NM703 Real Exam Questions with Revised
Answers| Verified 100% Correct
40 year old comes in c/o frontal h/a, nasal congestion, sore throat, yellowish nasal
drainage, and temp of 100.0. sx began a week ago after she noticed cold sx, have
steadily worsens. headache worsens as she bends forward. what is this? - ✔✔acute
sinusitis
mono differs from strep throat in that - ✔✔sx such as fatigue and anorexia occur
prior to sore throat onset
Pt comes in w/ a sore throat. C/o h/a, cough, watery eyes and runny nose. Achy all over
this AM. temp of 100.8. What is the best dx? - ✔✔viral pharyngitis
Viral conjunctivitis management- plan? - ✔✔discuss hand hygiene, use of cold
compresses, and wearing glasses until sx have subsided
14 year old seen for sore throat, temp of 102. C/o throat hurting after school yesterday,
has gotten steadily worse. Had fevers and chills last night, mom gives tylenol. Chief
complaint is sore throat, which makes swallowing difficult. DX? - ✔✔bacterial
pharyngitis
best treatment for seborrheic cause blepharitis? - ✔✔dilute baby shampoo for lid
cleansing and warm moist soaks
Pt with seborrhea, inflammation of eyelids taht affects only the eyelash hair follicles. No
ulceration or masses in eyelids and the pre auricular nodes are non palpable. DX? -
✔✔blepharitis
,Management plan for infected piercing? - ✔✔topical abx ointment applied after
cleansing with alcohol at least daily
64 yo has railed crusted lesion surrounding a center ulcer on top right ear. Is fair skin
and has had lot of sun exposure over the years. DX? - ✔✔squamous cell carcinoma
What to tell pt with suspected squamous cell carcinoma? - ✔✔your suspicions,
educate her on characteristics of it, typical process of dx, tx, and course of disease.
Make her an appt for a biopsy and follow up before she leaves the office.
45 yo fair skinned woman works outside without a hat. Has a spot on her face for 3 mo,
is enlarging. Lesion is round, 1/2 cm on side of nose w/ a raised center, pearly border,
and distinct margin. Has a couple small, non blanching blood vessels in it. DX? -
✔✔basal cell carcinoma
TX plan for psoriasis? - ✔✔topical glucocorticoids in ointment or cream applied 2-3
x/day and phototherapy
most common causative agent for infections of skin like cellulitis and carbuncle? -
✔✔staph aureus
Tinea is from a - ✔✔fungus
When determining what to use on a patient's skin condition, what principles should a
clinician follow? - ✔✔for dry conditions, use moisture preserving vehicles. for wet
conditions, use drying vehicles.
, 38 yo sawmill worker comes with large area of red, raised shiny skin encompassing the
right calf. Pain 7/10. Noticed the redness yesterday, and there was just a small sore on
her ankle the day before that. temp 101.1, other vitals WNL. lymphadenopathy noted in
right groin and right leg is swollen from knee down. DX? - ✔✔cellulitis
21 year old restaurant worker has a rash on hands. it itches and occasionally burns.
Started using new soap to clean counters at work 3 weeks ago. Past hx of dry skin that
she uses moisturizers and cortisone for. Rash is on palms of hands and fingers,
irregularly distributed in scaly, maculopapular erythematous patches. Nails are spared.
DX? - ✔✔contact dermatitis
tx plan for restaurant worker with contact dermatitis? - ✔✔avoid offending agent,
apply petroleum, clean hands with alcohol based cleansers
acne rosacea differs from acne vulgaris in that - ✔✔it doesn't present with
comedomes
which vehicle is most potent? - ✔✔ointment
Pt has blisters erupted on lip. Has some body sores, sore throat, headache. On exam,
positive cervical lymphadenopathy, cluster of tiny blisters with red rims and yellow fluid
at corner of lower lip, and a temp pf 100.1. DX? - ✔✔herpes simplex
derm vehicles least to most potentiating: - ✔✔solution, gel, lotion, cream, ointment
education for psoriasis pt? - ✔✔a chronic disease process, stress importance of
adhering to rx regimens
confluent - ✔✔lesions run into each other. continuous
Answers| Verified 100% Correct
40 year old comes in c/o frontal h/a, nasal congestion, sore throat, yellowish nasal
drainage, and temp of 100.0. sx began a week ago after she noticed cold sx, have
steadily worsens. headache worsens as she bends forward. what is this? - ✔✔acute
sinusitis
mono differs from strep throat in that - ✔✔sx such as fatigue and anorexia occur
prior to sore throat onset
Pt comes in w/ a sore throat. C/o h/a, cough, watery eyes and runny nose. Achy all over
this AM. temp of 100.8. What is the best dx? - ✔✔viral pharyngitis
Viral conjunctivitis management- plan? - ✔✔discuss hand hygiene, use of cold
compresses, and wearing glasses until sx have subsided
14 year old seen for sore throat, temp of 102. C/o throat hurting after school yesterday,
has gotten steadily worse. Had fevers and chills last night, mom gives tylenol. Chief
complaint is sore throat, which makes swallowing difficult. DX? - ✔✔bacterial
pharyngitis
best treatment for seborrheic cause blepharitis? - ✔✔dilute baby shampoo for lid
cleansing and warm moist soaks
Pt with seborrhea, inflammation of eyelids taht affects only the eyelash hair follicles. No
ulceration or masses in eyelids and the pre auricular nodes are non palpable. DX? -
✔✔blepharitis
,Management plan for infected piercing? - ✔✔topical abx ointment applied after
cleansing with alcohol at least daily
64 yo has railed crusted lesion surrounding a center ulcer on top right ear. Is fair skin
and has had lot of sun exposure over the years. DX? - ✔✔squamous cell carcinoma
What to tell pt with suspected squamous cell carcinoma? - ✔✔your suspicions,
educate her on characteristics of it, typical process of dx, tx, and course of disease.
Make her an appt for a biopsy and follow up before she leaves the office.
45 yo fair skinned woman works outside without a hat. Has a spot on her face for 3 mo,
is enlarging. Lesion is round, 1/2 cm on side of nose w/ a raised center, pearly border,
and distinct margin. Has a couple small, non blanching blood vessels in it. DX? -
✔✔basal cell carcinoma
TX plan for psoriasis? - ✔✔topical glucocorticoids in ointment or cream applied 2-3
x/day and phototherapy
most common causative agent for infections of skin like cellulitis and carbuncle? -
✔✔staph aureus
Tinea is from a - ✔✔fungus
When determining what to use on a patient's skin condition, what principles should a
clinician follow? - ✔✔for dry conditions, use moisture preserving vehicles. for wet
conditions, use drying vehicles.
, 38 yo sawmill worker comes with large area of red, raised shiny skin encompassing the
right calf. Pain 7/10. Noticed the redness yesterday, and there was just a small sore on
her ankle the day before that. temp 101.1, other vitals WNL. lymphadenopathy noted in
right groin and right leg is swollen from knee down. DX? - ✔✔cellulitis
21 year old restaurant worker has a rash on hands. it itches and occasionally burns.
Started using new soap to clean counters at work 3 weeks ago. Past hx of dry skin that
she uses moisturizers and cortisone for. Rash is on palms of hands and fingers,
irregularly distributed in scaly, maculopapular erythematous patches. Nails are spared.
DX? - ✔✔contact dermatitis
tx plan for restaurant worker with contact dermatitis? - ✔✔avoid offending agent,
apply petroleum, clean hands with alcohol based cleansers
acne rosacea differs from acne vulgaris in that - ✔✔it doesn't present with
comedomes
which vehicle is most potent? - ✔✔ointment
Pt has blisters erupted on lip. Has some body sores, sore throat, headache. On exam,
positive cervical lymphadenopathy, cluster of tiny blisters with red rims and yellow fluid
at corner of lower lip, and a temp pf 100.1. DX? - ✔✔herpes simplex
derm vehicles least to most potentiating: - ✔✔solution, gel, lotion, cream, ointment
education for psoriasis pt? - ✔✔a chronic disease process, stress importance of
adhering to rx regimens
confluent - ✔✔lesions run into each other. continuous
