Say Ahhhhhh!
Ear Ye, Ear Ye
Under Pressure
What Acute Cough
It SNOT what you know, it's what you blow
100
This is the first line antibiotic drug/dose/duration for treating strep throat in adults.
What is PCN VK, 500mg bid x 10days
100
These are the 3 clinical criteria required to diagnose otitis media.
What is --acute onset fever or ear pain --middle ear fluid (on exam or tympanometry) --signs of middle ear inflammation (purulent fluid, or erythema)
100
This is the imaging study recommended to diagnose acute bacterial sinusitis.
What is none. (CT advantage over xray to id air/fluid level but not able to distinquish viral vs bacterial so no imaging is recommended)
100
This percentage of the time, the eitiology of infectious acute bronchitis is viral (within 5%).
What is 90%
100
This is the average number of episodes of the common cold a typical adult gets per year. (within 1)
What is 3 (2-4).
200
Aside from age, these are 3 of the 4 clinical criteria used to predict group A strep as the cause of pharyngitis.
What is --fever (>/= 100.4F) by hx or measured --absence of cough --tonsillar swelling/exudate --tender anterior cervical lymphadenopathy
200
Regardless of antibiotic use, this is the rate of symptom resolution by day 3 (within 5%).
What is 90%
200
from the following list, this sign/symptom when present has the best ability to rule in acute bacterial sinusitis: --purulent nasal discharge --maxillary tooth pain --pain with bending forward
What is maxillary tooth pain (LR+ 2.1-2.5) purulent d/c (seen in nose!): 1.5-1.9 h/o purulent nasal d/c: NS bending foward: NS
200
The cough will last this long in 20-25% of adults with acute bronchitis.
What is 1 month
200
This, among the following statements, is the only one that is true: --purulent nasal discharge predicts response to antibiotics --long acting/nonsedating antihistamines help reduce symptoms in patients with viral URIs --handwashing at least 10 times per day can decrease the spread of the common cold
What is handwashing at least 10 times per day can decrease the spread of the common cold
300
This is the likelihood of having strep if all 4 Centor Criteria are met clinically in a typical undergraduate student.
What is 35%
300
From the following list, these are the strategies proven beneficial in PREVENTING acute otitis media in children: --pneumococcal vaccine --influenza vaccine --eliminating smoke from the child's environment --chewing sugarless gum
What is flu vaccine AND chewing sugarless gum!
300
this is the duration of symptoms after which treating with antibiotics has at least some (wimpy) proven benefit.
What is 7-10 days (cdc guidelines use 7 days duration, cochrane meta-analysis finds mixed results after 10) SOR C
300
From the following list, these have been proven to help the symptoms in acute bronchtis: --antibiotics --antitussives --expectorants --mucolytics
What is none of these
300
From the following list, this/these are the recommended strategies with proven benefit for symptom reduction in patients with viral URIs: --nasal saline flushes --increased fluid intake --humidified air
What is humidified air.
400
Oral steroids are proven beneficial in reducing sore throat pain in acute pharyngitis (strep or viral). This is the dose/duration, OR this is the NNT to have resolved pain in 24 hours.
What is prednisone 60mg x single dose, or NNT =3.7 (nnt =3.3 for 2 days)
400
In a college aged population, this is the first line treatment for AOM.
What is analgesia (Amox is first line abx, 5 days = 10days of treatment)
400
Within 2, what is the NNT for nasal steroids benefit in symptom reduction in setting of acute sinusitis.
What is 14
400
Under these conditions, beta agonists have been proven to decrease the symptoms of acute cough/acute bronchitis.
What is evidence of obstruction/bronchospasm (ie wheezing)
400
From the following list, this/these "alternative" medications have proven benefit in treating URIs (symptom reduction--either severity or duration): --vitamin C --echinacea --zinc
What is echinacea.
500
This is the clinical benefit of treating strep throat with a full course of antibiotics.
What is decrease symptom duration by 1 day! (w/o abx: 48-72 hr)
500
This is one benefit of delayed antibiotic prescriptions for AOM, (or other URIs, acute sinusitis).
What is decreased antibiotic use (87%-->38%), equivalent or better satisfaction
500
This duration of nasal oxymetazoline (Afrin) use that is proven safe from risk of rebound hyperemia.
What is 10 days!!
500
Within 10%, this is the number needed to treat acute bronchitis to prevent pneumonia.
What is 4400!
500
From the following list, this/these "alternative" medications have proven benefit in PREVENTING URIs: --vitamin C --echinacea --zinc
What is none
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