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NR 511 Week 3 Quiz (June 2020){100%}

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NR 511 Week 3 Quiz (June 2020){10Question: A rash that looks like the patient was slapped on the cheeks of the face is the hallmark characteristic for which disease? Question: 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? Question: 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 … a group of vesicles with erythematous bases where the burning had … before. There is no burning today. She is afebrile and has no difficulty eating or swallowing. What test would confirm her diagnosis? Question: A 10-year-old male presents to the office with his mother with complaints of itchy and red eyes for 1 day. He reports watery drainage in both eyes, associated with repetitive itching. He has no fever or constitutional symptoms. The patient has a sibling that just started day care recently. Upon examination, vision is 20/20 OU with glasses. He has mild to … conjunctival hyperemia with bilateral preauricular lymph nodes that are inflamed. What is the patient’s diagnosis? Question: A 22-year-old college student presents to your 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? Question: You diagnose 46-year-old Mabel with viral conjunctivitis. Your treatment should include: Question: Johnson, a 54-year-old accountant, presents to the office with a painful red eye without discharge. You should suspect: Question: A 4-year-old male presents to your pediatric clinic with his mother complaining of an itchy rash, mostly between his fingers. This has been going on for multiple days and has been getting worse. The patient recently started at a new day care. On physical exam, the patient is afebrile and has multiple small (1-2 mm) red papules in sets of 3 … in the web spaces between his fingers. He also has signs of excoriation. What is the treatment for this problem? Question: A 25-year-old male presents with “bleeding in my eye” for 1 day. He awoke this morning with a dark area of redness in his eye. He has no visual loss or changes. He denies constitutional symptoms, pruritus, drainage, or recent trauma. The redness presents on physical exam as a dark red area in the patient’s sclera of the right eye only and takes up less than 50% of the eye. The patient’s remaining sclera is clear and white. He also notes he was drinking alcohol last night and vomited afterward. What is the best treatment? Question: 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? Question: Sharon, a 47-year-old bank teller, is … by the nurse practitioner in the office for a red eye. You are trying to decide between a diagnosis of conjunctivitis and iritis. One distinguishing characteristic between the two is: Question: Which of the following patients does not have an increased risk of Candida infection? Question: Henry, 64 years old, is having difficulty getting rid of a corneal infection. He asks why. How do you respond? Question: A 25-year-old male presents to your urgent care clinic complaining of genital pruritus. On physical exam, the patient has small, erythematous, excoriated papules in his pubic hair. No mites are … 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? Question: Mary, age 82, presents with several eye problems. She states that her eyes are always dry and look “sunken in.” What do you suspect? [Show less]0%}

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NR511 WEEK3 QUIZ (JUNE 2020) (100%)


Week 3

Question 1
pts
A rash that looks like the patient was slapped on the cheeks of the face is the hallmark
characteristic for which disease?
Correct!
Erythema infectiosum (fifth disease).
Rubella.
Rocky Mountain spotted fever.
Rubeola.

Erythema infectiosum (fifth disease) usually starts on the cheeks and spreads to the
arms and trunk.


Question 2
pts
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?

Oral Keflex for 7 days.
Topical compress with Burow solution and follow-up in 2 to 3 days.ou Answered
Local debridement and topical compress with Burow solution and close follow-up.
Correct Answer
Local debridement and mupirocin for 5 days.

This is the treatment of choice for impetigo.




This study source was downloaded by 100000831887191 from CourseHero.com on 02-03-2022 01:45:10 GMT -06:00


https://www.coursehero.com/file/63619726/Week-3-QUIZdocx/

, Question 3
pts
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?

Exam under a Wood lamp.
Sterile culture sent for aerobic and anaerobic bacteria.orrect!
Tzanck smear.
Potassium hydroxide (KOH) prep.

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.


Question 4
pts
A 10-year-old male presents to the office with his mother with complaints of itchy and
red eyes for 1 day. He reports watery drainage in both eyes, associated with repetitive
itching. He has no fever or constitutional symptoms. The patient has a sibling that just
started day care recently. Upon examination, vision is 20/20 OU with glasses. He has
mild to moderate conjunctival hyperemia with bilateral preauricular lymph nodes that are
inflamed. What is the patient’s diagnosis?
You Answered
Bacterial conjunctivitis.
Correct Answer
Viral conjunctivitis.
Blepharitis.
Allergic conjunctivitis.

This is the classic presentation of viral conjunctivitis. The patient also has exposure to
kids at school and a sibling with day care exposure.




This study source was downloaded by 100000831887191 from CourseHero.com on 02-03-2022 01:45:10 GMT -06:00


https://www.coursehero.com/file/63619726/Week-3-QUIZdocx/

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