MIDTERM NR 511
DIAGNOSTIC REASONING AND DIFFERENTIAL DIAGNOSIS - (correct Answer) - Taking a client history
OLDCARTS
Specificity and Sensitivity
Reimbursement
Clinical Decision-Making
OLDCARTS - (correct Answer) - Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving
Factors, Treatment, Severity
True or False: the history of the present illness is a breakdown of the client's chief complaint - (correct
Answer) - True
Specificity: Low - (correct Answer) - Getting a positive result when it is not present- a high number of
false positives- meaning a healthy person has a disease when they actually do not
Specificity: High - (correct Answer) - A high percentage of healthy individuals will show a normal result
Test with High Specificity - (correct Answer) - A high percentage of healthy individuals will show a normal
result
Sensitivity - (correct Answer) - the proportion of true positives out of all patients with a designated
condition
High Sensitivity - (correct Answer) - will lead to positive findings for patients with a disease
Medicare Part A - (correct Answer) - Inpatient hospital stat, skilled nursing care, hospice, home care
Medicare Part B - (correct Answer) - Outpatient care, provider visits, surgery, lab tests, medical
equipment, preventative exams
Medicare Part C - (correct Answer) - Wellness services, vision exams, hearing exams, eyeglasses, hearing
aids
Medicare Part D - (correct Answer) - Prescription drugs
Reimbursement for NPs - (correct Answer) - Reimbursed 85% of the physician's fee
Fungal Skin Infections - (correct Answer) - Papular Rash, SATELLITE LESIONS (classic symptom)
Treatment of fungal skin infections - (correct Answer) - Antifungal cream, pill, keep area as dry as
possible
Location of fungal skin infections - (correct Answer) - Can be under the breast, in between skin folds, or
in the groin area
, Who is at risk for fungal skin infections - (correct Answer) - Immunocompromised, diabetics, antibiotic
therapy, cellular immunity (chemo, AIDS, corticosteroid treatment, bone marrow transplant), invasive
parenteral catheterization, invasive monitoring devices
Tinea Vessicolor - (correct Answer) - Most commonly found on trunk and shoulders.
Flat to slightly elevated brown papules and plaques that scale when they are rubbed along with areas of
hyperpigmentation
Balanitis - (correct Answer) - Candidiasis of the glands of the penis
Tinea Corporis (ringworm) - (correct Answer) - Annular lesions with scaly borders and central clearing on
the trunk; has ring-shaped lesions with scaly borders and central clearing or scaly patches with distinct
borders on exposed skin surfaces or on the trunk
Tinea Pedis - (correct Answer) - Athlete's foot
Tinea Cruis - (correct Answer) - Jock itch
Tinea Unguium - (correct Answer) - Ring worm of the nails
Treatment for Tinea Unguium - (correct Answer) - Topical antifungals
nystatin (ny amy c, pedi-dri, nystop)-efective for candida only
clotrimazole (lotrimin)
miconazole (monistat-derm)
naftifine (Naftin)
terbinafine (lamisil)
ciclopirox (loprox)
Who is at risk for dry skin? - (correct Answer) - Older Adults
Cellulitis - (correct Answer) - is a spreading infection of the epidermis and subcutaneous tissue that
usually begins after a break in the skin
Foliculitis - (correct Answer) - Bacterial infection of the hair follicle, papules are characteristic of follicles.
Impetigo - (correct Answer) - Highly contagious bacterial skin infection and most commonly EFFECTS
YOUNG CHILDREN
Treatment of Impetigo - (correct Answer) - Non-pharmacologic management involves the use of
solutions or substances to debride the lesions and to expose the skin surfaces where the bacteria are
present
Two types of impetigo - (correct Answer) - Bullous and non-bullous
Bullous and non-bullous impetigo (Face) - (correct Answer) - The cervical lymph nodes are enlarged
DIAGNOSTIC REASONING AND DIFFERENTIAL DIAGNOSIS - (correct Answer) - Taking a client history
OLDCARTS
Specificity and Sensitivity
Reimbursement
Clinical Decision-Making
OLDCARTS - (correct Answer) - Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving
Factors, Treatment, Severity
True or False: the history of the present illness is a breakdown of the client's chief complaint - (correct
Answer) - True
Specificity: Low - (correct Answer) - Getting a positive result when it is not present- a high number of
false positives- meaning a healthy person has a disease when they actually do not
Specificity: High - (correct Answer) - A high percentage of healthy individuals will show a normal result
Test with High Specificity - (correct Answer) - A high percentage of healthy individuals will show a normal
result
Sensitivity - (correct Answer) - the proportion of true positives out of all patients with a designated
condition
High Sensitivity - (correct Answer) - will lead to positive findings for patients with a disease
Medicare Part A - (correct Answer) - Inpatient hospital stat, skilled nursing care, hospice, home care
Medicare Part B - (correct Answer) - Outpatient care, provider visits, surgery, lab tests, medical
equipment, preventative exams
Medicare Part C - (correct Answer) - Wellness services, vision exams, hearing exams, eyeglasses, hearing
aids
Medicare Part D - (correct Answer) - Prescription drugs
Reimbursement for NPs - (correct Answer) - Reimbursed 85% of the physician's fee
Fungal Skin Infections - (correct Answer) - Papular Rash, SATELLITE LESIONS (classic symptom)
Treatment of fungal skin infections - (correct Answer) - Antifungal cream, pill, keep area as dry as
possible
Location of fungal skin infections - (correct Answer) - Can be under the breast, in between skin folds, or
in the groin area
, Who is at risk for fungal skin infections - (correct Answer) - Immunocompromised, diabetics, antibiotic
therapy, cellular immunity (chemo, AIDS, corticosteroid treatment, bone marrow transplant), invasive
parenteral catheterization, invasive monitoring devices
Tinea Vessicolor - (correct Answer) - Most commonly found on trunk and shoulders.
Flat to slightly elevated brown papules and plaques that scale when they are rubbed along with areas of
hyperpigmentation
Balanitis - (correct Answer) - Candidiasis of the glands of the penis
Tinea Corporis (ringworm) - (correct Answer) - Annular lesions with scaly borders and central clearing on
the trunk; has ring-shaped lesions with scaly borders and central clearing or scaly patches with distinct
borders on exposed skin surfaces or on the trunk
Tinea Pedis - (correct Answer) - Athlete's foot
Tinea Cruis - (correct Answer) - Jock itch
Tinea Unguium - (correct Answer) - Ring worm of the nails
Treatment for Tinea Unguium - (correct Answer) - Topical antifungals
nystatin (ny amy c, pedi-dri, nystop)-efective for candida only
clotrimazole (lotrimin)
miconazole (monistat-derm)
naftifine (Naftin)
terbinafine (lamisil)
ciclopirox (loprox)
Who is at risk for dry skin? - (correct Answer) - Older Adults
Cellulitis - (correct Answer) - is a spreading infection of the epidermis and subcutaneous tissue that
usually begins after a break in the skin
Foliculitis - (correct Answer) - Bacterial infection of the hair follicle, papules are characteristic of follicles.
Impetigo - (correct Answer) - Highly contagious bacterial skin infection and most commonly EFFECTS
YOUNG CHILDREN
Treatment of Impetigo - (correct Answer) - Non-pharmacologic management involves the use of
solutions or substances to debride the lesions and to expose the skin surfaces where the bacteria are
present
Two types of impetigo - (correct Answer) - Bullous and non-bullous
Bullous and non-bullous impetigo (Face) - (correct Answer) - The cervical lymph nodes are enlarged
