What is the most common bacterial cause of Strep Pharyngitis in pediatric patients? correct answers GABHS
What age group does Strep Pharyngitis commonly affect? correct answers 5-11 years old
What percentage of infections in children with sore throat and fever are caused by Strep Pharyngitis?...
NUR5200 Exam 2 || All Answers Are Correct 100%.
What is the most common bacterial cause of Strep Pharyngitis in pediatric patients? correct
answers GABHS
What age group does Strep Pharyngitis commonly affect? correct answers 5-11 years old
What percentage of infections in children with sore throat and fever are caused by Strep
Pharyngitis? correct answers ~15-30%
How is Strep Pharyngitis diagnosed? correct answers With a rapid strep test or RADT, not based
on symptomatology alone
What is the term for the rash that may occur with GABHS, also known as Scarlet fever? correct
answers Scarlatina rash
How does the Scarlatina rash feel when palpated? correct answers Feels like sandpaper
Where are the concentrations of the Scarlatina rash typically found? correct answers Groin and
axilla
What are the linear hyperpigmented areas with tiny petechiae in the joint folds called? correct
answers Pastia's lines
What are the clinical findings of Strep Pharyngitis? correct answers Abrupt onset without nasal
symptoms, prominent sore throat, late winter to early spring
What are the physical examination findings of Strep Pharyngitis? correct answers Petechiae on
soft palate and pharynx, tender and enlarged anterior cervical lymph nodes, scarlatiniform rash,
strawberry tongue, circumoral pallor with scarlet fever
What diagnostic studies are recommended for Strep Pharyngitis? correct answers Rapid strep
screen, CBC and heterophile antibody if mono is suspected
What is the treatment of choice for Strep Pharyngitis? correct answers Antibiotics with
supportive care
When can children with Strep Pharyngitis return to school/daycare? correct answers After 24
hours of antibiotics
What should children with Strep Pharyngitis do with their toothbrush? correct answers Discard
old toothbrush and get a new one prior to finishing antibiotics
What is the drug of choice for Strep Pharyngitis? correct answers Penicillin (PCN)
, What is the alternative antibiotic for Strep Pharyngitis in patients with PCN allergy? correct
answers Cephalexin (Keflex)
Is zithromax recommended for Strep Pharyngitis? correct answers No, macrolide resistance is
common
What are the possible complications of Strep Pharyngitis? correct answers Rheumatic fever,
post-strep arthritis, acute glomerulonephritis
What is a more common complication in children under 6 years old? correct answers
Retropharyngeal abscesses
What is rhinosinusitis? correct answers Inflammation or edema of mucous membranes in the
sinuses.
Which sinuses are typically affected in rhinosinusitis? correct answers Maxillary and anterior
ethmoid sinuses.
What is the duration criteria for acute and chronic rhinosinusitis? correct answers Acute: 4
weeks, Chronic: 12 weeks.
What are the presentations of rhinosinusitis? correct answers Severe respiratory symptoms, upper
respiratory symptoms persisting for more than 10 days, 'double sickening' with initial
improvement followed by worsening symptoms.
What are the causes of acute rhinosinusitis? correct answers Bacterial invasion.
What are the causes of chronic rhinosinusitis? correct answers Multifactorial - other infections,
environmental irritants, allergies, anatomic problems, nasal polyps, trauma, a foreign body,
GERD, CF, primary ciliary dyskinesia, or immunodeficiencies.
What is the role of adenoids in bacterial infections? correct answers They are seen as a reservoir
for bacterial infections.
What are the major criteria for diagnosing bacterial sinusitis? correct answers Facial pain or
pressure, facial congestion or fullness, nasal congestion or obstruction, hyposmia or anosmia,
fever, purulence or intranasal exam.
What are the minor criteria for diagnosing bacterial sinusitis? correct answers Headache, fever,
halitosis, fatigue, dental pain, cough, ear pain/pressure/fullness.
What is the management approach for rhinosinusitis? correct answers Avoid overdiagnosis or
referral for chronic/recurrent cases, use analgesics, consider antibiotics for URI lasting longer
than 10 days with purulent discharge, cough or worsening fever, high fever.
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