Examl 1:l NSG554/l NSGl 554l (NEWl 2025/l
2026l Update)l Primaryl Carel Il Guide|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Wilkes
QUESTION
Bronchospasm:l Causes
Answer:
ol Acutel asthmal exacerbations(bronchospasmsl mostl commonl inl patientsl withl asthma)
ol COPD
ol Respiratoryl tractl infections
ol Allergicl reactionl tol medications,l foodl orl thel environment
QUESTION
Bronchospasm:l PEl findings
Answer:
ol Wheezing
ol Chestl tightness
ol Coughing
ol SOB
·Severel PEl examl findings:
ol Lossl ofl breathl sounds
ol Hypoxia/desaturation
ol Bradycardia
ol Hypotension
QUESTION
Bronchospam:l treatment
,Answer:
ol Oxygen(l maintainl 93-95%l inl adultsl andl 94-98%l inl childrenl 6-12l yrs)
ol Inhaledl SABA
ol Inhaledl ipratropiuml bromide
ol Systemicl corticosteroidsl prednisolone
QUESTION
Lymel Disease:l Riskl factors
Answer:
ol Lymel endemicl area(PA)
ol Ixodidl ticksl arel commonl onl deer
ol Huntersl atl increasedl risk
QUESTION
Lymel Disease:l Prevention
Answer:
ol Wearl appropriatel clothingl whenl inl thel outdoors
ol Utilizel tickl checksl afterl beingl outdoors
ol Removel ticksl asl soonl asl possible
ol Canl usel substancesl suchl asl DEET
QUESTION
Lymesl Disease:l Historyl (early)
Answer:
·l EMl (l round,l flatl ,l orl raised,l erythematousl bullsl eyel lesionl thatl expandsl inl diameterl
overl daysl tol weeksl thatl hasl anl areal ofl centrall clearing
·l Patientsl mayl bel asymptomatic;l fever;headache;myalgias;arthralgias;regionall
lymphadenopathy
·l Disseminated:l Carditits,l faciall palsiesl orl otherl craniall neuropathies,jointl pain
,QUESTION
Lymesl Disease:l Historyl (late)
Answer:
·l Recurrentl synovitis,l tendonititsl andl bursitis
·l Encephalopathicl symptoms
·l Peripherall neverl involvementl numbnessl tinglingl shootingl orl weaknessl inl armsl orl legs
·l Monoarthritis,iritis,l conjunctivitis
·l Symptomsl mimickingl otherl CNSl disorders
QUESTION
Lymesl Disease:l PEl findings
Answer:
Multiplel EMl (bullseyel rash)l lesions
Faciall palsies
Irregularl pulse
Bradycardia
Frictionl rub
QUESTION
Lymesl Disease:l Treatment
Answer:
ol Prophylactic:l 1l dosel ofl 200l mgl ofl doxycyclinel withinl 72l hoursl ofl al tickl thatl hasl
beenl attachedl forl atl leastl 36l hours
ol Earlyl lime:l doxycycline100mgl POl BIDl forl 10l tol 14l days
ol Earlyl disseminatedl lyme:l doxycyclinel 100l mgl POl forl 14l tol 21l days
, QUESTION
Lymesl Disease:l Diagnostics
Answer:
ol Recommendl clinicall diagnosisl ratherl thanl testingl inl endemicl areas
ol Sensitivel enzymel immunoassayl (EIA):l quantifiesl antibodiesl againstl B.burgdorferi
ol Thenl followl withl thel westernl immunoblotl assay
ol Bothl arel neededl tol confirml al diagnosisl ofl Lymel disease
QUESTION
Mosquitol bite:l Malarial symptoms
Answer:
§l Feverl andl flu-likel illness
§l Chills
§l Headache,l musclel aches,l andl tiredness
§l Nausea,l vomiting,l andl diarrheal mayl alsol occur
§l Ifl notl treatedl quickly,l thel infectionl canl becomel severe.
§l Severel symptomsl canl include
§l Kidneyl failure
§l Seizures
§l Mentall confusion
§l Coma
§l Anemia
§l Jaundice
QUESTION
Malarial Labl diagnostics
Answer:
Bloodl smearl microscopy(l bloodl smearsl shouldl bel repeatedl everyl 12-24l hoursl forl al
totall ofl 3l setsl beforel thel diagnosisl ofl malarial canl bel ruledl out)
Malarial rapidl diagnosticl testingl (BinaxNOW)
2026l Update)l Primaryl Carel Il Guide|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Wilkes
QUESTION
Bronchospasm:l Causes
Answer:
ol Acutel asthmal exacerbations(bronchospasmsl mostl commonl inl patientsl withl asthma)
ol COPD
ol Respiratoryl tractl infections
ol Allergicl reactionl tol medications,l foodl orl thel environment
QUESTION
Bronchospasm:l PEl findings
Answer:
ol Wheezing
ol Chestl tightness
ol Coughing
ol SOB
·Severel PEl examl findings:
ol Lossl ofl breathl sounds
ol Hypoxia/desaturation
ol Bradycardia
ol Hypotension
QUESTION
Bronchospam:l treatment
,Answer:
ol Oxygen(l maintainl 93-95%l inl adultsl andl 94-98%l inl childrenl 6-12l yrs)
ol Inhaledl SABA
ol Inhaledl ipratropiuml bromide
ol Systemicl corticosteroidsl prednisolone
QUESTION
Lymel Disease:l Riskl factors
Answer:
ol Lymel endemicl area(PA)
ol Ixodidl ticksl arel commonl onl deer
ol Huntersl atl increasedl risk
QUESTION
Lymel Disease:l Prevention
Answer:
ol Wearl appropriatel clothingl whenl inl thel outdoors
ol Utilizel tickl checksl afterl beingl outdoors
ol Removel ticksl asl soonl asl possible
ol Canl usel substancesl suchl asl DEET
QUESTION
Lymesl Disease:l Historyl (early)
Answer:
·l EMl (l round,l flatl ,l orl raised,l erythematousl bullsl eyel lesionl thatl expandsl inl diameterl
overl daysl tol weeksl thatl hasl anl areal ofl centrall clearing
·l Patientsl mayl bel asymptomatic;l fever;headache;myalgias;arthralgias;regionall
lymphadenopathy
·l Disseminated:l Carditits,l faciall palsiesl orl otherl craniall neuropathies,jointl pain
,QUESTION
Lymesl Disease:l Historyl (late)
Answer:
·l Recurrentl synovitis,l tendonititsl andl bursitis
·l Encephalopathicl symptoms
·l Peripherall neverl involvementl numbnessl tinglingl shootingl orl weaknessl inl armsl orl legs
·l Monoarthritis,iritis,l conjunctivitis
·l Symptomsl mimickingl otherl CNSl disorders
QUESTION
Lymesl Disease:l PEl findings
Answer:
Multiplel EMl (bullseyel rash)l lesions
Faciall palsies
Irregularl pulse
Bradycardia
Frictionl rub
QUESTION
Lymesl Disease:l Treatment
Answer:
ol Prophylactic:l 1l dosel ofl 200l mgl ofl doxycyclinel withinl 72l hoursl ofl al tickl thatl hasl
beenl attachedl forl atl leastl 36l hours
ol Earlyl lime:l doxycycline100mgl POl BIDl forl 10l tol 14l days
ol Earlyl disseminatedl lyme:l doxycyclinel 100l mgl POl forl 14l tol 21l days
, QUESTION
Lymesl Disease:l Diagnostics
Answer:
ol Recommendl clinicall diagnosisl ratherl thanl testingl inl endemicl areas
ol Sensitivel enzymel immunoassayl (EIA):l quantifiesl antibodiesl againstl B.burgdorferi
ol Thenl followl withl thel westernl immunoblotl assay
ol Bothl arel neededl tol confirml al diagnosisl ofl Lymel disease
QUESTION
Mosquitol bite:l Malarial symptoms
Answer:
§l Feverl andl flu-likel illness
§l Chills
§l Headache,l musclel aches,l andl tiredness
§l Nausea,l vomiting,l andl diarrheal mayl alsol occur
§l Ifl notl treatedl quickly,l thel infectionl canl becomel severe.
§l Severel symptomsl canl include
§l Kidneyl failure
§l Seizures
§l Mentall confusion
§l Coma
§l Anemia
§l Jaundice
QUESTION
Malarial Labl diagnostics
Answer:
Bloodl smearl microscopy(l bloodl smearsl shouldl bel repeatedl everyl 12-24l hoursl forl al
totall ofl 3l setsl beforel thel diagnosisl ofl malarial canl bel ruledl out)
Malarial rapidl diagnosticl testingl (BinaxNOW)
