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N. 640 ENT and Respiratory questions with correct answers $17.49   Add to cart

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N. 640 ENT and Respiratory questions with correct answers

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N. 640 ENT and Respiratory questions with correct answers

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  • October 28, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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N. 640 ENT and Respiratory questions with correct
answers
Acute vs Chronic Cough Correct Answer-Acute: Self-limited, <3 weeks


Chronic: Persistent, >3 weeks


Possible Hemoptysis Etiology Correct Answer-Bronchitis
Malignancy
TB
Pneumonia
Abscess
PE
Vascular lesions


Diagnostics for dyspnea Correct Answer-H&P


CXR
Spirometry
ECG as needed
Pulmonary function tests


Labs: CBC, TSH, BMP

,Acute Bronchitis definition Correct Answer-Lower respiratory infection
without pneumonia or in presence of COPD
Inflammation of trachea and bronchi
Often follows development of typical "cold" symptoms


Acute Bronchitis symptoms Correct Answer-Cough >5 days (usual 1-3
weeks)
Hoarseness
Nonpleuritic substernal chest pain
Low grade fever
Post nasal drip
Pharynx may be injected
Rhonchi, wheezing
Purulent sputum MAY be present (nonspecific, not predictive of
bacterial infection)


Acute Bronchitis Treatment Correct Answer-Fluids and Rest
Smoking cessation


Inhaled bronchodilators: Albuteral 2 puffs Q4H PRN
Cough suppressants: Dextromethorphan, Guaifenesin, Tessalon perles,
hydromorphone or codeine


Pertussis definition Correct Answer-Whooping Cough

, Prolonged bacterial infection of the upper respiratory tract with
paroxysm of intense cough


Transmission: Aerosolized droplets


Pertussis stages Correct Answer-Incubation period: 7-10 days (up to 21
days)


1st stage (catarrhal stage): similar to minor URI, nonspecific cough, low
grade fever


2nd stage (paroxysmal stage): lasts 1 to 6 weeks, bursts of cough,
vomiting and exhaustion to follow, cough worse at night


Convalescent phase: cough becomes less paroxysmal, resolves in 2-3
weeks


Pertussis diagnostics Correct Answer-Dx: cough lasting at least 2 weeks
with paroxysmal cough, inspiratory whooping, post-tussive emesis


Tests: culture and PCR, WBC (increased with marked lymphocytosis)


Pertussis Treatment:

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