Nursing 623 Exam 1 with Complete Solutions

As a general assessment, the estimated level of hematocrit is how many times the value of the hemoglobin? • Five • Four • Two • Three Three What is the most appropriate treatment for the diagnosis of contact dermatitis? • Antiviral medications and Tylenol PRN • TMS/SMZ BID for 7 days • Clobetasol 0.05% creams and antihistimines • Clotrimazole 1% cream and Prednisone • Clobetasol 0.05% creams and antihistamines 00:03 01:29 Sally a 35-year-old present to your office with a vesicular, weeping, linear rash, body aches. She reveals she has been doing yard work. What is your initial diagnosis? • Contact dermatitis • Tinea versicolor • Herpes Zoster • Impetigo Contact Dermatitis Sandra is 42 years old and has been diagnosed with leukemia. She is complaining of bone and join pain. What type of leukemia is the likely culprit? • Chronic myelogenous leukemia • Acute lymphocytic leukemia • Acute myelogenous leukemia • Chronic lymphocytic leukemia Acute myelogenous leukemia Which of the following are present in hemolytic anemia? • Serum haptoglobin - increased • Reticulocyte count - elevated • Serum unconjugated bilirubin - decreased • Serum LDH - decreased Reticulocyte count - elevated Tori is on systemic antifungals for a bad tinea infection, You are aware that that may cause: • Breathing problems • Renal failure • Hepatoxicity • Skin discoloration Hepatoxicity What is the mainstay of management for infectious mononucleosis? • Antivirals • Isolation • Symptom control • Corticosteroids Symptom control Which of the following is the most cost effective screening test to determine HIV infection? • Viral load • ELISA • Western blot • VDRL test ELISA Josh, aged 22, has tinea versicolor, which description is the most likely for this condition? • There are white streaks on his neck. • Josh has red papules on his face • There are crusted plaques on Josh's groin area • There are round hypo pigmented macules on his back There are round hypo-pigmented macules on his back Ruben, age 24 years, has HIV and just had a routine viral load test done. The results show a falling viral load, this indicates a: • A disease progression • A favorable prognostic trend • Eradication of the HIV • The need to be more aggressive with Rubens medication A favorable prognostic trend Mrs. Smith presents to your office with pruritic, dry, leathery patches on her forearm and neck. What is your tentative treatment plan? • Desonide 0.05% daily for 7 days • Clotrimazole 1% cream daily for 7 days • UVB with coal tar • Amoxicillin 500 mg TID for a month Desonide 0.05% daily for 7 days Doug a 32 year old white male, presents at your clinic for a two week follow up for the treatment of tinea corpus, you had prescribed antifungal cream. However, his chest and arms continue to have a ring like rash • Obtain a skin scraping of the rash • Obtain a punch biopsy of the rash • Prescribe an antifunal and steroid cream for two more weeks. • Refer to a surgeon Obtain a skin scraping of the rash