NU641 : IHUMAN WEEK 13
Nasal corticosteroids for allergic rhinitis (7) -
... [Show More] ANSWERS-Beclomethasone
-Budesonide
-Ciclesonide
-Flunisolone
-Fluticasone
-Mometasone
-Triamcinolone
Inhaled corticosteroids (4) - ANSWERS-Beclomethasone HFA
-Budesonide DPI & neubulizer
-Flunisolide HFA & MDI
-Mometasone DPI
Best treatment for allergic rhinitis with symptoms of nasal congestion/runny nose -
ANSWERSInhaled nasal steroid (glucocorticoid) for long-term use
For children with acute viral URIs do not use (3) - ANSWERS-Systemic
decongestants
-Nasal corticosteroids
-Systemic antimicrobial agents
Productive cough responds well to - ANSWERS-Preparations containing codeine
-Don't use if congestion cannot be mobilized
Treatment if patient has congestion, productive cough, and tenacious mucous -
ANSWERS-Expectorant that thins (guaifenesin)
-Cough suppressant
Adult with acute sinusitis and has child in daycare treatment - ANSWERSAmoxicillinclavulanate 500 mg twice daily for 7 days
Respiratory fluoroquinolone examples - ANSWERS-Levofloxacin
-Moxifloxacin
Effective treatment in bacterial sinusitis if patient is anticholinergic to penicillin (2) -
ANSWERS-Respiratory fluoroquinolone
-Doxycycline
Best therapy for CAP if patient has been on antimicrobial therapy in recent past -
ANSWERS-Combination therapy (beta-lactam plus macrolide)
Treatment for CAP not caused by drug resistant strep pneumoniae not recently
taking abx - ANSWERS-Macrolide such as azithromycin which can be used in
patients with comorbidities like diabetes
Caution when using fluoroquinolone in patients with - ANSWERS-Cardiac conditions
-Can prolong QT
If patient has hematuria and a negative culture... - ANSWERSfurther workup is
needed to rule out more serious conditions (badder cancer)
NU641 : IHUMAN WEEK 13
Recurrent UTI - ANSWERS-Infection caused by different organisms
-More common
Relapsing UTI - ANSWERS-Infection caused by same organism
Recurrent UTI risk factors - ANSWERS-History of UTIs before age 15
-Incontinence
-Diabetes
-High post-void residual
-Intercourse
-Hx of UTI while pregnant
-Pelvic floor prolapse
-Use of catheters
Prophylactic abx and UTIs - ANSWERSTypically decrease frequency to less than
one per year
Self-start abx for UTI (3) - ANSWERS-Option for women who can identify UTI
symptoms early and do not want to take abx prohylactically
-Start taking abx once symptoms appear
-Contact prescriber if symptoms still present after 24 hours
Good first line agent for UTI - ANSWERS-Cotrimoxal
-For reasonably healthy individuals not previously taking abx
-Avoid in sulfa-sensitive individuals
UTI prophylaxis abx - ANSWERS-Cotrimoxazole
-Cephalexin
-Nitrofurantoin
Prolonged used of nitrofurantoin side effects (2) - ANSWERS-Peripheral neuropathy
-Liver & lung toxicity
Nonpharmacological measures to reduce UTIs (4) - ANSWERS-Increasing hydration
-Taking vitamin C (but not OJ because of increasing urination)
-Asparagus
-Postcoital voiding
Vaginal estrogen for UTIs (2) - ANSWERS-Demonstrated reduction of UTIs in
postmenopausal women
-May take 12 weeks or more before any benefits are seen
Hot flashes and other vasomotor symptoms in menopausal women treatment -
ANSWERS-Systemic estrogen (oral, transdermal, or vaginal ring)
-Patch, gel, or spray may be better choice, lower risk of blood clots compared to oral
Women with intact uterus and estrogen - ANSWERS-Should not use by itself
because of risk of endometrial hyperplasia
-Add progestin
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