Finall Exam:l NU664B/l NUl 664Bl (Latestl
2025/l 2026l Update)l Primaryl Carel ofl Familyl Il Completel Guide|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Regis
Q:l otitisl medial (1l question)
Answer:
riskl factorsl -l mostl commonl 6l -l 24l months,l commonl untill 5l yearsl oldl clinicall manifestationsl -l earl pain,l rubbing,l decreasedl hearing,l drainage,l fever,l irritability
treatmentl KIDS:
1stl linel -l amoxl 40mg/kg/dayl inl 2l doses 1stl linel (PCNl allergy)l -l cefdinirl 14mg/kg/dayl inl 2l days 1stl linel (severel allergy)l -l azithromycinl (zl pack)
treatmentl ADULTS:
1stl linel -l Augmentinl 875/125l PID 1stl linel mildl allergyl =l cefdinir 1stl linel severel allergyl =l doxyl 100mgl BIDl orl Zl pack
Q:l otitisl external (1l question)
Answer:
riskl factors:l swimmingl /l waterl exposure,l traumal froml cleaning,l earphonel usage diagnosis:l clinicall featuresl +l rapidl onsetl (withinl 48l rs)l andl signsl ofl inflammationl treatment mildl infectionl =l hydrocortisonel dropsl QIDl xl 7l days modl infectionl =l neomycin-polymixinl Bl -l hydrocortisonel QIDl xl 7l days severel infectionl =l systemicl abx!l (thisl isl onlyl ifl youl cannotl bel surel thatl thel TMl isl intact)
Q:l Adultl Asthmal (2l questionsl onl final)
asthmal managementl /l treatment 1 / 3
Answer:
STEPl 1l =l mildl intermittentl asthmal --> eitherl SABAl PRNl forl sympsl ORl lowl dosel ICSl +l LABAl (likel symbicort)l forl PRNl usagel forl symps STEPl 2l =l mildl persistentl asthmal -->l lowl dosel ICSl +l PRNl SABA STEPl 3l =l moderatel persistentl asthmal -->l lowl dosel ICS+LABAl combol medl (thinkl Symbicort)l +l PRNl SABAl STEPl 4=l severel persistentl asthmal -->l mediuml dosel ICS+LABAl +l PRNl SABAl (canl alsol addl al LAMAl inl atl thisl time)
Q:l asthmal managementl (2l questions)
whatl arel thel inhaledl corticosteroids?
Answer:
-l fluticasonel (Flovent) -l budesonidel (Pulmicort) -l mometasonel sidel effectsl =l thrushl (rememberl tol rinsel outl mouth) COMBOl ICSl +l LABAl =l symbicort,l advair,l breol ellipta
Q:l Pediatricl Asthmal managementl (1l questionl onl final)
Leukotrienel Modifiers
Answer:
Montelukastl (Singulair) *lessl effectivel thanl thel ICS's,l butl canl bel usedl asl anl addl on *goodl forl patient'sl withl allergicl rhinitisl +l asthma
Q:l Asthmal managementl (2l questionsl onl final)
Orall corticosteroids
Answer:
likel prednisone,l onlyl forl exacerbationsl *bel aggressivel inl pregnantl patients* nol taperl ifl givenl forl lessl thanl 10l days
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Q:l Pediatricl Asthmal Managementl (1l question)
stepl management
Answer:
stepl 1l -->l shortl coursel ofl ICSl atl beginningl ofl respiratoryl infectionl +l Sabal PRN Stepl 2l -->l dailyl lowl dosel ICS Stepl 3l -->l dailyl lowl dosel ICSl +l LABAl ORl doubledl dailyl dosel ofl ICS Stepl 4l -->l dailyl mediuml dosel ICSl +l LABAl ORl -->l continuel onl dailyl dosel ICSl andl referl tol asthmal specialist
Q:l COPDl (2l questions)
lifestylel factors
Answer:
-l Avoidancel ofl riskl factor(s),l suchl asl smoking -l Annuall influenzal vaccination -l Pneumococcall vaccination -l Regularl physicall activity -l Regularl review/correctionl ofl inhalerl technique -l Long-terml oxygenl therapyl ifl chronicl hypoxemia -l Pulmonaryl rehabilitation
Q:l COPDl (2l questions)
Goldl standardl diagnosis
Answer:
SPIROMETRYl FEV1/FCVl rationl tol diagnosel andl gradel severity FEV1l =l forcedl expiratoryl volumel inl firstl second FCVl =l forcedl vitall capacityl (totall lungl capacity) normall ratiol =l 70-80%,l lessl thanl 70%l isl COPD
Q:l COPDl (2l questions)
Stepwisel managementl approach
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