NR 511 MIDTERM EXAM 2024 WITH 200 ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES/ NR 511
DIFFERENTIAL DIAGNOSIS & PRIMARY CARE PRACTICUM MIDTERM
EXAM TEST BANK UNTIL NOW GRADED A
treatment for cholinergic uticaria - antihistamines
long term inflammation of the skin, characterized by extremely low threshhold for puritis,
referred to as the itch that rashes/itch occurs before the rash. Scratching makes it worse
- atopic dermatitis
What is the cardinal sign of atopic dermatitis - severe pruritus
what is the primary locations for atopic dermatitis in children - antecubital fossa
popliteal fossa
Common treatment of immunocompromised patients with Herpes simplex - Famvir or
valtrex/valacyclovir
unilateral vesicular rash along a dermatome, begins as erythema, changes to papular
lesions then vesicles - herpes zoster/shingles
First line treatment for acne - benzoyl peroxide
good candidates for oral antibiotic treatment with acne - at risk for pigmentation
changes, scarring, nodulocystic acne
ance teaching - sunscreen needs to be used with all acne medicaiton
Skin condition that causes blushing/flushing and visible blood vessles in the face -
rosacea
mainstay treatment for Rosacea - metronidazole, takes 6-8 weeks
lesions are superficial epithelial growths that originate from the horny layer of epidermis,
result of benign proliferation . May reveal dark keritin plugs or horny cysts - Seborrhea
keratosis
at risk population for seborrhea keratosis - older white female
Considered epidermal tumors, not malignant or premalignant - seborrhea keratosis
pre cancerous lesions, can progress into squamous cell carcinoma - actinic keratosis
, flesh colored, hard, sandpaper like rash, lesions found on sun-exposed, damaged skin ,
refer to dermatology - acintinic keratosis
Most aggressive skin cancer, thickness of lesion impacts prognosis. Risk factors include
age, immunosupression, indoor tanning exposure - malignant melanoma
benign , rubbery , smooth and round mass - lipoma
intense itchy rash, can last several days or weeks - scabies
Scabies treatment - Ivermectin
lice education - itching may continue up to a week after treatment
painful red bumps under the skin due to infection of the hair follicles or oil glands -
furuncle
if located in axilla, diff diagnosis for furuncle /carbuncle is... - hidradenitis suppurativa
caused by human papilloma virus, abrading skin can spread virus - warts
easiest types of warts to treat - filiform, digitate
causative organism of viral conjunctivits - adenovirus
hallmark symptoms of red, itchy eyes, clear to no drainage, preauricular lymph node
swelling and tenderness indicate - viral conjunctivitis
red eye, crusted lid, normal visual acuity ,watery, itchy eyes, photophobia indicate -
bacterial conjunctivitis
gradual, painless, progressive loss of vision - cataracts
tend to be bilateral in nature, may manifest as blurry/distorted vision, c/o glare with
driving - age related cataracts
small lump,or swelling which develops in the eye lid as result of blockage in a gland -
chalazion/cyst
inflammation around eyelid margins,caused by staphylococcal infection at lash base -
blepharitis
treatment for blepharitis - bacitracin 0.5 ointment
Assesses the clients HPI - OLDCARTS
CORRECT ANSWERS WITH DETAILED RATIONALES/ NR 511
DIFFERENTIAL DIAGNOSIS & PRIMARY CARE PRACTICUM MIDTERM
EXAM TEST BANK UNTIL NOW GRADED A
treatment for cholinergic uticaria - antihistamines
long term inflammation of the skin, characterized by extremely low threshhold for puritis,
referred to as the itch that rashes/itch occurs before the rash. Scratching makes it worse
- atopic dermatitis
What is the cardinal sign of atopic dermatitis - severe pruritus
what is the primary locations for atopic dermatitis in children - antecubital fossa
popliteal fossa
Common treatment of immunocompromised patients with Herpes simplex - Famvir or
valtrex/valacyclovir
unilateral vesicular rash along a dermatome, begins as erythema, changes to papular
lesions then vesicles - herpes zoster/shingles
First line treatment for acne - benzoyl peroxide
good candidates for oral antibiotic treatment with acne - at risk for pigmentation
changes, scarring, nodulocystic acne
ance teaching - sunscreen needs to be used with all acne medicaiton
Skin condition that causes blushing/flushing and visible blood vessles in the face -
rosacea
mainstay treatment for Rosacea - metronidazole, takes 6-8 weeks
lesions are superficial epithelial growths that originate from the horny layer of epidermis,
result of benign proliferation . May reveal dark keritin plugs or horny cysts - Seborrhea
keratosis
at risk population for seborrhea keratosis - older white female
Considered epidermal tumors, not malignant or premalignant - seborrhea keratosis
pre cancerous lesions, can progress into squamous cell carcinoma - actinic keratosis
, flesh colored, hard, sandpaper like rash, lesions found on sun-exposed, damaged skin ,
refer to dermatology - acintinic keratosis
Most aggressive skin cancer, thickness of lesion impacts prognosis. Risk factors include
age, immunosupression, indoor tanning exposure - malignant melanoma
benign , rubbery , smooth and round mass - lipoma
intense itchy rash, can last several days or weeks - scabies
Scabies treatment - Ivermectin
lice education - itching may continue up to a week after treatment
painful red bumps under the skin due to infection of the hair follicles or oil glands -
furuncle
if located in axilla, diff diagnosis for furuncle /carbuncle is... - hidradenitis suppurativa
caused by human papilloma virus, abrading skin can spread virus - warts
easiest types of warts to treat - filiform, digitate
causative organism of viral conjunctivits - adenovirus
hallmark symptoms of red, itchy eyes, clear to no drainage, preauricular lymph node
swelling and tenderness indicate - viral conjunctivitis
red eye, crusted lid, normal visual acuity ,watery, itchy eyes, photophobia indicate -
bacterial conjunctivitis
gradual, painless, progressive loss of vision - cataracts
tend to be bilateral in nature, may manifest as blurry/distorted vision, c/o glare with
driving - age related cataracts
small lump,or swelling which develops in the eye lid as result of blockage in a gland -
chalazion/cyst
inflammation around eyelid margins,caused by staphylococcal infection at lash base -
blepharitis
treatment for blepharitis - bacitracin 0.5 ointment
Assesses the clients HPI - OLDCARTS