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Maryville NURS 620 Adult 1 EXAM 1 2022

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if rapid strep test is negative what is the first thing you should do? send out culture when examining lab from a person with mono what would the NP expect to find? Lymphocytosis EBV is transmitted through which route? oral pharyngeal secretions (saliva) Sx of mono usually present how many days after initially infected? 30-50 days if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to avoid beta-lactam 60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion with induration what do you suspect oral cancer which vision sx is common in open angel glaucoma peripheral vision loss pt presents with sudden vision changes with floaters and flashes, what is next step refer to eye dr (retinal detachment) An acutely presenting, erythematous, tender lump within the eyelid Hordeolum (stye) A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling on the eyelid Chalazion what maneuver can be performed to help manage sx of vertigo? Epley maneuver What can help diagnose vertigo Dix-Hallpack test A pt is started on antibiotics for strep a few days later the mono spot comes back positive what is the first thing to do? discontinue antibiotics peripheral vision loss that has worsened over the last few months open-angle glaucoma (peripheral loss over time) Risk factor for otitis externa? Exposure to water, excessive use of headphones, Q-tips, impacted cerumen and earplugs Risk factor for otitis media? Young children, allergies, craniofacial abnormalities, smokers, hx of URI, acid reflux, immunodeficiency A red flag for pt complaining of red eye? severe headache therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with treatment failure after 7 days of 1st line abx (PCN)? Doxycycline previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore throat; exam shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99, most appropriate treatment plan saline nasal spray and clariton painful ulcer in mouth that is round or oval with white or yellow center and red border canker sore what symptoms are most indicative of mono gradual onset of fatigue/malaise POSTERIOR CERVICAL ADENOPATHY, fever and sore throat excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad breath, swollen puffy receding gums that are tender and bleed easily gingivitis

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MARYVILLE NURS 620 ADULT 1 EXAM 1


if rapid strep test is negative what is the first thing you should do? correct answersend out culture



when examining lab from a person with mono what would the NP expect to find? correct
answerLymphocytosis



EBV is transmitted through which route? correct answeroral pharyngeal secretions (saliva)



Sx of mono usually present how many days after initially infected? correct answer30-50 days



if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to avoid
correct answerbeta-lactam



60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion with
induration what do you suspect correct answeroral cancer



which vision sx is common in open angel glaucoma correct answerperipheral vision loss



pt presents with sudden vision changes with floaters and flashes, what is next step correct answerrefer
to eye dr (retinal detachment)



An acutely presenting, erythematous, tender lump within the eyelid correct answerHordeolum (stye)



A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling on the
eyelid correct answerChalazion

, what maneuver can be performed to help manage sx of vertigo? correct answerEpley maneuver



What can help diagnose vertigo correct answerDix-Hallpack test



A pt is started on antibiotics for strep a few days later the mono spot comes back positive what is the
first thing to do? correct answerdiscontinue antibiotics



peripheral vision loss that has worsened over the last few months correct answeropen-angle glaucoma
(peripheral loss over time)



Risk factor for otitis externa? correct answerExposure to water, excessive use of headphones, Q-tips,
impacted cerumen and earplugs



Risk factor for otitis media? correct answerYoung children, allergies, craniofacial abnormalities, smokers,
hx of URI, acid reflux, immunodeficiency



A red flag for pt complaining of red eye? correct answersevere headache



therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with treatment failure
after 7 days of 1st line abx (PCN)? correct answerDoxycycline



previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore throat; exam
shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99, most appropriate
treatment plan correct answersaline nasal spray and clariton



painful ulcer in mouth that is round or oval with white or yellow center and red border correct
answercanker sore

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