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UTA Nurs 5338 Urgent Emergencies
Questions and Correct Answers/ Latest
Update / Already Graded
Describe the pharmacological treatment for gonorrhea
Ans: Ceftriaxone 500 mg IM as a single dose, for persons
weighing < 150 kg
For persons weighing > 150 kg, ceftriaxone 1gm IM as a single
dose
Describe the pharmacological treatment for chlamydia
Ans: Doxycycline 100 mg PO BID for 7 days
During pregnancy, azithromycin 1 gm as a single dose to treat
chlamydia
Alternative regimens:
Gentamicin 240 mg IM as a single dose + azithromycin 2 gm PO
as a single dose
Cefixime 800 mg orally as a single dose + doxycycline 100 mg
PO BID for 7 days (if chlamydia CANNOT be excluded)
When assessing a patient, what is done first?
Ans: - Observe
- Inspect
All rights reserved © 2025/ 2026 |
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- Listen
- Palpate, respectively
Describe assessment findings for appendicitis
Ans: Abdominal pain, usually severe; localized to the right
lower quadrant (RLQ)
Most common symptoms: anorexia, abdominal pain, nausea
and vomiting (typically present in this order)
Constipation and diarrhea occur after the pain
Describe acute abdominal pain
Ans: - severe, persistent pain
- sudden onset
- nausea, vomiting
- abdominal distention
- fever, signs of shock
What is obturator sign?
Ans: - The patient lies on the back with hip and knee flexed at
90 degrees while the knee is stabilized and the ankle rotated
away from the body
All rights reserved © 2025/ 2026 |
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How is sepsis handled in the primary care setting?
Ans: refer patient to the ED
Describe treatment for an abscess
Ans: I&D
Describe assessment findings for cellulitis
Ans: Erythema
Warmth
Edema
Pain
Fever
Lymphadenopathy
Fissuring, scaling or maceration in toe webs may be source of
colonization (treat with antifungal agents such as e conazole,
naftifine)
History of recurrent abscesses
How is a puncture wound from an animal bite treated?
Ans: - typically not sutured closed
- treat with Augmentin
All rights reserved © 2025/ 2026 |
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Describe assessment findings for bacterial vaginosis
Ans: Most women with BV are asymptomatic
Fishy or musty vaginal odor, more prominent after sexual
intercourse and menses
Thin, homogenous discharge
No redness or edema
Normal bimanual exam
Describe the diagnostic study for bacterial vaginosis
Ans: Amsel's criteria specify that diagnosis of BV requires three
or more of the following clinical signs and symptoms:
- Homogenous, thin, gray-white discharge coating the vaginal
wall
- Vaginal pH >4.5
- Positive whiff test: amine (fishy) odor after application of 10%
KOH on vaginal discharge sample
- Presence of more than 20% epithelial cells (clue cells) on
saline microscopy: microscopic evaluation of vaginal discharge
on glass slide with normal saline shows few WBCs, and
epithelial cells are obscured with coccobacilli.
What is the most reliable predictor of bacterial vaginosis?
All rights reserved © 2025/ 2026 |
UTA Nurs 5338 Urgent Emergencies
Questions and Correct Answers/ Latest
Update / Already Graded
Describe the pharmacological treatment for gonorrhea
Ans: Ceftriaxone 500 mg IM as a single dose, for persons
weighing < 150 kg
For persons weighing > 150 kg, ceftriaxone 1gm IM as a single
dose
Describe the pharmacological treatment for chlamydia
Ans: Doxycycline 100 mg PO BID for 7 days
During pregnancy, azithromycin 1 gm as a single dose to treat
chlamydia
Alternative regimens:
Gentamicin 240 mg IM as a single dose + azithromycin 2 gm PO
as a single dose
Cefixime 800 mg orally as a single dose + doxycycline 100 mg
PO BID for 7 days (if chlamydia CANNOT be excluded)
When assessing a patient, what is done first?
Ans: - Observe
- Inspect
All rights reserved © 2025/ 2026 |
, Page |2
- Listen
- Palpate, respectively
Describe assessment findings for appendicitis
Ans: Abdominal pain, usually severe; localized to the right
lower quadrant (RLQ)
Most common symptoms: anorexia, abdominal pain, nausea
and vomiting (typically present in this order)
Constipation and diarrhea occur after the pain
Describe acute abdominal pain
Ans: - severe, persistent pain
- sudden onset
- nausea, vomiting
- abdominal distention
- fever, signs of shock
What is obturator sign?
Ans: - The patient lies on the back with hip and knee flexed at
90 degrees while the knee is stabilized and the ankle rotated
away from the body
All rights reserved © 2025/ 2026 |
, Page |3
How is sepsis handled in the primary care setting?
Ans: refer patient to the ED
Describe treatment for an abscess
Ans: I&D
Describe assessment findings for cellulitis
Ans: Erythema
Warmth
Edema
Pain
Fever
Lymphadenopathy
Fissuring, scaling or maceration in toe webs may be source of
colonization (treat with antifungal agents such as e conazole,
naftifine)
History of recurrent abscesses
How is a puncture wound from an animal bite treated?
Ans: - typically not sutured closed
- treat with Augmentin
All rights reserved © 2025/ 2026 |
, Page |4
Describe assessment findings for bacterial vaginosis
Ans: Most women with BV are asymptomatic
Fishy or musty vaginal odor, more prominent after sexual
intercourse and menses
Thin, homogenous discharge
No redness or edema
Normal bimanual exam
Describe the diagnostic study for bacterial vaginosis
Ans: Amsel's criteria specify that diagnosis of BV requires three
or more of the following clinical signs and symptoms:
- Homogenous, thin, gray-white discharge coating the vaginal
wall
- Vaginal pH >4.5
- Positive whiff test: amine (fishy) odor after application of 10%
KOH on vaginal discharge sample
- Presence of more than 20% epithelial cells (clue cells) on
saline microscopy: microscopic evaluation of vaginal discharge
on glass slide with normal saline shows few WBCs, and
epithelial cells are obscured with coccobacilli.
What is the most reliable predictor of bacterial vaginosis?
All rights reserved © 2025/ 2026 |
