NR 511 WEEK 3 QUIZ-LATEST

NR 511 WEEK 3 QUIZ A 27-year-old female comes in to your primary care office complaining of a perioral rash. The patient noticed burning around her lips a couple days ago that quickly went away. She awoke from sleep yesterday and noticed a group of vesicles with erythematous bases where the burning had been before. There is no burning today. She is afebrile and has no difficulty eating or swallowing. What test would confirm her diagnosis? Potassium hydroxide (KOH) prep. Tzanck smear. Sterile culture sent for aerobic and anaerobic bacteria. Exam under a Wood lamp. This would show giant cells consistent with herpes simplex virus. KOH and wood's lamp are used to diagnose fungal infections. Cultures can be sent to diagnose bacterial infections but it will not detect HSV. A rash that looks like the patient was slapped on the cheeks of the face is the hallmark characteristic for which disease? Rubeola. Rubella. Erythema infectiosum (fifth disease). Rocky Mountain spotted fever. Erythema infectiosum (fifth disease) usually starts on the cheeks and spreads to the arms and trunk. A 3-year-old patient presents to your pediatric office with her mother. She has recently started in 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 where the erythema was last night. The patient has no surrounding erythema presently. She had no difficulty eating this morning and is active and energetic and doesn’t appear lethargic or fatigued. She is also afebrile. How would you treat this child? Local debridement and topical compress with Burow solution and close follow-up. Correct Answer Local debridement and mupirocin for 5 days. Oral Keflex for 7 days. Topical compress with Burow solution and follow-up in 2 to 3 days. This is the treatment of choice for impetigo. A 20-year-old male presents to your office in the summer complaining of chest discoloration. He is a lifeguard and has been out in the sun without a shirt on for long periods of time. His physical exam shows small, flat, circular, hypopigmented macules on his chest that he states are mildly pruritic. What is the treatment of choice for this diagnosis? Ketoconazole shampoo. Oral fluconazole. Hydrocortisone cream 1%. ........................