Preparation With Complete Questions And Correct
Answers With Rationales | Already Graded
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University
Risk factors for skin cancer(melanoma and both non-melanoma)
Blistering sunburn as a child, history of sunburns, light skin,
chronic exposure to UV light (sunlight/tanning beds), moles, family
hx for skin cancer
Melanoma symptoms (ABCDE)
asymmetry (shape/uneven texture)
border (irregular/notched/blurred)
color (variegated colors from black, blue, dark to light brown)
diameter (size >6mm size of pencil eraser or larger)
evolving (changes in
color/size/shape) may be itchy
,Acral lengtiginous melanoma
Most common type of melanoma in dark skinned individuals
(blacks & asians)
--> look for longitudinal brown to black bands under the nailbed. a
changing spot or mole in the palms, or the soles of the feet
Bacterial Meningitis Bacteria
Streptococcus pneumoniae- most common strain
Haemophilus influenzae
Neisseria
meningitidis
Escherichia coli
*others
seborrheic keratosis
soft, round, wart-like growth that is light tan to black and looks
pasted on
asymptomatic &benign
,Bacterial meningitis symptoms (Classic Triad)
High fever
Nuchal
rigidity
rapid change in mental status w/
headache Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to purple-
colored lesions (purpura) which are non-blanchable
Is bacterial meningitis a reportable disease
yes!
, Treatment for Bacterial meningitis-patient
IV Abx ASAP, resp/droplet iso for first 24-48 hrs, hydrate
(low maintenance after initial fluid correction), Maintain
ventilation and reduce increased intra cranial pressure if
present (dexamethosone(to reduce inflammation, mannitol to
diurese the brain), low stim environment, tx complications
that may arrive and support family
Treatment for bacterial meningitis-close encounter
Close contacts should be treated w/ rifampin 600 mg q 12
hours x 2 days
**Rifampin changes urine color to reddish orange and can
stain contacts
**AVOID RIFAMPIN IN PREGNANCY