactone
Treatment of severe acne - ANSWER -isotrentin (derivative of vitamin A)
-TERATOGENIC
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