NURSl 5433/l NURS5433l Midterml Examl
(NEWl 2026l Update)l –l Familyl IIl (FNPl
2)l Guidel |l Questionsl &l Answersl |l Gradel
A|l 100%l Correctl (Verifiedl Solutions)-l
UTA
QUESTION
Whatl arel causativel agentsl ofl Lymel Disease?
Answer:
burgodorferil borrelial spirochete
QUESTION
Rockyl Mountainl Spottedl Fever
Answer:
Patho:l anl illnessl youl getl froml thel bacterial Rickettsial rickettsiil (R.l rickettsii)l transmittedl
byl tickl bite.l Itl attacksl yourl bloodl vessels,l musclel cellsl andl tissues.l Thisl canl leadl tol
leakingl bloodl vessels,l excessl fluidl inl yourl tissues,l andl damagel tol yourl muscles,l nervesl
andl organs.
Symptoms:l suddenl highl fever,l headache,l musclel pain,l n/v/d/abl pain,l anorexia,l rashl
(maculopapulel byl 6thl day)
Diagnostics:l IgMl andl IgGl serologic,l Indirectl fluorescentl antibodyl (IFA)l testing
exam:l rashl spreadsl froml wristsl andl anklesl tol trunk,l neck,l andl face.l
Tx:l Adults-l Doxycyclinel 100l mgl POl orl IVl q12hl untill threel daysl afterl thel feverl
subsides
•l Childrenl <18:l Doxycyclinel 100l mgl POl orl IVl q12hl untill 3l daysl afterl feverl subsides
•l Pregnancy:l Doxycyclinel 100l mgl POl orl IVl q12hl untill 3l daysl afterl feverl subsidesl isl
first-line
therapyl andl chloramphenicoll 50-75l mg/kgl IVl dividedl intol 4l dosesl dailyl forl 7l daysl isl
second-line
therapy
,Referral:l none
RMSFl canl bel fatall inl thel firstl eightl days
Differentiall diagnosesl include,l bacteriall sepsis,l meningitis,l meningococcemia,l andl
cutaneousl anthrax.
QUESTION
Lymel Disease
Answer:
Patho:l al tick-bornel spirochetel infection
causedl byl Borrelial burgdorferi.
Symptoms:l 5mml solitaryl bullsl eyel rash,l erythema,l fever,
malaise,l headaches,l stiffl neck,l andl arthralgias
Diagnostics:l Empericl therapyl
Doxycycline,l 200l mgl asl al singlel dosel forl prophylaxis;l notl preg.l Pediatricl (50l
mg/kg/day)l x21l days
REMOVEl tickl asap
Re-evall 1l mol afterl abxl andl removal/exposure
diff:l septicl arthritis,l RMSF
PCNl allergy:l cefuroximel 500l milligramsl twicel dailyl forl 14-21l days,l orl 30l mgl perl kgl
per
dayl twicel dailyl withl al maxl ofl 1,000l al day
QUESTION
Howl dol symptomsl ofl lymel diseasel andl Rockyl mountainl spottedl feverl differ?
Answer:
rashesl arel different:l bullseyel vsl maculopapularl (smalll flatl &l pink)
RMSFl isl rapidl onsetl vsl lymel gradual
QUESTION
howl dol youl removel al tick?
Answer:
,usingl cleanl fine-tippedl tweezers,l Graspl thel tickl asl closel tol thel skin'sl surfacel asl
possiblel andl pulll awayl steady/evenly.l Washl site.
QUESTION
Tickl prevention
Answer:
Reducingl exposurel tol ticksl isl thel bestl defensel againstl tickbornel diseases.
Tickl exposurel canl occurl year-round,l butl ticksl arel mostl activel duringl warmerl monthsl
(April-September).
*grassy,l brushy,l orl woodedl areas
*Wearl repellent
*Checkl clothingl -l launderl inl HOTl water
*Checkl yourl bodyl asapl andl showerl asap
QUESTION
Whatl arel differentiall diagnosesl forl Rockyl Mountainl Spottedl Fever?
Answer:
bacteriall sepsis,l meningitis,l meningococcemia,l andl cutaneousl anthrax.
QUESTION
Whatl arel differentiall diagnosesl forl Lymel Disease?
Answer:
Reiter'sl syndrome,l Rockyl Mountainl Spottedl Fever,l acutel rheumaticl fever,l tularemia,l
virall syndrome,
cellulitis,l meningitis/encephalitis,l RA,l SLE,l humanl granulocyticl anaplasmosis,l andl
babesiosis
QUESTION
Nonpharml andl pharml managementsl forl adultl andl childl withl Lymel DIsease
Answer:
, Doxycycline,l 200l mgl asl al singlel dosel forl prophylaxis;l notl preg.l Pediatricl (50l
mg/kg/day)l x21l days
Monitorl forl 30daysl postl bite
PCNl allergy:l cefuroximel 500l milligramsl twicel dailyl forl 14-21l days,l orl 30l mgl perl kgl
per
dayl twicel dailyl withl al maxl ofl 1,000l al day
QUESTION
nonpharml andl pharml managementsl forl adultl andl childl withl Rockyl Mountainl spottedl
fever
Answer:
Doxycycline
rest
hydration
prevention
QUESTION
Whatl isl thel onlyl reasonl al childl underl 8l yearsl oldl shouldl receivel doxycycline?
Answer:
Lymel disease
Rockyl Mountainl spottedl fever
QUESTION
Petechiall rashl andl feverl arel alwaysl emergentl because:
Answer:
meningitisl (bacterial)l andl Rockyl Mountainl spottedl feverl (asl differentials)
QUESTION
Mononucleosis
Answer:
(NEWl 2026l Update)l –l Familyl IIl (FNPl
2)l Guidel |l Questionsl &l Answersl |l Gradel
A|l 100%l Correctl (Verifiedl Solutions)-l
UTA
QUESTION
Whatl arel causativel agentsl ofl Lymel Disease?
Answer:
burgodorferil borrelial spirochete
QUESTION
Rockyl Mountainl Spottedl Fever
Answer:
Patho:l anl illnessl youl getl froml thel bacterial Rickettsial rickettsiil (R.l rickettsii)l transmittedl
byl tickl bite.l Itl attacksl yourl bloodl vessels,l musclel cellsl andl tissues.l Thisl canl leadl tol
leakingl bloodl vessels,l excessl fluidl inl yourl tissues,l andl damagel tol yourl muscles,l nervesl
andl organs.
Symptoms:l suddenl highl fever,l headache,l musclel pain,l n/v/d/abl pain,l anorexia,l rashl
(maculopapulel byl 6thl day)
Diagnostics:l IgMl andl IgGl serologic,l Indirectl fluorescentl antibodyl (IFA)l testing
exam:l rashl spreadsl froml wristsl andl anklesl tol trunk,l neck,l andl face.l
Tx:l Adults-l Doxycyclinel 100l mgl POl orl IVl q12hl untill threel daysl afterl thel feverl
subsides
•l Childrenl <18:l Doxycyclinel 100l mgl POl orl IVl q12hl untill 3l daysl afterl feverl subsides
•l Pregnancy:l Doxycyclinel 100l mgl POl orl IVl q12hl untill 3l daysl afterl feverl subsidesl isl
first-line
therapyl andl chloramphenicoll 50-75l mg/kgl IVl dividedl intol 4l dosesl dailyl forl 7l daysl isl
second-line
therapy
,Referral:l none
RMSFl canl bel fatall inl thel firstl eightl days
Differentiall diagnosesl include,l bacteriall sepsis,l meningitis,l meningococcemia,l andl
cutaneousl anthrax.
QUESTION
Lymel Disease
Answer:
Patho:l al tick-bornel spirochetel infection
causedl byl Borrelial burgdorferi.
Symptoms:l 5mml solitaryl bullsl eyel rash,l erythema,l fever,
malaise,l headaches,l stiffl neck,l andl arthralgias
Diagnostics:l Empericl therapyl
Doxycycline,l 200l mgl asl al singlel dosel forl prophylaxis;l notl preg.l Pediatricl (50l
mg/kg/day)l x21l days
REMOVEl tickl asap
Re-evall 1l mol afterl abxl andl removal/exposure
diff:l septicl arthritis,l RMSF
PCNl allergy:l cefuroximel 500l milligramsl twicel dailyl forl 14-21l days,l orl 30l mgl perl kgl
per
dayl twicel dailyl withl al maxl ofl 1,000l al day
QUESTION
Howl dol symptomsl ofl lymel diseasel andl Rockyl mountainl spottedl feverl differ?
Answer:
rashesl arel different:l bullseyel vsl maculopapularl (smalll flatl &l pink)
RMSFl isl rapidl onsetl vsl lymel gradual
QUESTION
howl dol youl removel al tick?
Answer:
,usingl cleanl fine-tippedl tweezers,l Graspl thel tickl asl closel tol thel skin'sl surfacel asl
possiblel andl pulll awayl steady/evenly.l Washl site.
QUESTION
Tickl prevention
Answer:
Reducingl exposurel tol ticksl isl thel bestl defensel againstl tickbornel diseases.
Tickl exposurel canl occurl year-round,l butl ticksl arel mostl activel duringl warmerl monthsl
(April-September).
*grassy,l brushy,l orl woodedl areas
*Wearl repellent
*Checkl clothingl -l launderl inl HOTl water
*Checkl yourl bodyl asapl andl showerl asap
QUESTION
Whatl arel differentiall diagnosesl forl Rockyl Mountainl Spottedl Fever?
Answer:
bacteriall sepsis,l meningitis,l meningococcemia,l andl cutaneousl anthrax.
QUESTION
Whatl arel differentiall diagnosesl forl Lymel Disease?
Answer:
Reiter'sl syndrome,l Rockyl Mountainl Spottedl Fever,l acutel rheumaticl fever,l tularemia,l
virall syndrome,
cellulitis,l meningitis/encephalitis,l RA,l SLE,l humanl granulocyticl anaplasmosis,l andl
babesiosis
QUESTION
Nonpharml andl pharml managementsl forl adultl andl childl withl Lymel DIsease
Answer:
, Doxycycline,l 200l mgl asl al singlel dosel forl prophylaxis;l notl preg.l Pediatricl (50l
mg/kg/day)l x21l days
Monitorl forl 30daysl postl bite
PCNl allergy:l cefuroximel 500l milligramsl twicel dailyl forl 14-21l days,l orl 30l mgl perl kgl
per
dayl twicel dailyl withl al maxl ofl 1,000l al day
QUESTION
nonpharml andl pharml managementsl forl adultl andl childl withl Rockyl Mountainl spottedl
fever
Answer:
Doxycycline
rest
hydration
prevention
QUESTION
Whatl isl thel onlyl reasonl al childl underl 8l yearsl oldl shouldl receivel doxycycline?
Answer:
Lymel disease
Rockyl Mountainl spottedl fever
QUESTION
Petechiall rashl andl feverl arel alwaysl emergentl because:
Answer:
meningitisl (bacterial)l andl Rockyl Mountainl spottedl feverl (asl differentials)
QUESTION
Mononucleosis
Answer:
