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NR 511 Midterm Exam || QUESTIONS AND SOLUTION
100% VERIFIED ANSWERS A+ GRADED ||NEWEST
UPDATE!!!
An 80-year-old woman comes in to the office with
complaints of a rash on the left side of her face that is
blistered and painful and accompanied by left-sided eye
pain. The rash broke out 2 days ago, and she remembers
being very tired and feeling feverish for a week before the
rash appeared. On examination, the rash follows the
trigeminal nerve on the left, and she has some scleral
injection and tearing. You suspect herpes zoster
ophthalmicus. Based on what you know to be
complications of this disease, you explain to her that she
needs:
1.Antibiotics.
2.A biopsy of the rash.
3.Immediate hospitalization.
4.Ophthalmological consultation. - ANSWER-
Ophthalmological consultation.
rationale: In this case, because the herpes virus seems to
be along the ophthalmic branch of cranial nerve V, there is
considerable risk that this client could develop permanent
damage in that eye; therefore, an ophthalmological consult
needs to be arranged promptly to ascertain current
damage and prevent any further damage.
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A 6-year-old female presents to your pediatric office with
her mother complaining of right ear pain for 3 days. This
pain resolved with Tylenol. The patient has also had noted
fevers of 101.3°F over the last 2 nights. The patient had a
nonproductive cough for 7 days prior to the ear pain. On
physical exam, the patient has tenderness with tugging on
the auricle of the ear. The tympanic membrane is not
mobile with pneumatic otoscopy and is erythematous and
full. The patient has no drainage from the ear and no
mastoid tenderness. What is the next step?
1.Symptom management and reassurance that symptoms
will resolve with time.
2.Computed tomography (CT) of the head.
3.Amoxicillin 80 to 90 mg/kg/d.
4.Augmentin 45 mg/kg/d. - ANSWER-Amoxicillin 80 to 90
mg/kg/d.
rationale: This is the treatment of choice for acute otitis
media
Mallory brings her 4-week-old infant to the office because
she noticed small, yellow-white, glistening bumps on her
infant's gums. She says they look like teeth, but she is
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worried that they may be cancer. You diagnose these
bumps as:
1.Bednar aphthae.
2.Epstein pearls.
3.Buccal tumors.
4.Exostosis. - ANSWER-Epstein pearls
rationale:Epstein pearls are a normal finding in newborns
and infants. They appear as small, yellow-white,
glistening, pearly papules along the median raphe of the
hard palate and on the gums. They look like teeth but are
small retention cysts that disappear after a few week
A 22-year-old college student presents to your urgent care
clinic complaining of a rash. She was recently on spring
break and spent every night in the hot tub at her hotel. On
physical exam, she has multiple small areas of 1- to 2-mm
erythematous pustules that are present mostly where her
bathing suit covered her buttocks. What is the most likely
pathogen causing these lesions?
1.Pseudomonas aeruginosa.
2.Klebsiella.
3.Staphylococcus aureus.
4.Streptococcus - ANSWER-Pseudomonas aeruginosa
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rationale: This is a common cause of hot tub folliculitis.
Which of the following has/have not been linked to the use
of isotretinoin?
1.Elevated liver transaminases.
2.Depression, psychosis, and suicidality.
3.Benign intracranial hypertension.
4.Pancreatitis. - ANSWER-pancreatitis
rationale: This is not an adverse effect of isotretinoin
A Gram stain of a lesion reveals large, square-ended,
gram-positive rods that grow easily on blood agar. Which
diagnosis does this finding confirm?
1.Dermatophyte infection.
2.Tuberculosis (scrofuloderma).
3.Sarcoidosis.
4.Anthrax - ANSWER-anthrax
NR 511 Midterm Exam || QUESTIONS AND SOLUTION
100% VERIFIED ANSWERS A+ GRADED ||NEWEST
UPDATE!!!
An 80-year-old woman comes in to the office with
complaints of a rash on the left side of her face that is
blistered and painful and accompanied by left-sided eye
pain. The rash broke out 2 days ago, and she remembers
being very tired and feeling feverish for a week before the
rash appeared. On examination, the rash follows the
trigeminal nerve on the left, and she has some scleral
injection and tearing. You suspect herpes zoster
ophthalmicus. Based on what you know to be
complications of this disease, you explain to her that she
needs:
1.Antibiotics.
2.A biopsy of the rash.
3.Immediate hospitalization.
4.Ophthalmological consultation. - ANSWER-
Ophthalmological consultation.
rationale: In this case, because the herpes virus seems to
be along the ophthalmic branch of cranial nerve V, there is
considerable risk that this client could develop permanent
damage in that eye; therefore, an ophthalmological consult
needs to be arranged promptly to ascertain current
damage and prevent any further damage.
,2|Page
A 6-year-old female presents to your pediatric office with
her mother complaining of right ear pain for 3 days. This
pain resolved with Tylenol. The patient has also had noted
fevers of 101.3°F over the last 2 nights. The patient had a
nonproductive cough for 7 days prior to the ear pain. On
physical exam, the patient has tenderness with tugging on
the auricle of the ear. The tympanic membrane is not
mobile with pneumatic otoscopy and is erythematous and
full. The patient has no drainage from the ear and no
mastoid tenderness. What is the next step?
1.Symptom management and reassurance that symptoms
will resolve with time.
2.Computed tomography (CT) of the head.
3.Amoxicillin 80 to 90 mg/kg/d.
4.Augmentin 45 mg/kg/d. - ANSWER-Amoxicillin 80 to 90
mg/kg/d.
rationale: This is the treatment of choice for acute otitis
media
Mallory brings her 4-week-old infant to the office because
she noticed small, yellow-white, glistening bumps on her
infant's gums. She says they look like teeth, but she is
,3|Page
worried that they may be cancer. You diagnose these
bumps as:
1.Bednar aphthae.
2.Epstein pearls.
3.Buccal tumors.
4.Exostosis. - ANSWER-Epstein pearls
rationale:Epstein pearls are a normal finding in newborns
and infants. They appear as small, yellow-white,
glistening, pearly papules along the median raphe of the
hard palate and on the gums. They look like teeth but are
small retention cysts that disappear after a few week
A 22-year-old college student presents to your urgent care
clinic complaining of a rash. She was recently on spring
break and spent every night in the hot tub at her hotel. On
physical exam, she has multiple small areas of 1- to 2-mm
erythematous pustules that are present mostly where her
bathing suit covered her buttocks. What is the most likely
pathogen causing these lesions?
1.Pseudomonas aeruginosa.
2.Klebsiella.
3.Staphylococcus aureus.
4.Streptococcus - ANSWER-Pseudomonas aeruginosa
, 4|Page
rationale: This is a common cause of hot tub folliculitis.
Which of the following has/have not been linked to the use
of isotretinoin?
1.Elevated liver transaminases.
2.Depression, psychosis, and suicidality.
3.Benign intracranial hypertension.
4.Pancreatitis. - ANSWER-pancreatitis
rationale: This is not an adverse effect of isotretinoin
A Gram stain of a lesion reveals large, square-ended,
gram-positive rods that grow easily on blood agar. Which
diagnosis does this finding confirm?
1.Dermatophyte infection.
2.Tuberculosis (scrofuloderma).
3.Sarcoidosis.
4.Anthrax - ANSWER-anthrax
