Haemophilus Species

Question 1

What is the most common cause of sinusitis, otitis, bronchitis, epiglottitis, pneumonia, cellulitis, arthritis, meningitis, and endocarditis
in adults?

Answer 1

Answer: H. influenzae

Question 2

What is the treatment for sinusitis, otitis, and URIs?

Answer 2

Answer: Amoxicillin PO

Question 3

What is the treatment for beta-lactamase strains?

Answer 3

Answer: Augmentin PO

Question 4

What is the treatment for a seriously ill patient with multilobe pneumonia?

Answer 4

Answer: IV Ceftriaxone

Question 5

A patient presents with ABRUPT ONSET HIGH FEVER and c/o severe sore throat. Upon physical exam, you note the patients throat to be mildly beefy red with no exudate. What is the patients most likely diagnosis?

Answer 5

Answer: epiglottitis (abrupt onset of high fever, drooling, inability to handle secretions; complaint of severe sore throat despite unimpressive
exam of pharynx)

Question 6

What is treatment for epiglottitis?

Answer 6

Answer: IV Ceftriaxone (patient is at HIGH RISK for laryngeal obstruction – thus requires more aggressive treatment)

Question 7

What part of a patient’s recent history would signal to the FNP to consider a diagnosis of meningitis?
A: URI
B: AOM
C: strep throat
D: mononucleosis

Answer 7

B: AOM

Answer: B (Also, sinusitis)

Question 8

What is the initial treatment of a patient diagnosed with meningitis?

Answer 8

Answer: REFER FOR HOSPITAL ADMIT! Initiate IV ceftriaxone + IV dexamethasone (reduces long-term symptoms of hearing loss)