Sarah Michelle crash course correct answers 100% l
Treatment for Rocky Mountain Spotted Fever correct answersDoxycycline for any age and regardless of pregnancy
Presentation of Rocky Mountain Spotted Fever correct answersRash on palms of hands and soles of feet pops up after 3-5 days of
initial treatment
Presentation of Lyme Disease correct answersBulls eye rash
Lyme disease is also known as... correct answersErythema migrans
Treatment for Lyme disease over 8 years old correct answersDoxycycline
Treatment for Lyme disease less than 8 years old correct answersAmoxicillin
Aphthous Stomatitis vs herpes correct answersAphthous Stomatits: kanker sore inside the mouth
Herpes: painful clustered vesicles located outside the mouth
Treatment for herpes correct answersAntivirals with 48-72 hours
Valtrex or Acyclovir
Impetigo - 2 causes of bacteria correct answersStaph aureus & strep pyogenies
Impetigo presentation correct answersHoney crusted lesions
2 types of Impetigo treatment correct answersBullous: PO antibiotics
Nonbollous: mupirocin ointment
Pityriasis Rosea presentation correct answersChristmas tree like pattern rash
Herald Patch
pityoriasis rosea treatment correct answersSelf limiting
Rubeola presentation correct answersCough, congestion, conjunctivitis (3 C's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
Rubeola prevention correct answersMMR vaccine after 12 months old
( live vaccine)
Mumps presentation correct answersParotid gland swelling
Sialolithiasis: what is it! correct answersSalivary gland stone
Mass under chin when eating
actinic keratosis presentation correct answersDry pink lesions on a sun exposed area
actinic keratosis treatment correct answers5FU cream (topical chemo) and use liquid nitrogen (cryotherapy)
If actinic keratosis is left untreated, what can it develop into? correct answerssquamous cell carcinoma
sqamous cell carcinoma presentation correct answersSlow growing scaly ulcerated, bleeds easily
if squamous cell CA is suspected and a visible lesion is present, the next step should be correct answersRefer to dermatology
ABCDEs of melanoma correct answersasymmetry, border, color, diameter >6 mm, evolving
seborrheic keratosis: do lesions need to be removed correct answersNo- they are benign
most common type of skin cancer correct answersbasal cell carcinoma
basal cell carcinoma presentation correct answersShiny, waxy, pearly
May see telangiectasia with this
basal cell carcinoma : what should we do if we see this correct answersRefer to derm
Another name for atopic dermatitis correct answersEczema
eczema (atopic dermatitis) presentation correct answersPruitic, itch scratch cycle. Located on flexor surfaces (like back of knees,
axilla, elbows) .
Eczema, atopic dermatitis - treatment correct answersTopical corticosteroids
3A's correct answersAsthma, allergies, atopic dermatitis
Plaque Psoriasis presentation correct answersSilvery scales, itches
auspitz sign, psoriasis correct answerspinpoint bleeding after a scale is removed or after
Koebner phenomenon correct answersnew psoriatic plaques form over areas of skin trauma. Trauma to skin leads to having plaque
in that spot
Plaque psoriasis treatment correct answersTopical steroids
Contact dermatitis treatment correct answersavoid offending agents, corticosteroids
Shingles presentation correct answersSevere, piercing, burning, stabbing nerve pain along a dermatome
Vesicular rash in same area appears a few days after pain
Typically unilateral
Lesions last 3-5 days
Can spread to visceral organs or ocular region
shingles (herpes zoster) treatment correct answersAntivirals with 48 hours of onset of symptoms
Acyclovir ( cheapest) or
Valcyclovir
Shingles prevention correct answersShingrix (50 years and older). Most effective and preferred because it's inactivated. We can
give out no matter when the last outbreak was.
Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak
Which type of shingles must be referred out? correct answersShingles close to the eyes. Refer to ophthalmology. It may lead to
vision loss
Scabies presentation correct answers- itching because it burrows into skin and lays eggs.
Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites for scabies.
, - classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--the burrow; but infants often do not have burrows on
presentation.
Scabies treatment correct answersPermethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
Wash everything in house with hot water. Usually have to repeat treatment
chicken pox prevention correct answersLive attenuated vaccine
Only to be given after 12 months old
When can children return to school after chickenpox correct answersWhen all the lesions are crushed over
Molluscum contagiosum presentation correct answersFlesh-colored papules w/ central umbilication. Contagious
anthrax presentation correct answersUlcerated, black, and painless
Who would you typically see anthrax in? correct answersCattle farmers
Anthrax treatment correct answersCiprofloxacin for another 2 months
alternative treatment doxycycline
Hidradenitis suppurativa presentation correct answersPainful and reoccurring in axillae
Hidradenitis Suppurativa Treatment correct answersWarm compress and antibiotics
If large abscess- may need incision and drainage to obtain cultures
Folliculitis correct answersinflammation / infection of the hair follicles
Follliculitis treatment correct answersMupirocin
If severe: PO abx like PCN or Keflex
Leukoplakia correct answersCannot be scraped off tongue
Refer to dentist
Most commonly seen in HIV patients
May be detrimental with enamel
Candidiasis (Thrush) correct answersThick, white, raised patches in the mouth
Can be scraped off
Candidiasis (Thrush) treatment correct answersNystatin swish and spit
Encopresis correct answersa childhood disorder characterized by repeated defecating in inappropriate places, such as one's
clothing after already being toilet trained.
Child resists having bowel movements, causing impacted stool to collect in the colon and rectum and lead to leakage.
Encopresis Treatment correct answersDaily laxatives until BM is soft and regular
Behavior management: toilet refusal behavior, scheduled toileting time, incentives.
Prevention of constipation
Counseling
Reduce family tension
What indicates hepatitis B immune correct answersHepatitis surface antibody
What indicates Hepatitis b is active correct answersHepatitis B surface antigen (lasts 1-10 weeks after infection )
IgM
Liver enzyme that is grossly elevated in hepatitis correct answersALT compared to AST
Liver enzymes that is elevated when liver is damaged due to alcohol or medications like APAP correct answersAST compared to
ALT
Viral infections like hepatitis would predominantly have _______, as compared to bacterial infection predominantly would have
_____ on labs correct answersLymphocytes (viral infections)
Leukocytes ( bacterial infections)
Which medication produces rapid relief for stomach acid? correct answersCalcium carbonate (tums- Antacids) however it does not
relief symptoms as long
H2 blockers- end in dine (rantadine, famotidine). Provides relief in 1-2 hours for 6-12 hours.
As compared to PPIs , they are not as fast, but are stronger (omeprazole, pantoprazole). They provide relief after several hours and
relieve up to days
Which lab is elevated in pancreatitis correct answersSerum amylase
Hirschsprung's disease presentation correct answersFailure to pass meconium in the first 48 hours of life
cachexia correct answersa condition of physical wasting away due to the loss of weight and muscle mass that occurs in patients
with diseases such as older adults, advanced cancer or AIDS
hepatitis panel with the following results: - HBsAg, + IgG Anti-HBc, - IgM Anti-HBc, +HBsAb. Which of the following is the correct
interpretation of these findings? correct answersImmune due to previous infection
HBsAg is the surface antigen used to determine if a hepatitis B infection is present.The Anti-HBc is the core antibody. The core
antibody will always remain positive after an infection has occurred and can be further broken down into the IgG and IgM to
determine if the infection is current or resolved. HBsAb (sometimes called the Anti-HBs) is used to detect the surface antibody which
indicates the patient has immunity from Hepatitis B. Immunity from Hepatitis B occurs either from past infection or from the
immunization. This patient has a positive IgG, meaning they had an infection that is now gone. Since their HBsAb is positive, they
are now immune to hepatitis B due to the previously resolved infection.
A 60 year old female presents with dull, aching back pain in her lower back and occasional weakness in her left foot. She states that
the pain is relieved when she sits down and rests. What does the nurse practitioner suspect? correct answersSpinal stenosis
Low back pain that is relieved by sitting is a sign of spinal stenosis. Weakness or "foot drop," burning in the buttocks and thigh, and
abnormal reflexes can all be signs of spinal stenosis as well. Spinal stenosis is most common in patients older than 50 years old and
is many times due to osteoarthritis. The pain is often described as dull or aching.
Treatment for Rocky Mountain Spotted Fever correct answersDoxycycline for any age and regardless of pregnancy
Presentation of Rocky Mountain Spotted Fever correct answersRash on palms of hands and soles of feet pops up after 3-5 days of
initial treatment
Presentation of Lyme Disease correct answersBulls eye rash
Lyme disease is also known as... correct answersErythema migrans
Treatment for Lyme disease over 8 years old correct answersDoxycycline
Treatment for Lyme disease less than 8 years old correct answersAmoxicillin
Aphthous Stomatitis vs herpes correct answersAphthous Stomatits: kanker sore inside the mouth
Herpes: painful clustered vesicles located outside the mouth
Treatment for herpes correct answersAntivirals with 48-72 hours
Valtrex or Acyclovir
Impetigo - 2 causes of bacteria correct answersStaph aureus & strep pyogenies
Impetigo presentation correct answersHoney crusted lesions
2 types of Impetigo treatment correct answersBullous: PO antibiotics
Nonbollous: mupirocin ointment
Pityriasis Rosea presentation correct answersChristmas tree like pattern rash
Herald Patch
pityoriasis rosea treatment correct answersSelf limiting
Rubeola presentation correct answersCough, congestion, conjunctivitis (3 C's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
Rubeola prevention correct answersMMR vaccine after 12 months old
( live vaccine)
Mumps presentation correct answersParotid gland swelling
Sialolithiasis: what is it! correct answersSalivary gland stone
Mass under chin when eating
actinic keratosis presentation correct answersDry pink lesions on a sun exposed area
actinic keratosis treatment correct answers5FU cream (topical chemo) and use liquid nitrogen (cryotherapy)
If actinic keratosis is left untreated, what can it develop into? correct answerssquamous cell carcinoma
sqamous cell carcinoma presentation correct answersSlow growing scaly ulcerated, bleeds easily
if squamous cell CA is suspected and a visible lesion is present, the next step should be correct answersRefer to dermatology
ABCDEs of melanoma correct answersasymmetry, border, color, diameter >6 mm, evolving
seborrheic keratosis: do lesions need to be removed correct answersNo- they are benign
most common type of skin cancer correct answersbasal cell carcinoma
basal cell carcinoma presentation correct answersShiny, waxy, pearly
May see telangiectasia with this
basal cell carcinoma : what should we do if we see this correct answersRefer to derm
Another name for atopic dermatitis correct answersEczema
eczema (atopic dermatitis) presentation correct answersPruitic, itch scratch cycle. Located on flexor surfaces (like back of knees,
axilla, elbows) .
Eczema, atopic dermatitis - treatment correct answersTopical corticosteroids
3A's correct answersAsthma, allergies, atopic dermatitis
Plaque Psoriasis presentation correct answersSilvery scales, itches
auspitz sign, psoriasis correct answerspinpoint bleeding after a scale is removed or after
Koebner phenomenon correct answersnew psoriatic plaques form over areas of skin trauma. Trauma to skin leads to having plaque
in that spot
Plaque psoriasis treatment correct answersTopical steroids
Contact dermatitis treatment correct answersavoid offending agents, corticosteroids
Shingles presentation correct answersSevere, piercing, burning, stabbing nerve pain along a dermatome
Vesicular rash in same area appears a few days after pain
Typically unilateral
Lesions last 3-5 days
Can spread to visceral organs or ocular region
shingles (herpes zoster) treatment correct answersAntivirals with 48 hours of onset of symptoms
Acyclovir ( cheapest) or
Valcyclovir
Shingles prevention correct answersShingrix (50 years and older). Most effective and preferred because it's inactivated. We can
give out no matter when the last outbreak was.
Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak
Which type of shingles must be referred out? correct answersShingles close to the eyes. Refer to ophthalmology. It may lead to
vision loss
Scabies presentation correct answers- itching because it burrows into skin and lays eggs.
Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites for scabies.
, - classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--the burrow; but infants often do not have burrows on
presentation.
Scabies treatment correct answersPermethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
Wash everything in house with hot water. Usually have to repeat treatment
chicken pox prevention correct answersLive attenuated vaccine
Only to be given after 12 months old
When can children return to school after chickenpox correct answersWhen all the lesions are crushed over
Molluscum contagiosum presentation correct answersFlesh-colored papules w/ central umbilication. Contagious
anthrax presentation correct answersUlcerated, black, and painless
Who would you typically see anthrax in? correct answersCattle farmers
Anthrax treatment correct answersCiprofloxacin for another 2 months
alternative treatment doxycycline
Hidradenitis suppurativa presentation correct answersPainful and reoccurring in axillae
Hidradenitis Suppurativa Treatment correct answersWarm compress and antibiotics
If large abscess- may need incision and drainage to obtain cultures
Folliculitis correct answersinflammation / infection of the hair follicles
Follliculitis treatment correct answersMupirocin
If severe: PO abx like PCN or Keflex
Leukoplakia correct answersCannot be scraped off tongue
Refer to dentist
Most commonly seen in HIV patients
May be detrimental with enamel
Candidiasis (Thrush) correct answersThick, white, raised patches in the mouth
Can be scraped off
Candidiasis (Thrush) treatment correct answersNystatin swish and spit
Encopresis correct answersa childhood disorder characterized by repeated defecating in inappropriate places, such as one's
clothing after already being toilet trained.
Child resists having bowel movements, causing impacted stool to collect in the colon and rectum and lead to leakage.
Encopresis Treatment correct answersDaily laxatives until BM is soft and regular
Behavior management: toilet refusal behavior, scheduled toileting time, incentives.
Prevention of constipation
Counseling
Reduce family tension
What indicates hepatitis B immune correct answersHepatitis surface antibody
What indicates Hepatitis b is active correct answersHepatitis B surface antigen (lasts 1-10 weeks after infection )
IgM
Liver enzyme that is grossly elevated in hepatitis correct answersALT compared to AST
Liver enzymes that is elevated when liver is damaged due to alcohol or medications like APAP correct answersAST compared to
ALT
Viral infections like hepatitis would predominantly have _______, as compared to bacterial infection predominantly would have
_____ on labs correct answersLymphocytes (viral infections)
Leukocytes ( bacterial infections)
Which medication produces rapid relief for stomach acid? correct answersCalcium carbonate (tums- Antacids) however it does not
relief symptoms as long
H2 blockers- end in dine (rantadine, famotidine). Provides relief in 1-2 hours for 6-12 hours.
As compared to PPIs , they are not as fast, but are stronger (omeprazole, pantoprazole). They provide relief after several hours and
relieve up to days
Which lab is elevated in pancreatitis correct answersSerum amylase
Hirschsprung's disease presentation correct answersFailure to pass meconium in the first 48 hours of life
cachexia correct answersa condition of physical wasting away due to the loss of weight and muscle mass that occurs in patients
with diseases such as older adults, advanced cancer or AIDS
hepatitis panel with the following results: - HBsAg, + IgG Anti-HBc, - IgM Anti-HBc, +HBsAb. Which of the following is the correct
interpretation of these findings? correct answersImmune due to previous infection
HBsAg is the surface antigen used to determine if a hepatitis B infection is present.The Anti-HBc is the core antibody. The core
antibody will always remain positive after an infection has occurred and can be further broken down into the IgG and IgM to
determine if the infection is current or resolved. HBsAb (sometimes called the Anti-HBs) is used to detect the surface antibody which
indicates the patient has immunity from Hepatitis B. Immunity from Hepatitis B occurs either from past infection or from the
immunization. This patient has a positive IgG, meaning they had an infection that is now gone. Since their HBsAb is positive, they
are now immune to hepatitis B due to the previously resolved infection.
A 60 year old female presents with dull, aching back pain in her lower back and occasional weakness in her left foot. She states that
the pain is relieved when she sits down and rests. What does the nurse practitioner suspect? correct answersSpinal stenosis
Low back pain that is relieved by sitting is a sign of spinal stenosis. Weakness or "foot drop," burning in the buttocks and thigh, and
abnormal reflexes can all be signs of spinal stenosis as well. Spinal stenosis is most common in patients older than 50 years old and
is many times due to osteoarthritis. The pain is often described as dull or aching.
