NURSE PRACTITIONERS PRIMARY CARE I
FOURTH SERIES 2026 PRACTICE SOLVED
QUESTIONS
◉ 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
-herpetiform vesicles or blisters erupt on the distal phalanx;
throbbing, tingling, numbness, or pruritis in area of eruption are
common
-painful vesicles, can be singular or coalescent
◉ herpetic whitlow. Answer: which nail disorder is most commonly
associated with gingivostomatitis, genital herpes and in healthcare
workers?
, ◉ treatment for herpetic whitlow. Answer: cool compresses, cover
them with gauze, keep them dry, analgesics, and oral antivirals
◉ paronychial infections. Answer: -these infections can be acute or
chronic inflammation of the tissue surrounding the nail and most
common in women
-symptoms are usually localized to one finger, throbbing pain
-affected nail may display distal onycholysis, discoloration,
distortion, and ridging; the affected nail folds have erythema and
edema; may have purulent discharge
◉ Treatment of paronychial infections. Answer: topical neomycin,
oral Abx, oral antifungals for chronic type. Consider incision and
drainage (I&D) if abscess is suspected or infection is not responding
to noninvasive care
◉ onychomycosis. Answer: any infection of the nails caused by a
dermatophyte, yeast, or sometimes mold; most common nail
condition and usually found in toes; classified by nail bed location or
infection
◉ onychomycosis. Answer: this infection causes nails to be white or
yellowed, with a powdery or thickened nail texture; surface typically
has a greenish tinge with bacterial infections. Ensure you look for
onycholysis with these infections
FOURTH SERIES 2026 PRACTICE SOLVED
QUESTIONS
◉ 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
-herpetiform vesicles or blisters erupt on the distal phalanx;
throbbing, tingling, numbness, or pruritis in area of eruption are
common
-painful vesicles, can be singular or coalescent
◉ herpetic whitlow. Answer: which nail disorder is most commonly
associated with gingivostomatitis, genital herpes and in healthcare
workers?
, ◉ treatment for herpetic whitlow. Answer: cool compresses, cover
them with gauze, keep them dry, analgesics, and oral antivirals
◉ paronychial infections. Answer: -these infections can be acute or
chronic inflammation of the tissue surrounding the nail and most
common in women
-symptoms are usually localized to one finger, throbbing pain
-affected nail may display distal onycholysis, discoloration,
distortion, and ridging; the affected nail folds have erythema and
edema; may have purulent discharge
◉ Treatment of paronychial infections. Answer: topical neomycin,
oral Abx, oral antifungals for chronic type. Consider incision and
drainage (I&D) if abscess is suspected or infection is not responding
to noninvasive care
◉ onychomycosis. Answer: any infection of the nails caused by a
dermatophyte, yeast, or sometimes mold; most common nail
condition and usually found in toes; classified by nail bed location or
infection
◉ onychomycosis. Answer: this infection causes nails to be white or
yellowed, with a powdery or thickened nail texture; surface typically
has a greenish tinge with bacterial infections. Ensure you look for
onycholysis with these infections
