SITUATION 12

Streptococcal disease are caused-by Group A streptococci. Persons infected with this Beta-hemolytic disease present as sore throat.

56. Choling came to the doctor's clinic with her Grade 6 daughter who complained fo fever, exudative tonsils and tender lymph nodes. What is the serious complication to watch?
A. Peritonsillar abscess
B. Rheumatic heart disease
C. Sydenham's chorea
D. Otitis media

57. Another complication of streptococcal disease which manifests as upper respiratory infection is which one of these below?
A. Acute rheumatic fever
B. Acute heart disease
C. Erysipelas
D. Impetigo

58. Mode of transmission of strep infection is direct contact with infected person. What is your best teaching to the family of Choiling?
A. Separate food utensils
B. Disinfect all soiled linens
C. Isolate infected member
D. Cover nose and mouth when sneezing/coughing

59. Which penicillin group is the drug of choice the doctor will order for you to carry out?
A. Procaine Penicillin G IM
B. Oral Penicillin G
C. Penicillin G IM Benzathine
D. Oral Penicillin V

60. What is the first thing that a nurse should do in giving antibiotics?
A. Give histamine
B. Sensitivity skin test
C. Check wheal
D. Report rashes