NU 674 – Final Exam Study Guide |2026/2027 | A+ Grade Complete Final
Exam
primary treatment for skin and soft tissue abscesses with or without adjunct abx tx - (ANSWER)I&D
most common place for cutaneous abscess to form - (ANSWER)buttocks, axillary, extremities
localized collections of pus that occur within the dermis and subcutaneous space; erythema, induration,
TTP, and fluctuant are main characteristics - (ANSWER)cutaneous abscess
when is wound packing NOT recommended for abscesses - (ANSWER)less than 5cm in diameter
where is the incision made when performing an I&D on an abscess - (ANSWER)directly over the center of
the abscess
most common causes of skin and soft tissues infections - (ANSWER)Staph aureus or MRSA
how often can you give Narcan - (ANSWER)every 2-3min
how should patient be positioned to receive nasal Narcan - (ANSWER)supine, on their back
local anesthetic which rapid onset of action, but shorter duration for most skin procedures -
(ANSWER)Lidocaine (Amides-Xylocaine)
local anesthetic that has a slower onset but a long duration - (ANSWER)Bupivacaine (Marcaine)
steps to reduce pain with local anesthetic injection: - (ANSWER)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 - (ANSWER)hx of tachyarrhythmia or vasospastic disease (Raynauds);
distal to wrist, ankle, and male genitalia
,NU 674 – Final Exam Study Guide |2026/2027 | A+ Grade Complete Final
Exam
ratio when mixing Lido and Epi - (ANSWER)10:1
shave biopsy is used for... - (ANSWER)exophytic lesions
punch biopsy is used for.. - (ANSWER)rashes and endophytic lesions
when are pre-procedure abx indicated for skin biopsies - (ANSWER)prosthetic heart valve, joint
replacement in past 2 yrs, hx of endocarditis, symptomatic valvular heart disease
pre procedure antibiotic choice for skin biopsy - (ANSWER)amoxicillin 2g po 1 hr prior; OR clindamycin
cryotherapy is used for.. - (ANSWER)viral warts and actinic keratosis (precancerous)
contraindications to cyrotherapy - (ANSWER)raynauds, pyoderma gangrenosum, cold urticaria,
cryoglobulienemia, cold intolerance, connective tissue disease
skin condition characterized by hives or wheals that results from some trigger - (ANSWER)urticaria
acute urticaria lasts.. - (ANSWER)less than 6 weeks
most common cause of acute urticaria - (ANSWER)viral
most common cause of chronic urticaria - (ANSWER)idiopathic
what medication should someone with chronic urticaria avoid - (ANSWER)Aspirin
, NU 674 – Final Exam Study Guide |2026/2027 | A+ Grade Complete Final
Exam
treatment for papular urticaria - (ANSWER)topical steroid - low dose
first line treatment for urticaria - (ANSWER)non sedating antihistamines (allegra, claritin, zyrtec)
risk factor for anaphylaxis - (ANSWER)asthma
"Darrier's sign" is a symptom of what skin condition - (ANSWER)dermatographism
LDL normal range - (ANSWER)<100
HDL normal range - (ANSWER)>60
type of diet to prevent HLD - (ANSWER)mediterranean and DASH
therapy indicated if ASCVD preventative measures fail - (ANSWER)statins
statins may be started as primary prevention in those with: - (ANSWER)diagnosed ASCVD, LDL >190,
diagnosed with DM aged 40-75 and LDL between 70-189, ages 40-75 with LDL between 70-189 and
>7.5% 10yr ASCVD risk
MOA of statins - (ANSWER)inhibits the enzyme needed for cholesterol synthesis; decreases LDLs
what should be performed before prescribing a statin - (ANSWER)baseline fasting lipid profile, LFTs and
pregnancy test
side effects you should monitor for while someone is taking a statin - and what lab to order if presenting
with symptoms - (ANSWER)myopathies and rhabdomyolysis; CK
Exam
primary treatment for skin and soft tissue abscesses with or without adjunct abx tx - (ANSWER)I&D
most common place for cutaneous abscess to form - (ANSWER)buttocks, axillary, extremities
localized collections of pus that occur within the dermis and subcutaneous space; erythema, induration,
TTP, and fluctuant are main characteristics - (ANSWER)cutaneous abscess
when is wound packing NOT recommended for abscesses - (ANSWER)less than 5cm in diameter
where is the incision made when performing an I&D on an abscess - (ANSWER)directly over the center of
the abscess
most common causes of skin and soft tissues infections - (ANSWER)Staph aureus or MRSA
how often can you give Narcan - (ANSWER)every 2-3min
how should patient be positioned to receive nasal Narcan - (ANSWER)supine, on their back
local anesthetic which rapid onset of action, but shorter duration for most skin procedures -
(ANSWER)Lidocaine (Amides-Xylocaine)
local anesthetic that has a slower onset but a long duration - (ANSWER)Bupivacaine (Marcaine)
steps to reduce pain with local anesthetic injection: - (ANSWER)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 - (ANSWER)hx of tachyarrhythmia or vasospastic disease (Raynauds);
distal to wrist, ankle, and male genitalia
,NU 674 – Final Exam Study Guide |2026/2027 | A+ Grade Complete Final
Exam
ratio when mixing Lido and Epi - (ANSWER)10:1
shave biopsy is used for... - (ANSWER)exophytic lesions
punch biopsy is used for.. - (ANSWER)rashes and endophytic lesions
when are pre-procedure abx indicated for skin biopsies - (ANSWER)prosthetic heart valve, joint
replacement in past 2 yrs, hx of endocarditis, symptomatic valvular heart disease
pre procedure antibiotic choice for skin biopsy - (ANSWER)amoxicillin 2g po 1 hr prior; OR clindamycin
cryotherapy is used for.. - (ANSWER)viral warts and actinic keratosis (precancerous)
contraindications to cyrotherapy - (ANSWER)raynauds, pyoderma gangrenosum, cold urticaria,
cryoglobulienemia, cold intolerance, connective tissue disease
skin condition characterized by hives or wheals that results from some trigger - (ANSWER)urticaria
acute urticaria lasts.. - (ANSWER)less than 6 weeks
most common cause of acute urticaria - (ANSWER)viral
most common cause of chronic urticaria - (ANSWER)idiopathic
what medication should someone with chronic urticaria avoid - (ANSWER)Aspirin
, NU 674 – Final Exam Study Guide |2026/2027 | A+ Grade Complete Final
Exam
treatment for papular urticaria - (ANSWER)topical steroid - low dose
first line treatment for urticaria - (ANSWER)non sedating antihistamines (allegra, claritin, zyrtec)
risk factor for anaphylaxis - (ANSWER)asthma
"Darrier's sign" is a symptom of what skin condition - (ANSWER)dermatographism
LDL normal range - (ANSWER)<100
HDL normal range - (ANSWER)>60
type of diet to prevent HLD - (ANSWER)mediterranean and DASH
therapy indicated if ASCVD preventative measures fail - (ANSWER)statins
statins may be started as primary prevention in those with: - (ANSWER)diagnosed ASCVD, LDL >190,
diagnosed with DM aged 40-75 and LDL between 70-189, ages 40-75 with LDL between 70-189 and
>7.5% 10yr ASCVD risk
MOA of statins - (ANSWER)inhibits the enzyme needed for cholesterol synthesis; decreases LDLs
what should be performed before prescribing a statin - (ANSWER)baseline fasting lipid profile, LFTs and
pregnancy test
side effects you should monitor for while someone is taking a statin - and what lab to order if presenting
with symptoms - (ANSWER)myopathies and rhabdomyolysis; CK
