11. Mom brings in her 5 year old for evaluation of possible sinusitis. Mom reports both she and the child

11. Mom brings in her 5 year old for evaluation of possible sinusitis. Mom reports both she and the child have environmental allergy problems. You observe the child with copious amounts of thich, green nasal drainage . Mom reports the child has not been playing much or eating well for the last several days and has been running a fever the last two days. The temperature reading obtained in your office 102. Moms presumptive diagnosis is supported with your evaluation. Mom reports the child has a drug allergy to amoxicillin having broken out seven days after taking it and had the reash for over a week and was miserable. Which of the following antibiotics is the appropriate treatment for this childs acute bacterial sinusitis. Answer B. Bactrim Augmentin Levofloxacin Ceftin 12. You are educating a patient newly diagnosed with intermittent asthma about their use of their albuterol inhaler. Which of the following patient education statements is most appropriate? Use of your inhaler <2 times a week indicates control of your asthma Use of your inhaler >6 times a week indicates control of your asthma It is important to minimize your activity when using your inhaler The frequency vou use vour inhaler for symptoms control is not important 13. A 16 year old patient diagnosed with persistent asthma fails to achieve adequate control on step 2 therapy. What medication regimen would be most appropriate for the patient? Answer & Rationale: D. Daily low dose inhaled corticosteroid and a long acting beta2 agonist is the Step 3 therapy. 14. You are seeing a 15 year old with a diagnosis of intermittent asthma who reports that she uses her Ventolin inhaler (short acting beta2 agonist) maybe a couple times. Understanding stepwise asthma management, which of the following should be added for daily long term therapy? Answer: A. A low dose inhaled corticosteroid 15. A COPD patient who had been stable on his regiment of a short acting beta2 agonist and a long acting beta2 agonist has been having repeated exacerbations. Which of the following will you include when revising your patients treatment plan? Discontinue the short acting beta2 agonist Add an inhaled corticosteroid Start the patient on oxygen at night Replace long acting beta< agonist with an anticholingeric