Allergic Rhinitis and Pharyngitis Overview
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Questions and Answers

What is one possible action that can be taken to address unstable conditions that may be life-threatening?

  • Promote rapid respiration
  • Increase heart rate through medication
  • Administer electrical shock immediately
  • Perform vagal maneuvers (correct)
  • Which of the following indicates the presence of deep inverted T waves?

  • Unstable heart conditions (correct)
  • Healthy myocardial function
  • Normal sinus rhythm
  • Stable heart rhythms
  • In cases of unstable heart conditions, which of the following is NOT a recommended intervention?

  • Avoid attempting to stabilize the rhythm (correct)
  • Seek advanced medical assistance
  • Monitor the patient's vital signs closely
  • Implement vagal maneuvers
  • What does the presence of unstable conditions generally indicate about a patient's health?

    <p>There is a risk of life-threatening complications.</p> Signup and view all the answers

    What does breaking the rhythm typically refer to in medical terms?

    <p>Altering heart rhythms through interventions</p> Signup and view all the answers

    What is a common complication associated with Type 2 Diabetes Mellitus?

    <p>Urinary tract infection</p> Signup and view all the answers

    Which option is least likely to be directly caused by complications from Type 2 Diabetes Mellitus?

    <p>Rash</p> Signup and view all the answers

    Which condition may affect diabetes management and lead to increased morbidity?

    <p>Urinary tract infection</p> Signup and view all the answers

    What symptom might indicate an acute issue in a patient with Type 2 Diabetes Mellitus?

    <p>Hypoglycemia</p> Signup and view all the answers

    Which of the following conditions is often a result of poorly managed Type 2 Diabetes Mellitus?

    <p>Urinary tract infection</p> Signup and view all the answers

    What is the most appropriate initial management for a patient who shows mild redness at the site, following a recent hike in an area known for Lyme disease?

    <p>Observation with follow-up if symptoms worsen</p> Signup and view all the answers

    Which symptom, if developed, would most likely prompt a change in management regarding the patient’s condition post-hike?

    <p>All of the above</p> Signup and view all the answers

    Considering the recent hike in an area known for Lyme disease, what should the patient be advised to monitor for after noticing mild redness?

    <p>Allergy symptoms</p> Signup and view all the answers

    Given the scenario, which factor would influence the decision to start antibiotics immediately?

    <p>Presence of a tick bite</p> Signup and view all the answers

    What is a critical component to discuss with the patient regarding their recent hiking experience in relation to Lyme disease?

    <p>Preventative measures against future tick bites</p> Signup and view all the answers

    What does a downward deflection indicate in an ECG reading?

    <p>Energy is going away from the positive lead</p> Signup and view all the answers

    Where should the P wave be located in relation to the QRS complex?

    <p>Before each QRS complex</p> Signup and view all the answers

    What does a prolonged PR interval indicate?

    <p>Altered conduction in the atrioventricular node</p> Signup and view all the answers

    What does a narrow QRS complex typically suggest?

    <p>Normal ventricular conduction</p> Signup and view all the answers

    Which of the following could indicate a misinterpreted QRS width?

    <p>QRS shows increased duration as heart rate decreases</p> Signup and view all the answers

    What should NOT be included in the workup of a pulmonary embolism in a primary care setting?

    <p>Order a chest x-ray to confirm the diagnosis of pulmonary embolism</p> Signup and view all the answers

    What is an important aspect of managing latent tuberculosis in primary care?

    <p>Encouraging the patient to adhere to prescribed medications</p> Signup and view all the answers

    Which statement regarding lung cancer and its screening is incorrect?

    <p>Lower education levels are not a known risk factor for lung cancer</p> Signup and view all the answers

    In the context of lung cancer screening, which factor is NOT typically considered when making recommendations?

    <p>Family medical history of lung cancer</p> Signup and view all the answers

    Which approach is least likely to be part of initial pulmonary embolism assessment?

    <p>Immediate administration of anticoagulants without confirmation</p> Signup and view all the answers

    What does ST elevation indicate in an EKG?

    <p>Infarction</p> Signup and view all the answers

    Which of the following is true regarding Second degree AV block Type I (Wenckebach)?

    <p>It progressively prolongs the R to R interval before dropping a beat.</p> Signup and view all the answers

    What condition is represented by a prolonged PR interval?

    <p>First degree block</p> Signup and view all the answers

    Which of the following symptoms is associated with second degree heart block?

    <p>Fatigue and skipped beats</p> Signup and view all the answers

    Which condition is characterized by missing QRS complexes yet retains normal PR intervals?

    <p>Second degree AV block Type II</p> Signup and view all the answers

    What does T wave inversion typically relate to in patients?

    <p>Infarct evolution</p> Signup and view all the answers

    What does ST depression indicate?

    <p>Myocardial ischemia</p> Signup and view all the answers

    What condition can exhibit symptoms such as chest pain and syncope, alongside electrical abnormalities on an EKG?

    <p>Arrhythmia</p> Signup and view all the answers

    Study Notes

    Allergic Rhinitis

    • Symptoms include sneezing, runny nose, mouth breathing, pruritus, and chronic sinusitis.
    • Patients may exhibit pale and boggy nasal turbinates; bilateral allergic shiners; and periorbital edema.
    • Causes include allergies to pollen, animal dander, flooring, upholstery, mold, humidity, and smoke.
    • Treatment focuses on allergen avoidance.
    • Mild or episodic symptoms can be managed with oral antihistamines (e.g., cetirizine, loratadine), taken 2-5 hours before exposure.
    • Second generation antihistamine nasal sprays are also effective.
    • More severe symptoms require glucocorticoid nasal sprays, such as fluticasone, and potentially immunotherapy.

    Pharyngitis

    • Bacterial pharyngitis, often caused by Streptococcus pyogenes (GABHS), is characterized by swollen lymph nodes, patchy exudates on tonsils, acute onset sore throat, and a fever greater than 101˚F.
    • Treatment involves penicillin 500 mg twice daily for 10 days, or cephalexin 500 mg four times daily for 10 days; if penicillin allergy, use azithromycin 500 mg on day 1; then 250 mg daily for four days.
    • Viral pharyngitis presents with sore throat, subacute onset, absent fever, oral ulcers, and often absent URI symptoms; frequently is due to adenovirus, parainfluenza, COVID-19, or coxsackievirus.
    • Treatment involves rest, hydration, and symptomatic relief.

    Viral Infections

    • Symptoms include subacute onset sore throat, URI (upper respiratory infection) symptoms, and absence of fever.
    • Common causes include adenovirus, parainfluenza, COVID, and coxsackievirus.
    • Treatment is symptomatic and supportive, including rest, hydration, and pain relief.

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    Description

    This quiz covers key aspects of allergic rhinitis and bacterial pharyngitis, including symptoms, causes, and treatment options. It highlights the management of mild to severe symptoms and the importance of allergen avoidance. Test your knowledge on these common respiratory conditions.

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