NURSE PRACTITIONERS IN PRIMARY CARE I
PAPER THREE 2026 TEST SOLUTIONS GRADED
A+
◉ erythrasma. Answer: chronic, mild bacterial infection of the skin
with well-demarcated, brown-red macular patches usually on the
inner thighs, inguinal area, scrotum, and toe webs with appear
macerated
◉ labs for erythrasma. Answer: direct KOH, wood lamp, gram stain,
and culture
◉ treatment for erythrasma. Answer: benzoyl peroxide wash and
5% gel; clindamycin 5% cream BID x 2 weeks
oral therapy can be combined with topical
◉ Paronychia. Answer: acute or chronic inflammation of the tissues
surrounding the nail
considered chronic if present for more than 6 weeks
usually localized, throbbing pain
,◉ diagnostics for paronychia. Answer: KOH preparation, CBC with
differential, biopsy
◉ treatment for paronychia. Answer: topical Abx for minor
infections, oral Abx for more severe infections
Trimethoprim-sulfamethoxazole (if MRSA is suspected),
clindamycin, amoxicillin-clavulanate, and cephalexin
◉ intertrigo. Answer: superficial inflammatory bacterial or fungal
skin disorder with varying degrees of erythema, peripheral scaling,
and macerated erythematous plaques; initially mildly erythematous,
moist, glistening plaques, patches, papules, and or pustules; borders
are well defined
◉ labs for intertrigo. Answer: KOH wet mount, culture if needed
◉ treatment for intertrigo. Answer: burrow solution, drying agents
(zinc oxide); if oral therapy is needed then you need to do a culture
◉ herpes simplex. Answer: -transmission is by direct contact
-there are three phases: primary, latent, and recurrent
-definitive test is a viral culture
,◉ treatment of genital HSV infection. Answer: -acyclovir 400 mg TID
x7-10 days
-acyclovir 200 mg 5x/day x7-10 days
-famciclovir 250 mg TID x 7 days
-valacyclovir 1g BID x 7-10 days
◉ treatment of primary herpes labialis. Answer: acyclovir 400 mg
5x/day x 5 days
-valacyclovir 2000 mg BID day 1, repeated with 1000 mg BID on day
2
◉ herpes zoster. Answer: this is shingles; dermatologic eruption
caused by reactivation of the varicella-zoster virus
prodrome of pain, lesions last 7-10 days with unilateral eruption
within one dermatome
◉ labs for shingles. Answer: PCR analysis, Tzanck preparation
◉ Treatment of shingles. Answer: antiviral therapy within 72 hours
of rash
-valacyclovir 1000 mg TID x 7 days
-famciclovir 500 mg TID x 7 days
, -acyclovir 800 mg 5x/day x 7-10 days
◉ molluscum contagiosum. Answer: benign viral infection of the
poxvirus family with localized lesions consisting of painless, slightly
itchy, flesh-colored, shiny, pearly white or waxy dome-shaped
papules with a central dimple
◉ labs for molluscum contagiosum. Answer: needle aspiration
◉ curettage or liquid nitrogen. Answer: A patient comes in with
painless, localized lesions on his abdomen that are pearly white with
a central dimple. What treatment would you tell this patient is the
only way to destroy these lesions?
◉ verruca. Answer: medical term for warts; benign epidermal
neoplasms caused by various types of HPV; transmission is direct
skin contact and patients are generally asymptomatic
there are over the counter treatments for warts that patients can
apply themselves without doctors assistance
◉ Herpetic whitlow. Answer: -self-limited viral infection of the area
between the fascial planes of the distal finger, usually surrounding
the nail
PAPER THREE 2026 TEST SOLUTIONS GRADED
A+
◉ erythrasma. Answer: chronic, mild bacterial infection of the skin
with well-demarcated, brown-red macular patches usually on the
inner thighs, inguinal area, scrotum, and toe webs with appear
macerated
◉ labs for erythrasma. Answer: direct KOH, wood lamp, gram stain,
and culture
◉ treatment for erythrasma. Answer: benzoyl peroxide wash and
5% gel; clindamycin 5% cream BID x 2 weeks
oral therapy can be combined with topical
◉ Paronychia. Answer: acute or chronic inflammation of the tissues
surrounding the nail
considered chronic if present for more than 6 weeks
usually localized, throbbing pain
,◉ diagnostics for paronychia. Answer: KOH preparation, CBC with
differential, biopsy
◉ treatment for paronychia. Answer: topical Abx for minor
infections, oral Abx for more severe infections
Trimethoprim-sulfamethoxazole (if MRSA is suspected),
clindamycin, amoxicillin-clavulanate, and cephalexin
◉ intertrigo. Answer: superficial inflammatory bacterial or fungal
skin disorder with varying degrees of erythema, peripheral scaling,
and macerated erythematous plaques; initially mildly erythematous,
moist, glistening plaques, patches, papules, and or pustules; borders
are well defined
◉ labs for intertrigo. Answer: KOH wet mount, culture if needed
◉ treatment for intertrigo. Answer: burrow solution, drying agents
(zinc oxide); if oral therapy is needed then you need to do a culture
◉ herpes simplex. Answer: -transmission is by direct contact
-there are three phases: primary, latent, and recurrent
-definitive test is a viral culture
,◉ treatment of genital HSV infection. Answer: -acyclovir 400 mg TID
x7-10 days
-acyclovir 200 mg 5x/day x7-10 days
-famciclovir 250 mg TID x 7 days
-valacyclovir 1g BID x 7-10 days
◉ treatment of primary herpes labialis. Answer: acyclovir 400 mg
5x/day x 5 days
-valacyclovir 2000 mg BID day 1, repeated with 1000 mg BID on day
2
◉ herpes zoster. Answer: this is shingles; dermatologic eruption
caused by reactivation of the varicella-zoster virus
prodrome of pain, lesions last 7-10 days with unilateral eruption
within one dermatome
◉ labs for shingles. Answer: PCR analysis, Tzanck preparation
◉ Treatment of shingles. Answer: antiviral therapy within 72 hours
of rash
-valacyclovir 1000 mg TID x 7 days
-famciclovir 500 mg TID x 7 days
, -acyclovir 800 mg 5x/day x 7-10 days
◉ molluscum contagiosum. Answer: benign viral infection of the
poxvirus family with localized lesions consisting of painless, slightly
itchy, flesh-colored, shiny, pearly white or waxy dome-shaped
papules with a central dimple
◉ labs for molluscum contagiosum. Answer: needle aspiration
◉ curettage or liquid nitrogen. Answer: A patient comes in with
painless, localized lesions on his abdomen that are pearly white with
a central dimple. What treatment would you tell this patient is the
only way to destroy these lesions?
◉ verruca. Answer: medical term for warts; benign epidermal
neoplasms caused by various types of HPV; transmission is direct
skin contact and patients are generally asymptomatic
there are over the counter treatments for warts that patients can
apply themselves without doctors assistance
◉ Herpetic whitlow. Answer: -self-limited viral infection of the area
between the fascial planes of the distal finger, usually surrounding
the nail
