NGR6200 Exam 5 Questions With Complete Solutions
1. 2017 HTN guidelines - BP <120/80 is considered normal,
SBP of 130-139 is considered stage I, SBP > or = 140 is
considered stage 2 HTN, drug treatment for HTN should start
with SBP equal or greater 140 if no ASVCD. Individuals with
BP 130/80 can be started on meds if their ASCVD is calculated
> 10% - partial 2. Signs of end organ damage include -
hematuria (kidney damage), papilledema (eye damage), angina
(CV damage), peripheral edema (cardiac dysfunction) - partial 3.
The following medications can increase blood pressure and
should be avoided in uncontrolled hypertension - ibuprofen,
venlafaxine (Effexor), pseudoephedrine, oral contraceptives -
partial 4. Initial work up in HTN patient should include
electrolytes, BUN, creat, ECG, TSH - partial 5. Individuals at
greater risk for endocarditis are patients with prosthetics and IV
drug users - partial 6. Beneficial CV action of HMG CoA
promotion of plaque stability, Correct Answers
1. The GOLD program recommends the use of antibiotics for
patients with increased dyspnea, sputum volume, and purulence.
Read the PNA guidelines and the Best Practice document -
partial credit, you chose hyper resonance 2. Clinical signs of
obstructive sleep apnea include: Daytime sleepiness, insomnia,
fatigue, morning headache from hypercapnia, hypertension, and
personality changes, decreased libido, restless legs, loud
snoring, gasping, apnea, choking partial credit, you missed
insomnia 3. Macrolides (clarithromycin) and quinolones
(moxifloxicin, cipro, and levofloxacin) can increase the QT
interval partial credit, you missed moxifloxacin, ciprofloxacin,
clarithromycin 4. The most common cause of acute bronchitis is
,a respiratory virus. Strep. Pneumo, H. influenza, M.
pneumoniae, and Moraxella catarrhalis are causes of chronic
bronchitis if due to a bacteria, however, virus is the most
common cause - partial credit Correct Answers
1. What is the most important thing a woman can do to have
youthful, attractive skin? Correct Answers Avoid smoking
1. What is the presentation of a corneal abrasion-all but
nystagmus 2. Nasal steroid spray is the most effective tx for AR
3. A node in the supraclavicular area is worrisome-not the
cervical area (22) all other choices were also correct 4. Zyrtec is
sedating and pseudoephedrine is not an antihistamine, loratadine
was the only correct choice of an antibiotic to give to a pilot 5.
13 missed the image of a ciliary flush which is a sign of
infections of the uveal track 6. Mono treatment is supportive.
Must assess for splenomegaly. 22 gave amox. Return to sports is
4 weeks, NOT 2 weeks 7. Corneal arcus in a < 45 yo is not
normal. Associated with familial hyperlipidemia 8.
Spondylolisthesis and cauda equina are MSK causes of back
pain. The question asked for non MSK 9. Injury to L5-S1 will
cause radiculopathy below the knee (9) 10. SLR is common sign
of back pain, not a red flag like the other choices Correct
Answers
A burn area that presents with blistering is considered a
________degree burn. Correct Answers a. Second degree burns
have blisters
, A hyperpigmented or hypopigmented rash on the face that
occurs during pregnancy or during the use of oral contraceptives
is called__________? Correct Answers Melasma
A patient calls after being treated for pediculosis (head lice)
complaining that the itching is now worse. What explanation
should you provide? Correct Answers The itching gets worse as
the mite dies.
A patient presents to the clinic with a burn covering the entire
anterior right thigh. The estimated involved body surface area is
approximately: Correct Answers a. 9%.
A patient presents with a large vesicular lesions of the mouth.
How would you treat this? Correct Answers Acyclovir or
similar agent will lessen the course of the outbreak.
A patient presents with an orbital cellulitis. How should this be
treated? Correct Answers Immediate referral or hospitalization
for parenteral antibiotics
A patient presents with linear lesions over areas where she has
scratched that resolve within a few minutes. This most likely
represents___________? Correct Answers Dermographism
A patient presents with numerous pustular furuncles on the
anterior trunk and groin area. How would you manage this
patient? Correct Answers Culture and treat for CA-MRSA with
trimethoprim/sulfamethoxazole (Bactrim), doxycycline or
minocycline. Clindamycin is also used.
1. 2017 HTN guidelines - BP <120/80 is considered normal,
SBP of 130-139 is considered stage I, SBP > or = 140 is
considered stage 2 HTN, drug treatment for HTN should start
with SBP equal or greater 140 if no ASVCD. Individuals with
BP 130/80 can be started on meds if their ASCVD is calculated
> 10% - partial 2. Signs of end organ damage include -
hematuria (kidney damage), papilledema (eye damage), angina
(CV damage), peripheral edema (cardiac dysfunction) - partial 3.
The following medications can increase blood pressure and
should be avoided in uncontrolled hypertension - ibuprofen,
venlafaxine (Effexor), pseudoephedrine, oral contraceptives -
partial 4. Initial work up in HTN patient should include
electrolytes, BUN, creat, ECG, TSH - partial 5. Individuals at
greater risk for endocarditis are patients with prosthetics and IV
drug users - partial 6. Beneficial CV action of HMG CoA
promotion of plaque stability, Correct Answers
1. The GOLD program recommends the use of antibiotics for
patients with increased dyspnea, sputum volume, and purulence.
Read the PNA guidelines and the Best Practice document -
partial credit, you chose hyper resonance 2. Clinical signs of
obstructive sleep apnea include: Daytime sleepiness, insomnia,
fatigue, morning headache from hypercapnia, hypertension, and
personality changes, decreased libido, restless legs, loud
snoring, gasping, apnea, choking partial credit, you missed
insomnia 3. Macrolides (clarithromycin) and quinolones
(moxifloxicin, cipro, and levofloxacin) can increase the QT
interval partial credit, you missed moxifloxacin, ciprofloxacin,
clarithromycin 4. The most common cause of acute bronchitis is
,a respiratory virus. Strep. Pneumo, H. influenza, M.
pneumoniae, and Moraxella catarrhalis are causes of chronic
bronchitis if due to a bacteria, however, virus is the most
common cause - partial credit Correct Answers
1. What is the most important thing a woman can do to have
youthful, attractive skin? Correct Answers Avoid smoking
1. What is the presentation of a corneal abrasion-all but
nystagmus 2. Nasal steroid spray is the most effective tx for AR
3. A node in the supraclavicular area is worrisome-not the
cervical area (22) all other choices were also correct 4. Zyrtec is
sedating and pseudoephedrine is not an antihistamine, loratadine
was the only correct choice of an antibiotic to give to a pilot 5.
13 missed the image of a ciliary flush which is a sign of
infections of the uveal track 6. Mono treatment is supportive.
Must assess for splenomegaly. 22 gave amox. Return to sports is
4 weeks, NOT 2 weeks 7. Corneal arcus in a < 45 yo is not
normal. Associated with familial hyperlipidemia 8.
Spondylolisthesis and cauda equina are MSK causes of back
pain. The question asked for non MSK 9. Injury to L5-S1 will
cause radiculopathy below the knee (9) 10. SLR is common sign
of back pain, not a red flag like the other choices Correct
Answers
A burn area that presents with blistering is considered a
________degree burn. Correct Answers a. Second degree burns
have blisters
, A hyperpigmented or hypopigmented rash on the face that
occurs during pregnancy or during the use of oral contraceptives
is called__________? Correct Answers Melasma
A patient calls after being treated for pediculosis (head lice)
complaining that the itching is now worse. What explanation
should you provide? Correct Answers The itching gets worse as
the mite dies.
A patient presents to the clinic with a burn covering the entire
anterior right thigh. The estimated involved body surface area is
approximately: Correct Answers a. 9%.
A patient presents with a large vesicular lesions of the mouth.
How would you treat this? Correct Answers Acyclovir or
similar agent will lessen the course of the outbreak.
A patient presents with an orbital cellulitis. How should this be
treated? Correct Answers Immediate referral or hospitalization
for parenteral antibiotics
A patient presents with linear lesions over areas where she has
scratched that resolve within a few minutes. This most likely
represents___________? Correct Answers Dermographism
A patient presents with numerous pustular furuncles on the
anterior trunk and groin area. How would you manage this
patient? Correct Answers Culture and treat for CA-MRSA with
trimethoprim/sulfamethoxazole (Bactrim), doxycycline or
minocycline. Clindamycin is also used.
