Questions And Answers Verified 100% Correct
Acute otitis externa - ANSWER superficial infection of the skin in the ear canal. It is
more common during warm and humid conditions such as swimming and summertime.
The most common bacterial pathogen is pseudomonas (gram negative). does not
involve the middle ear or the tympanic membrane and does not cause tinnitus (as seen
in Ménière's disease).
Grade I - ANSWER very soft murmur that is difficult to hear.
Grade II
. - ANSWER is a murmur that is mild to moderately loud.
Grade III - ANSWER is a loud murmur that is easy to hear.
Grade IV - ANSWER the first time a thrill is palpated.
Grade V - ANSWER when the murmur can be heard with the stethoscope partly off the
chest.
Grade VI - ANSWER when the murmur is so loud that it can be heard with the
stethoscope off the chest.
A loud heart murmur that is easily heard when the stethoscope is placed on the chest is
which of the following? - ANSWER Grade III
No thrill is present - ANSWER less than 4
Diverticulitis - ANSWER inflamed and infected diverticula.
It is more common in older or elderly adults.
small pouch-like structures along the clonic wall.
They are caused by chronic lack of fiber in the diet treatment is fiber supplementation
such as psyllium (Metamucil) or methylcellulose (Citrucel) that is taken two to three
times a day with 8 ounces of water.
can be a life-threatening infection; if the diverticula rupture, the result will be an acute
abdomen.
,Rocky Mountain spotted fever. - ANSWER A rash starts on the wrist and ankles;
spreading centrally is a classic sign of
Which of the following is the best treatment plan to follow? - ANSWER Refer the patient
to an infectious disease specialist immediately.
.
Rocky Mountain spotted fever is treated with - ANSWER doxycycline or
chloramphenicol.
what happens with Rocky Mountain spotted - ANSWER Thrombocytopenia and ITP, an
autoimmune disorder, result from the breakdown of platelets in the spleen. ITP is self-
limiting and is usually precipitated by a viral infection.
Erythema migrans (a targetlike red rash) - ANSWER seen during the early stage of the
infection. treated with a 21-day course of doxycycline.
Roseola infantum (or exanthema subitum) - ANSWER involves an abrupt onset of high
fever, up to 105o Fahrenheit (F), lasting from 3 to 5 days.
The infant feeds and behaves normally.
After the fever diminishes, a rash appears on the trunk/abdomen and then resolves
spontaneously after a few days.
sometimes associated with febrile seizures. It is caused by herpes virus type 6 and
type 7.
The teen presented in the case ranges from the age of 14 to 16 years. The -
ANSWER
The teen is usually due for a Td booster (the last series of the DTaP is given at around
3 to 4 years of age or at preschool). Therefore, teens are due for their first 10-year
booster of tetanus.
Primary Prevention (prevention of disease/injury) - ANSWER Immunizations, seatbelts,
airbags, and bicycle helmets Habitat for Humanity (shelter) Education for healthy
population (i.e., exercise for students). If preexisting disease present, considered a
tertiary prevention (i.e., diabetic diet).
Secondary Prevention (detection of disease early to minimize bodily damage) -
ANSWER All screening laboratory test
Secondary Prevention (detection of disease early to minimize bodily damage) -
ANSWER Mammography with Clinical Breast Exam
, Secondary Prevention (detection of disease early to minimize bodily damage) -
ANSWER Pap Smear
Secondary Prevention (detection of disease early to minimize bodily damage) -
ANSWER Prostate Specific Antigen (PSA) with Digital Rectal Exam (DRE)
Secondary Prevention (detection of disease early to minimize bodily damage)
Start screening with Hemoccult × 3 and a DRE by age 40 years Colonoscopy: start at
age 50 years if no risk factors (highest risk factor is older age) Higher Risk (refer to
gastroenterologist) start screening at younger ages if at higher risk history of familial
polyposis (multiple polyps on colon) first degree relative with colon cancer, Crohn's
disease - ANSWER Colon Cancer
.
Secondary Prevention (detection of disease early to minimize bodily damage) The
Centers for Disease Control and Prevention (CDC) recommends screening all
women between the ages of 20 to 24 years for STDs or sexually transmitted
infections (STIs).
. - ANSWER Sexually Transmitted Disease (STD) Testing
Leik MSN APRN BC FNP-C, Maria T. Codina (2007-07-23). Family Nurse Practitioner
Certification: Intensive Review (p. 60). Springer Publishing Company. Kindle Edition.
Secondary Prevention (detection of disease early to minimize bodily damage)
Purified protein derivative (PPD) or Mantoux test. Sputum cultures or chest X-rays
are not used for screening. High-risk criteria discussed under TB section.
. - ANSWER 6. Tuberculosis (TB)
C. Tertiary Prevention (rehabilitation and avoidance of further bodily damage) -
ANSWER Tertiary prevention is any type of rehabilitation such as cardiac rehab,
physical therapy, or speech therapy. It also consists of educational or support groups
for people with pre-existing conditions such as Alcoholics Anonymous (or a group of
people meeting to deal with a common problem), and education for patients with pre-
existing disease (i.e., diabetes, hypertension) about how to avoid drug interactions,
proper use of wheelchair or medical equipment, and so forth.
inflammatory bowel disorder which causes abdominal pain , diarrhea and wt
loss. Affects all the layers of the bowels. Distinguishes it from ulcerative colitis
ilium involvement
bloody diarrhea and frequent vomiting and diarrhea - ANSWER Chrohn's Disease
involves mucosa and submucosa