NURS 621 (Primary Care) FINAL EXAM QUESTIONS AND ANSWERS ACCURATE AND RATED A.

1. In children and adolescents, what should the follow
up intervention be for a negative RADT strep test but
continued symptoms?
2. Does a positive RADT for GAS pharyngitis require
back up culture?
3. If an adult is symptomatic but has a negative RADT
for GAS, should throat cultures be performed?
4. If patient has acute pharyngitis with cough, rhinorrhea, and oral ulcers should patient be tested for
GAS?
5. What is recommended drug of choice for GAS
pharyngitis?
6. Treatment of GAS pharyngitis in penicillin-allergic
(not anaphylaxis)
7. If patient has recurrent GAS pharyngitis, should a
tonsillectomy be performed?
8. Most common pathogen that causes pharyngitis
among college students and adults?
A throat culture
should be performed
no, positive RADT
is highly specific
No. risk for
rheumatic fever is
low so back up culture is not required
No- other symptoms suggest viral
etiology.
Penicillin or Amoxicillin 10 day
course
1st gen
cephalosporin 10
days (Keflex
of cefadroxil), clindamycin
or clarithromycin
10 days, or
azithromycin 5
days.
Tonsillectomy
should not be
done solely to
reduce frequency
of GAS
Group C strep