NR 602 MIDTERM REVIEWED QUESTIONS AND DETAILED
ANSWERS
What is the best antibiotic therapy to use for human bites? - correct answers Amoxicillin for 7 to
10 days or alternative cephalexin or clindamycin
What is the best anabiotic to use for animal bites? - correct answers Amoxicillin for 7 to 10 days
or alternative cefuroxime, fluoroquinolone or trimethoprim-sulfamethoxazole plus clinda or
metronidazole
Antibiotics used for plantar wounds - correct answers Ciprofloxacin for 7 to 20 days. An
alternative is to consult infectious disease due to requirement of IV therapy.
What should the nurse practitioner do for ingrown toenail? - correct answers Pat Cotton
underneath the nail edge to elevate the nail and educate the patient to repack the cotton daily
to prevent infection. Should use warm water with Epsom salt soaks for 20 minutes three times a
day. It is important to use properly fitting shoes. Keep the toe clean and dry. Consider referral to
podiatry for recurrent.
What is the most common cause of diarrhea globally? - correct answers Rotavirus.
What are most peritonsillar abscess is caused by? - correct answers Streptococcus and
fusobacterium
What antibiotics are good for peritonsillar abscesses? - correct answers Penicillin and
clindamycin
,What is scarlet fever? - correct answers Is a diffuse erythematous eruption that generally occurs
in association with pharyngitis.
Abrupt illness with sore throat, vomiting, headache, chills, and malaise. Fever reaches 104. The
pharynx is inflamed and can be covered with gray white XU date. The tongue is usually coated
and red, also called strawberry tongue. The skin is coarse with a sandpaper feel the rash
generally begins on the neck and spreads to the trunk and extremities becoming generalized
within 24 hours. The rash fades within 3 to 4 days. The process can take up to six weeks, sore
throat and other symptoms resolve approximately 5 to 7 days. Treatment is penicillin.
What is asthma step one - correct answers Saba PRN
What is step two of asthma? - correct answers Low-dose ICS
What is step three of asthma? - correct answers 0 to 4 years of age: medium does ICS plus sub
specialist referral
Greater than five years of age: low-dose ICS plus LABA or medium dose ICS
What is step four of asthma? - correct answers Medium dose ICS plus LABA or montelukast plus
subspecialist referral
What is step five of asthma? - correct answers High-dose ICS plus LABA or montelukast plus
subspecialist referral
What is step six of asthma? - correct answers Hi dose ICS plus LABS or montelukast plus OCS
plus subspecialist referral
A patient received a score of 75% on a spirometry. What is this considered? - correct answers
Normal
,What education would be provided to a parent of a child that is using as a spirometry Regarding
normal levels? - correct answers Anything greater than 75% is considered normal
What is the range for mild obstruction on a spirometry? - correct answers 60 to 75%
What is considered moderate obstruction on a spirometry - correct answers 50 to 59%
What is considered severe obstruction on a spirometry - correct answers Less than 49%
When should a child be tested for exercise induced asthma after diagnosis - correct answers
Every one to two years
What is allergic rhinitis mediated by? - correct answers IgE
What is treatment for allergic rhinitis? - correct answers Intranasal corticosteroids are
considered first line treatment. Children with allergic rhinitis often exhibit symptoms of asthma.
What is pharyngitis? - correct answers inflammation of the pharynx leading to sore throat.
What is the most common bacterial cause of acute pharyngitis? - correct answers Group A beta-
hemolytic Streptococcus (GABHS) (Streptococcus pyogenes)
What is the best prevention of upper respiratory infection? - correct answers Flu vaccine
What is Kawasaki disease? - correct answers Coronary artery vasculitis. The treatment for this
disease is IVIG therapy requires Echo and cardiologists.
, An autoimmune disease involving the inflammation of blood vessels, lymph nodes, skin, and
mucosa - initial symptom is a high fever, later symptoms include conjunctivitis, rash, peeling,
and edema.
What are symptoms of enterovirus? - correct answers Fever, runny nose, sneezing, cough, skin,
rash, mouth, blisters, and body and muscle aches. This is something that is very contagious.
What are clinical findings of downs syndrome? - correct answers Short stature, brachycephaly,
mid face, hyperplasia with flat nasal bridge, Brushfield spots, epicanthal folds with upslanting,
Palpebral fissures, smallmouth with protruding tongue, myopia/Cataracs, small ears/narrow,
canals, extra skin at nape of neck, lax joints, short, broad hands/feet/digits, single palmar
crease, congenital heart disease.
What is impetigo? - correct answers Contagious bacterial infection marked by clusters of small
blisters.
What is the treatment for impetigo? - correct answers Topical bacitracin or Mupirocin ointment;
Anti-staphloccal antibiotic.
What is treatment for contact dermatitis - correct answers Avoid irritant, cool compress, barrier
ointment, hydrocortisone, cream, antihistamined, steroids, oral antibiotics, lukewarm bath.
What is a key finding for diagnosis of scabies? - correct answers Itching that is worse at night.
Complaints are more significant than physical findings.
What is pediculosis? - correct answers lice infestation
What is treatment for pediculosis? - correct answers 1st line: pediculides (permethrin 1%, can
be used on kids 1mo and older)
ANSWERS
What is the best antibiotic therapy to use for human bites? - correct answers Amoxicillin for 7 to
10 days or alternative cephalexin or clindamycin
What is the best anabiotic to use for animal bites? - correct answers Amoxicillin for 7 to 10 days
or alternative cefuroxime, fluoroquinolone or trimethoprim-sulfamethoxazole plus clinda or
metronidazole
Antibiotics used for plantar wounds - correct answers Ciprofloxacin for 7 to 20 days. An
alternative is to consult infectious disease due to requirement of IV therapy.
What should the nurse practitioner do for ingrown toenail? - correct answers Pat Cotton
underneath the nail edge to elevate the nail and educate the patient to repack the cotton daily
to prevent infection. Should use warm water with Epsom salt soaks for 20 minutes three times a
day. It is important to use properly fitting shoes. Keep the toe clean and dry. Consider referral to
podiatry for recurrent.
What is the most common cause of diarrhea globally? - correct answers Rotavirus.
What are most peritonsillar abscess is caused by? - correct answers Streptococcus and
fusobacterium
What antibiotics are good for peritonsillar abscesses? - correct answers Penicillin and
clindamycin
,What is scarlet fever? - correct answers Is a diffuse erythematous eruption that generally occurs
in association with pharyngitis.
Abrupt illness with sore throat, vomiting, headache, chills, and malaise. Fever reaches 104. The
pharynx is inflamed and can be covered with gray white XU date. The tongue is usually coated
and red, also called strawberry tongue. The skin is coarse with a sandpaper feel the rash
generally begins on the neck and spreads to the trunk and extremities becoming generalized
within 24 hours. The rash fades within 3 to 4 days. The process can take up to six weeks, sore
throat and other symptoms resolve approximately 5 to 7 days. Treatment is penicillin.
What is asthma step one - correct answers Saba PRN
What is step two of asthma? - correct answers Low-dose ICS
What is step three of asthma? - correct answers 0 to 4 years of age: medium does ICS plus sub
specialist referral
Greater than five years of age: low-dose ICS plus LABA or medium dose ICS
What is step four of asthma? - correct answers Medium dose ICS plus LABA or montelukast plus
subspecialist referral
What is step five of asthma? - correct answers High-dose ICS plus LABA or montelukast plus
subspecialist referral
What is step six of asthma? - correct answers Hi dose ICS plus LABS or montelukast plus OCS
plus subspecialist referral
A patient received a score of 75% on a spirometry. What is this considered? - correct answers
Normal
,What education would be provided to a parent of a child that is using as a spirometry Regarding
normal levels? - correct answers Anything greater than 75% is considered normal
What is the range for mild obstruction on a spirometry? - correct answers 60 to 75%
What is considered moderate obstruction on a spirometry - correct answers 50 to 59%
What is considered severe obstruction on a spirometry - correct answers Less than 49%
When should a child be tested for exercise induced asthma after diagnosis - correct answers
Every one to two years
What is allergic rhinitis mediated by? - correct answers IgE
What is treatment for allergic rhinitis? - correct answers Intranasal corticosteroids are
considered first line treatment. Children with allergic rhinitis often exhibit symptoms of asthma.
What is pharyngitis? - correct answers inflammation of the pharynx leading to sore throat.
What is the most common bacterial cause of acute pharyngitis? - correct answers Group A beta-
hemolytic Streptococcus (GABHS) (Streptococcus pyogenes)
What is the best prevention of upper respiratory infection? - correct answers Flu vaccine
What is Kawasaki disease? - correct answers Coronary artery vasculitis. The treatment for this
disease is IVIG therapy requires Echo and cardiologists.
, An autoimmune disease involving the inflammation of blood vessels, lymph nodes, skin, and
mucosa - initial symptom is a high fever, later symptoms include conjunctivitis, rash, peeling,
and edema.
What are symptoms of enterovirus? - correct answers Fever, runny nose, sneezing, cough, skin,
rash, mouth, blisters, and body and muscle aches. This is something that is very contagious.
What are clinical findings of downs syndrome? - correct answers Short stature, brachycephaly,
mid face, hyperplasia with flat nasal bridge, Brushfield spots, epicanthal folds with upslanting,
Palpebral fissures, smallmouth with protruding tongue, myopia/Cataracs, small ears/narrow,
canals, extra skin at nape of neck, lax joints, short, broad hands/feet/digits, single palmar
crease, congenital heart disease.
What is impetigo? - correct answers Contagious bacterial infection marked by clusters of small
blisters.
What is the treatment for impetigo? - correct answers Topical bacitracin or Mupirocin ointment;
Anti-staphloccal antibiotic.
What is treatment for contact dermatitis - correct answers Avoid irritant, cool compress, barrier
ointment, hydrocortisone, cream, antihistamined, steroids, oral antibiotics, lukewarm bath.
What is a key finding for diagnosis of scabies? - correct answers Itching that is worse at night.
Complaints are more significant than physical findings.
What is pediculosis? - correct answers lice infestation
What is treatment for pediculosis? - correct answers 1st line: pediculides (permethrin 1%, can
be used on kids 1mo and older)
