NR602 FINAL EXAM (2 VERSIONS) LATEST WITH 200
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS |WELL GRADED A+
Drug eruption - CORRECT ANSWERS-exanthemata’s reaction-morbilliform
measles like rash
Most common drugs: PCN, cephalosporin, sulfonamide antx, NSAIDS, antifungals,
typical onset 1-2 week of starting new med
Tx: D/c drug, antihistamines
Erythema multiforme - CORRECT ANSWERS-skin disorder resulting from a
generalized allergic reaction to an illness, infection, or medication
Pityriasis Rosea - CORRECT ANSWERS-Presents with a herald patch, Christmas-tree
pattern.
Psoriasis - CORRECT ANSWERS-chronic skin condition producing red lesions covered
with silvery scales
Psoriasis treatment - CORRECT ANSWERS-■ Topical STEROIDS
■ Topical RETINOIDS (TAZOROTENE)
■ TAR preparations (PSORALEN drug class).
keratosis pilaris treatment - CORRECT ANSWERS-Removal of built-up keratin; lotions,
creams, or ointments; topical steroids
lichen striatus - CORRECT ANSWERS-1. An uncommon, unilateral and linear eruption
of erythematous, flat topped and scaly papules that may extend the length of a limb
2. Age of onset 3-14 years, Females > males
Etiology: unknown
Tx:
1. Spontaneous involution occurs by 9 months duration
2. Topical and intralesional steroids
Mongolian spots - CORRECT ANSWERS-areas of deep bluish-gray pigmentation most
commonly on the sacral aspect of a newborn
amblyopia - CORRECT ANSWERS--a dimness of vision or the partial loss of sight,
especially in one eye, without detectable disease of the eye
,-results in reduced or permanent loss of vision
-Findings: squinting, abnormal vision, pain and/or headaches, fatigue, dizziness,
developmental delay
-usually responds to 2 hours of daily patching
strabismus - CORRECT ANSWERS-"lazy eye"
referral after 4 months of age
"good eye" is occluded
blapharoptosis - CORRECT ANSWERS-drooping of the upper eyelid
if vision is compromised surgery is performed
Retinoblastoma - CORRECT ANSWERS-tumor arising from a developing retinal cell (a
congenital, malignant tumor)
all infants should have red reflex exam before d/c from hospital
findings: strabismus, decreased visual acuity, unilateral or bilateral leukoria
Conjunctivitis - CORRECT ANSWERS-H. influenzae, strepococcus, pneumonae, or
moraxalla
typically occurs December-April
bacterial-unilateral
viral-bilateral
conjunctivitis in newborn - CORRECT ANSWERS-usually caused by
chlamydia-clear mucoid exudate
gonorrhea-purulant exudate
Conjunctivitis in newborn Dx and Tx: - CORRECT ANSWERS-cx, gram stain
Tx: Saline then erythromycin ointment
Bacterial conjunctivits - CORRECT ANSWERS-erythema, itching, burning,
mucopurulant d/c
Dx: R/O URI, pharyngitis, AOM
Tx: neonates-erythromycin
> 1 year fourth generation fluoroquinolone (moxifloxacin)
Viral conjunctivits - CORRECT ANSWERS-caused by adenovirus, HSV, varicella,
herpes zoster
Sx: fever, unilateral photophobia, bilateral tearing, erythema
Tx: refer to optho if HSV or photophobia present
cool compresses 3-4 x daily
Blepharitis - CORRECT ANSWERS-inflammation of the eyelash follicles
bilateral
Findings: swelling, erythema of eyelids, flaky debris upon wakening, gritty/burning in
eyes
, Tx: Bacitracin or erythromycin ointment
purchase new makeup, cool compresses
Step 1 Asthma approach-Intermittent - CORRECT ANSWERS-symptoms 2x or less per
week
asymptomatic and normal PED
requires SABA 2 days/week
no interference with normal activities
brief exacerbations
nighttime symptoms 2x or less a month
lung fx- FEV>80% predicted
Step 2 Asthma Approach-Mild persistent - CORRECT ANSWERS-Symptoms >2 x a
week, less than once per day
requires SABA more than 2days/week, no more than once a day
exacerbations may affect activity
nighttime symptoms 3-4x a month
FEV> 80% predicted
Step 3 Asthma Approach-Moderate Persistant - CORRECT ANSWERS-daily symptoms
daily use of SABA
some limitations
2x or more per week exacerbations
nighttime symptoms more than 1x per week, not nightly
FEV >60% but <80%
Step 4 Asthma Approach-Severe Persistent - CORRECT ANSWERS-continual
symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Tx of asthma - CORRECT ANSWERS-Stepwise approach
step 1: SABA PRN
step 2: low dose ICS
Step 3: low dose ICS+ LABA or medium dose ICS
step 4: Medium dose ICS+LABA
Step 5: high dose ICS+ LABA
Step 6: High dose ICS+LABA + corticosteroid
Step 6 Asthma Approach - CORRECT ANSWERS-
Bulbar/palpebral conjunctival infection - CORRECT ANSWERS-May be unilateral or
bilateral
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS |WELL GRADED A+
Drug eruption - CORRECT ANSWERS-exanthemata’s reaction-morbilliform
measles like rash
Most common drugs: PCN, cephalosporin, sulfonamide antx, NSAIDS, antifungals,
typical onset 1-2 week of starting new med
Tx: D/c drug, antihistamines
Erythema multiforme - CORRECT ANSWERS-skin disorder resulting from a
generalized allergic reaction to an illness, infection, or medication
Pityriasis Rosea - CORRECT ANSWERS-Presents with a herald patch, Christmas-tree
pattern.
Psoriasis - CORRECT ANSWERS-chronic skin condition producing red lesions covered
with silvery scales
Psoriasis treatment - CORRECT ANSWERS-■ Topical STEROIDS
■ Topical RETINOIDS (TAZOROTENE)
■ TAR preparations (PSORALEN drug class).
keratosis pilaris treatment - CORRECT ANSWERS-Removal of built-up keratin; lotions,
creams, or ointments; topical steroids
lichen striatus - CORRECT ANSWERS-1. An uncommon, unilateral and linear eruption
of erythematous, flat topped and scaly papules that may extend the length of a limb
2. Age of onset 3-14 years, Females > males
Etiology: unknown
Tx:
1. Spontaneous involution occurs by 9 months duration
2. Topical and intralesional steroids
Mongolian spots - CORRECT ANSWERS-areas of deep bluish-gray pigmentation most
commonly on the sacral aspect of a newborn
amblyopia - CORRECT ANSWERS--a dimness of vision or the partial loss of sight,
especially in one eye, without detectable disease of the eye
,-results in reduced or permanent loss of vision
-Findings: squinting, abnormal vision, pain and/or headaches, fatigue, dizziness,
developmental delay
-usually responds to 2 hours of daily patching
strabismus - CORRECT ANSWERS-"lazy eye"
referral after 4 months of age
"good eye" is occluded
blapharoptosis - CORRECT ANSWERS-drooping of the upper eyelid
if vision is compromised surgery is performed
Retinoblastoma - CORRECT ANSWERS-tumor arising from a developing retinal cell (a
congenital, malignant tumor)
all infants should have red reflex exam before d/c from hospital
findings: strabismus, decreased visual acuity, unilateral or bilateral leukoria
Conjunctivitis - CORRECT ANSWERS-H. influenzae, strepococcus, pneumonae, or
moraxalla
typically occurs December-April
bacterial-unilateral
viral-bilateral
conjunctivitis in newborn - CORRECT ANSWERS-usually caused by
chlamydia-clear mucoid exudate
gonorrhea-purulant exudate
Conjunctivitis in newborn Dx and Tx: - CORRECT ANSWERS-cx, gram stain
Tx: Saline then erythromycin ointment
Bacterial conjunctivits - CORRECT ANSWERS-erythema, itching, burning,
mucopurulant d/c
Dx: R/O URI, pharyngitis, AOM
Tx: neonates-erythromycin
> 1 year fourth generation fluoroquinolone (moxifloxacin)
Viral conjunctivits - CORRECT ANSWERS-caused by adenovirus, HSV, varicella,
herpes zoster
Sx: fever, unilateral photophobia, bilateral tearing, erythema
Tx: refer to optho if HSV or photophobia present
cool compresses 3-4 x daily
Blepharitis - CORRECT ANSWERS-inflammation of the eyelash follicles
bilateral
Findings: swelling, erythema of eyelids, flaky debris upon wakening, gritty/burning in
eyes
, Tx: Bacitracin or erythromycin ointment
purchase new makeup, cool compresses
Step 1 Asthma approach-Intermittent - CORRECT ANSWERS-symptoms 2x or less per
week
asymptomatic and normal PED
requires SABA 2 days/week
no interference with normal activities
brief exacerbations
nighttime symptoms 2x or less a month
lung fx- FEV>80% predicted
Step 2 Asthma Approach-Mild persistent - CORRECT ANSWERS-Symptoms >2 x a
week, less than once per day
requires SABA more than 2days/week, no more than once a day
exacerbations may affect activity
nighttime symptoms 3-4x a month
FEV> 80% predicted
Step 3 Asthma Approach-Moderate Persistant - CORRECT ANSWERS-daily symptoms
daily use of SABA
some limitations
2x or more per week exacerbations
nighttime symptoms more than 1x per week, not nightly
FEV >60% but <80%
Step 4 Asthma Approach-Severe Persistent - CORRECT ANSWERS-continual
symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Tx of asthma - CORRECT ANSWERS-Stepwise approach
step 1: SABA PRN
step 2: low dose ICS
Step 3: low dose ICS+ LABA or medium dose ICS
step 4: Medium dose ICS+LABA
Step 5: high dose ICS+ LABA
Step 6: High dose ICS+LABA + corticosteroid
Step 6 Asthma Approach - CORRECT ANSWERS-
Bulbar/palpebral conjunctival infection - CORRECT ANSWERS-May be unilateral or
bilateral
