NRNP 6560 Final exam latest version
2024-2025 question and original answer
50-50-50 rule - CORRECT ANSWER guide for antiviral therapy
< 50 hrs since onset of lesions
> 50 years
> 50 lesions
ABCDE - CORRECT ANSWER asymmetry, border, color, diameter >6mm, evolving
ACE-I - CORRECT ANSWER chronic cough and angioedema
acne - CORRECT ANSWER inflammatory disease of the skin involving the sebaceous
glands and hair follicles
causes: corticosteriods, isoniazid
acute subdural hematoma sxs - CORRECT ANSWER drowsiness, agitation, and
confusion
HA
unilateral or bilateral pupil dilatation
hemiparesis
noncontrast CT
sx indications: >10mm thickness with >5mm midline shift regardless of GCS
acyclovir-resistance varicella-zoster virus treatment - CORRECT ANSWER foscarnet
adjunct therapy for Herpes Zoster treatment - CORRECT ANSWER tylenol, cold
compress, tramadol, opioids, oral corticosteriods, hydroxyzine (pruritus)
Aeromonas - CORRECT ANSWER gram negative bacillus; freshwater exposure
aeromonas hydrophila cellulitis treatment - CORRECT ANSWER doxy + ceftriaxone or
cipro
anticonvulsants and sulfonamines - CORRECT ANSWER m/c cause of toxic
epidermal necrolysis (TEN) and Stevens-Johnson syndrome (SJS)
antiviral for herpes zoster treatment - CORRECT ANSWER acyclovir
valacyclovir
Ataxic hemiparesis - CORRECT ANSWER lacunar stroke of the anterior limb of
internal capsule or PONS base
, weakness and ataxia on ipsi side of body, usually leg weakness more than arm
avoid hyperventilation in TBI unless: - CORRECT ANSWER herniation symptoms are
present of if measured ICP is severely high
AVPU - CORRECT ANSWER Awake, responsive to voice, responsive to pain,
unresponsive
barbiturate coma - CORRECT ANSWER may be used to treat ICP after admit;
Reduces Metabolic Demand
Pentobarbital
basal cell carcinoma (BCC) - CORRECT ANSWER malignant tumor of the basal layer
of the epidermis;
papule or nodule with a central scab or eroded area. Nodule has a waxy "pearly"
appearance
basal ganglia hemorrhage - CORRECT ANSWER Contralateral hemiparesis and
hemisensory loss
ipsilateral Homonymous hemianopsia
ipsilateral Gaze palsy
decreased LOC
basilar fracture signs - CORRECT ANSWER anterior or posterior skull base
BCC and SCC management - CORRECT ANSWER dermatologist referral
bx
curettage and electrodesiccation of BCC lesion <1cm in diameter and in nonfacial area
BCC follow up - annually for 5 years
SCC - every 3 months with close exam of lymph nodes for 1 year then twice a year after
that
BCC characteristics - CORRECT ANSWER noldules, papules, non-healing ulcers, or
scabbed lesions
waxy, pearly nodules with telangiectatic vessels, or as visual or scaly plaques
borders are translucent, elevated, and shiny with fine telangiectasia
BCC predisposing factors - CORRECT ANSWER sun exposure
arsenic exposure
m/c on face and neck
Beta Blockers - CORRECT ANSWER precipitate asthma and should not be given to
patients at high risk of anaphylaxis, BB may block the action of epi
blast injury - CORRECT ANSWER hippocampus and brain stem
2024-2025 question and original answer
50-50-50 rule - CORRECT ANSWER guide for antiviral therapy
< 50 hrs since onset of lesions
> 50 years
> 50 lesions
ABCDE - CORRECT ANSWER asymmetry, border, color, diameter >6mm, evolving
ACE-I - CORRECT ANSWER chronic cough and angioedema
acne - CORRECT ANSWER inflammatory disease of the skin involving the sebaceous
glands and hair follicles
causes: corticosteriods, isoniazid
acute subdural hematoma sxs - CORRECT ANSWER drowsiness, agitation, and
confusion
HA
unilateral or bilateral pupil dilatation
hemiparesis
noncontrast CT
sx indications: >10mm thickness with >5mm midline shift regardless of GCS
acyclovir-resistance varicella-zoster virus treatment - CORRECT ANSWER foscarnet
adjunct therapy for Herpes Zoster treatment - CORRECT ANSWER tylenol, cold
compress, tramadol, opioids, oral corticosteriods, hydroxyzine (pruritus)
Aeromonas - CORRECT ANSWER gram negative bacillus; freshwater exposure
aeromonas hydrophila cellulitis treatment - CORRECT ANSWER doxy + ceftriaxone or
cipro
anticonvulsants and sulfonamines - CORRECT ANSWER m/c cause of toxic
epidermal necrolysis (TEN) and Stevens-Johnson syndrome (SJS)
antiviral for herpes zoster treatment - CORRECT ANSWER acyclovir
valacyclovir
Ataxic hemiparesis - CORRECT ANSWER lacunar stroke of the anterior limb of
internal capsule or PONS base
, weakness and ataxia on ipsi side of body, usually leg weakness more than arm
avoid hyperventilation in TBI unless: - CORRECT ANSWER herniation symptoms are
present of if measured ICP is severely high
AVPU - CORRECT ANSWER Awake, responsive to voice, responsive to pain,
unresponsive
barbiturate coma - CORRECT ANSWER may be used to treat ICP after admit;
Reduces Metabolic Demand
Pentobarbital
basal cell carcinoma (BCC) - CORRECT ANSWER malignant tumor of the basal layer
of the epidermis;
papule or nodule with a central scab or eroded area. Nodule has a waxy "pearly"
appearance
basal ganglia hemorrhage - CORRECT ANSWER Contralateral hemiparesis and
hemisensory loss
ipsilateral Homonymous hemianopsia
ipsilateral Gaze palsy
decreased LOC
basilar fracture signs - CORRECT ANSWER anterior or posterior skull base
BCC and SCC management - CORRECT ANSWER dermatologist referral
bx
curettage and electrodesiccation of BCC lesion <1cm in diameter and in nonfacial area
BCC follow up - annually for 5 years
SCC - every 3 months with close exam of lymph nodes for 1 year then twice a year after
that
BCC characteristics - CORRECT ANSWER noldules, papules, non-healing ulcers, or
scabbed lesions
waxy, pearly nodules with telangiectatic vessels, or as visual or scaly plaques
borders are translucent, elevated, and shiny with fine telangiectasia
BCC predisposing factors - CORRECT ANSWER sun exposure
arsenic exposure
m/c on face and neck
Beta Blockers - CORRECT ANSWER precipitate asthma and should not be given to
patients at high risk of anaphylaxis, BB may block the action of epi
blast injury - CORRECT ANSWER hippocampus and brain stem
