NU674 FINAL EXAM QUESTIONS
AND THEIR CORRECT REVIEWED
ANSWERS
primary treatment for skin and soft tissue abscesses
with or without adjunct abx tx
I&D
most common place for cutaneous abscess to form
buttocks, axillary, extremities
localized collections of pus that occur within the
dermis and subcutaneous space; erythema,
induration, TTP, and fluctuant are main characteristics
cutaneous abscess
when is wound packing NOT recommended for
abscesses
less than 5cm in diameter
where is the incision made when performing an I&D
on an abscess
directly over the center of the abscess
most common causes of skin and soft tissues
infections
Staph aureus or MRSA
how often can you give Narcan
every 2-3min
how should patient be positioned to receive nasal
Narcan
supine, on their back
,local anesthetic which rapid onset of action, but
shorter duration for most skin procedures
Lidocaine (Amides-Xylocaine)
local anesthetic that has a slower onset but a long
duration
Bupivacaine (Marcaine)
steps to reduce pain with local anesthetic injection:
stretch skin taut, pressure on skin surface around the site,
30G needed, enter at 90degrees, aspirate plunger (avoid
IV placement), superficial placement first, allow to "set"
when and where to avoid use of Epi
hx of tachyarrhythmia or vasospastic disease (Raynauds);
distal to wrist, ankle, and male genitalia
ratio when mixing Lido and Epi
10:1
shave biopsy is used for...
exophytic lesions
punch biopsy is used for..
rashes and endophytic lesions
when are pre-procedure abx indicated for skin
biopsies
prosthetic heart valve, joint replacement in past 2 yrs, hx
of endocarditis, symptomatic valvular heart disease
pre procedure antibiotic choice for skin biopsy
amoxicillin 2g po 1 hr prior; OR clindamycin
cryotherapy is used for..
viral warts and actinic keratosis (precancerous)
contraindications to cyrotherapy
raynauds, pyoderma gangrenosum, cold urticaria,
cryoglobulienemia, cold intolerance, connective tissue
disease
, skin condition characterized by hives or wheals that
results from some trigger
urticaria
acute urticaria lasts..
less than 6 weeks
most common cause of acute urticaria
viral
most common cause of chronic urticaria
idiopathic
what medication should someone with chronic
urticaria avoid
Aspirin
treatment for papular urticaria
topical steroid - low dose
first line treatment for urticaria
non sedating antihistamines (allegra, claritin, zyrtec)
risk factor for anaphylaxis
asthma
"Darrier's sign" is a symptom of what skin condition
dermatographism
LDL normal range
<100
HDL normal range
>60
type of diet to prevent HLD
mediterranean and DASH
therapy indicated if ASCVD preventative measures fail
statins
statins may be started as primary prevention in those
with:
AND THEIR CORRECT REVIEWED
ANSWERS
primary treatment for skin and soft tissue abscesses
with or without adjunct abx tx
I&D
most common place for cutaneous abscess to form
buttocks, axillary, extremities
localized collections of pus that occur within the
dermis and subcutaneous space; erythema,
induration, TTP, and fluctuant are main characteristics
cutaneous abscess
when is wound packing NOT recommended for
abscesses
less than 5cm in diameter
where is the incision made when performing an I&D
on an abscess
directly over the center of the abscess
most common causes of skin and soft tissues
infections
Staph aureus or MRSA
how often can you give Narcan
every 2-3min
how should patient be positioned to receive nasal
Narcan
supine, on their back
,local anesthetic which rapid onset of action, but
shorter duration for most skin procedures
Lidocaine (Amides-Xylocaine)
local anesthetic that has a slower onset but a long
duration
Bupivacaine (Marcaine)
steps to reduce pain with local anesthetic injection:
stretch skin taut, pressure on skin surface around the site,
30G needed, enter at 90degrees, aspirate plunger (avoid
IV placement), superficial placement first, allow to "set"
when and where to avoid use of Epi
hx of tachyarrhythmia or vasospastic disease (Raynauds);
distal to wrist, ankle, and male genitalia
ratio when mixing Lido and Epi
10:1
shave biopsy is used for...
exophytic lesions
punch biopsy is used for..
rashes and endophytic lesions
when are pre-procedure abx indicated for skin
biopsies
prosthetic heart valve, joint replacement in past 2 yrs, hx
of endocarditis, symptomatic valvular heart disease
pre procedure antibiotic choice for skin biopsy
amoxicillin 2g po 1 hr prior; OR clindamycin
cryotherapy is used for..
viral warts and actinic keratosis (precancerous)
contraindications to cyrotherapy
raynauds, pyoderma gangrenosum, cold urticaria,
cryoglobulienemia, cold intolerance, connective tissue
disease
, skin condition characterized by hives or wheals that
results from some trigger
urticaria
acute urticaria lasts..
less than 6 weeks
most common cause of acute urticaria
viral
most common cause of chronic urticaria
idiopathic
what medication should someone with chronic
urticaria avoid
Aspirin
treatment for papular urticaria
topical steroid - low dose
first line treatment for urticaria
non sedating antihistamines (allegra, claritin, zyrtec)
risk factor for anaphylaxis
asthma
"Darrier's sign" is a symptom of what skin condition
dermatographism
LDL normal range
<100
HDL normal range
>60
type of diet to prevent HLD
mediterranean and DASH
therapy indicated if ASCVD preventative measures fail
statins
statins may be started as primary prevention in those
with:
