WEEK 2 QUIZ: NR 511 DIFFERENTIAL DIAGNOSIS & PRIMARY CARE PRACTICUM
1. A 25-year-old male present to urgent care complaining of genital pruritus. On physical exam, the patient has
small, erythematous, excoriated papules in his pubic hair. No mites are identified. There is no penile discharge, and
the patient has no constitutional symptoms. He is sexually active but wears condoms during all sexual experiences.
What is the most likely diagnosis?
A. Pediculosis
B. Gonorrhea
C. Chlamydia
D. Scabies
2. Which of the following patients does not have an increased risk of candida infection?
A. A patient using a steroid regimen for asthma control.
B. A patient requiring home antibiotics while recovering from an operation for an infected hernia.
C. A patient with type 2 diabetes
D. A patient with history of coronary artery disease
3. A 22-year-old college student presents to the 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?
A. Klebsiella
B. Pseudomonas aeruginosa
C. Streptococcus
D. Staphylococcus aureus.
4. A rash that looks like the patient was slapped on the cheeks of the face is the hallmark
characteristic for which disease?
A. Rubella
B. Rocky Mountain spotted fever.
C. Rubeola
D. Erythema infectiosum
5. A 3 year-old patient presents in the office with her mother, she has recently started day care. Her mother noted
slight perioral erythema on the right side of the patient’s mouth last night before bed. The patient awoke today
with 3 small, superficial, honey-colored vesicles in the location of the erythema. The patient has r surrounding
erythema presently. She has no difficulty eating this morning and is active and energetic and does not appear
lethargic or fatigued. She is afebrile. How would you treat this child?
A. Local debridement and mupirocin for 5 days
B. Local debridement and topical compress with Burow solution and close follow-up
C. Topical compress with Burow solution and follow-up in 2 to 3 days
D. Oral cefazolin for 7 days
6. The “herald patch” is present in almost all cases of
A. Rubella
B. Impetigo
C. Psoriasis
D. Pityriasis rosea
7. Your patient accidentally cut his cheek while shaving 3 days ago. Today the region is warm, erythematous,
swollen, and has the appearance of an orange peel. There is a serous exudate coming from the wound. This is
most likely due to:
A. Sialadenitis
B. Suppurative parotitis
1. A 25-year-old male present to urgent care complaining of genital pruritus. On physical exam, the patient has
small, erythematous, excoriated papules in his pubic hair. No mites are identified. There is no penile discharge, and
the patient has no constitutional symptoms. He is sexually active but wears condoms during all sexual experiences.
What is the most likely diagnosis?
A. Pediculosis
B. Gonorrhea
C. Chlamydia
D. Scabies
2. Which of the following patients does not have an increased risk of candida infection?
A. A patient using a steroid regimen for asthma control.
B. A patient requiring home antibiotics while recovering from an operation for an infected hernia.
C. A patient with type 2 diabetes
D. A patient with history of coronary artery disease
3. A 22-year-old college student presents to the 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?
A. Klebsiella
B. Pseudomonas aeruginosa
C. Streptococcus
D. Staphylococcus aureus.
4. A rash that looks like the patient was slapped on the cheeks of the face is the hallmark
characteristic for which disease?
A. Rubella
B. Rocky Mountain spotted fever.
C. Rubeola
D. Erythema infectiosum
5. A 3 year-old patient presents in the office with her mother, she has recently started day care. Her mother noted
slight perioral erythema on the right side of the patient’s mouth last night before bed. The patient awoke today
with 3 small, superficial, honey-colored vesicles in the location of the erythema. The patient has r surrounding
erythema presently. She has no difficulty eating this morning and is active and energetic and does not appear
lethargic or fatigued. She is afebrile. How would you treat this child?
A. Local debridement and mupirocin for 5 days
B. Local debridement and topical compress with Burow solution and close follow-up
C. Topical compress with Burow solution and follow-up in 2 to 3 days
D. Oral cefazolin for 7 days
6. The “herald patch” is present in almost all cases of
A. Rubella
B. Impetigo
C. Psoriasis
D. Pityriasis rosea
7. Your patient accidentally cut his cheek while shaving 3 days ago. Today the region is warm, erythematous,
swollen, and has the appearance of an orange peel. There is a serous exudate coming from the wound. This is
most likely due to:
A. Sialadenitis
B. Suppurative parotitis
