NU 674 FINAL study guide questions with
correct answers
primary |treatment |for |skin |and |soft |tissue |abscesses |with |or |without |adjunct |abx |tx |-
|VERIFIED |ANSWER✔✔-I&D
most |common |place |for |cutaneous |abscess |to |form |- |VERIFIED |ANSWER✔✔-
buttocks, |axillary, |extremities
localized |collections |of |pus |that |occur |within |the |dermis |and |subcutaneous |space; |
erythema, |induration, |TTP, |and |fluctuant |are |main |characteristics |- |VERIFIED |
ANSWER✔✔-cutaneous |abscess
when |is |wound |packing |NOT |recommended |for |abscesses |- |VERIFIED |ANSWER✔✔-
less |than |5cm |in |diameter
where |is |the |incision |made |when |performing |an |I&D |on |an |abscess |- |VERIFIED |
ANSWER✔✔-directly |over |the |center |of |the |abscess
most |common |causes |of |skin |and |soft |tissues |infections |- |VERIFIED |ANSWER✔✔-
Staph |aureus |or |MRSA
how |often |can |you |give |Narcan |- |VERIFIED |ANSWER✔✔-every |2-3min
how |should |patient |be |positioned |to |receive |nasal |Narcan |- |VERIFIED |ANSWER✔✔-
supine, |on |their |back
local |anesthetic |which |rapid |onset |of |action, |but |shorter |duration |for |most |skin |
procedures |- |VERIFIED |ANSWER✔✔-Lidocaine |(Amides-Xylocaine)
local |anesthetic |that |has |a |slower |onset |but |a |long |duration |- |VERIFIED |ANSWER✔✔-
Bupivacaine |(Marcaine)
steps |to |reduce |pain |with |local |anesthetic |injection: |- |VERIFIED |ANSWER✔✔-stretch |
skin |taut, |pressure |on |skin |surface |around |the |site, |30G |needed, |enter |at |90degrees,
|aspirate |plunger |(avoid |IV |placement), |superficial |placement |first, |allow |to |"set"
when |and |where |to |avoid |use |of |Epi |- |VERIFIED |ANSWER✔✔-hx |of |tachyarrhythmia |
or |vasospastic |disease |(Raynauds); |distal |to |wrist, |ankle, |and |male |genitalia
ratio |when |mixing |Lido |and |Epi |- |VERIFIED |ANSWER✔✔-10:1
shave |biopsy |is |used |for... |- |VERIFIED |ANSWER✔✔-exophytic |lesions
punch |biopsy |is |used |for.. |- |VERIFIED |ANSWER✔✔-rashes |and |endophytic |lesions
when |are |pre-procedure |abx |indicated |for |skin |biopsies |- |VERIFIED |ANSWER✔✔-
prosthetic |heart |valve, |joint |replacement |in |past |2 |yrs, |hx |of |endocarditis, |
,symptomatic |valvular |heart |disease
pre |procedure |antibiotic |choice |for |skin |biopsy |- |VERIFIED |ANSWER✔✔-amoxicillin |
2g |po |1 |hr |prior; |OR |clindamycin
cryotherapy |is |used |for.. |- |VERIFIED |ANSWER✔✔-viral |warts |and |actinic |keratosis |
(precancerous)
contraindications |to |cyrotherapy |- |VERIFIED |ANSWER✔✔-raynauds, |pyoderma |
gangrenosum, |cold |urticaria, |cryoglobulienemia, |cold |intolerance, |connective |tissue
|disease
skin |condition |characterized |by |hives |or |wheals |that |results |from |some |trigger |- |
VERIFIED |ANSWER✔✔-urticaria
acute |urticaria |lasts.. |- |VERIFIED |ANSWER✔✔-less |than |6 |weeks
most |common |cause |of |acute |urticaria |- |VERIFIED |ANSWER✔✔-viral
most |common |cause |of |chronic |urticaria |- |VERIFIED |ANSWER✔✔-idiopathic
what |medication |should |someone |with |chronic |urticaria |avoid |- |VERIFIED |
ANSWER✔✔-Aspirin
treatment |for |papular |urticaria |- |VERIFIED |ANSWER✔✔-topical |steroid |- |low |dose
first |line |treatment |for |urticaria |- |VERIFIED |ANSWER✔✔-non |sedating |antihistamines
|(allegra, |claritin, |zyrtec)
risk |factor |for |anaphylaxis |- |VERIFIED |ANSWER✔✔-asthma
"Darrier's |sign" |is |a |symptom |of |what |skin |condition |- |VERIFIED |ANSWER✔✔-
dermatographism
LDL |normal |range |- |VERIFIED |ANSWER✔✔-<100
HDL |normal |range |- |VERIFIED |ANSWER✔✔->60
type |of |diet |to |prevent |HLD |- |VERIFIED |ANSWER✔✔-mediterranean |and |DASH
therapy |indicated |if |ASCVD |preventative |measures |fail |- |VERIFIED |ANSWER✔✔-
statins
statins |may |be |started |as |primary |prevention |in |those |with: |- |VERIFIED |ANSWER✔✔-
diagnosed |ASCVD, |LDL |>190, |diagnosed |with |DM |aged |40-75 |and |LDL |between |70-
189, |ages |40-75 |with |LDL |between |70-189 |and |>7.5% |10yr |ASCVD |risk
MOA |of |statins |- |VERIFIED |ANSWER✔✔-inhibits |the |enzyme |needed |for |cholesterol |
synthesis; |decreases |LDLs
, what |should |be |performed |before |prescribing |a |statin |- |VERIFIED |ANSWER✔✔-
baseline |fasting |lipid |profile, |LFTs |and |pregnancy |test
side |effects |you |should |monitor |for |while |someone |is |taking |a |statin |- |and |what |lab |
to |order |if |presenting |with |symptoms |- |VERIFIED |ANSWER✔✔-myopathies |and |
rhabdomyolysis; |CK
LDL |target |goal |for |those |on |statin |therapy |- |VERIFIED |ANSWER✔✔-<70 |for |
secondary |prevention; |<100 |for |primary |prevention
when |to |reassess |lipid |profile |after |starting |a |stain |- |VERIFIED |ANSWER✔✔-4-12 |
weeks
common |side |effects |of |statins |- |VERIFIED |ANSWER✔✔-memory |loss, |increase |A1C |
levels, |myopathies
emergent |causes |of |chest |pain |- |VERIFIED |ANSWER✔✔-ACS, |PE, |aortic |dissection
non |emergency |causes |of |chest |pain |- |VERIFIED |ANSWER✔✔-etiology |of |
musculoskeletal, |GI, |pulmonary
EKG |interpretation |of |ACS |- |VERIFIED |ANSWER✔✔-ST |depression |(NSTEMI), |T |wave |
inversion(NSTEMI), |or |ST |elevation(STEMI)
treatment |for |STEMI |- |VERIFIED |ANSWER✔✔-emergent |PCI |within |90min |of |ED |
arrival, |aspirin, |nitro, |O2
how |often |can |you |give |nitro |for |a |STEMI |- |VERIFIED |ANSWER✔✔-every |5 |minutes |up
|to |3 |doses, |if |BP |allows
type |of |antihypertensive |that |is |used |after |STEMI |event |- |VERIFIED |ANSWER✔✔-ACE |
inhibitors; |lisinopril
presents |as |acute |and |severe, |sharp |chest |and |back |pain |often |described |as
|"tearing" |- |VERIFIED |ANSWER✔✔-aortic |dissection
causes/risk |factors |for |aortic |dissection |- |VERIFIED |ANSWER✔✔-uncontrolled |htn, |
cocaine |use, |congenital |bicuspid |AV, |smoking, |male |>60
presents |as |sever |pleuritic |chest |discomfort, |tachycardia/palpitations, |tachypnea, |
SOB, |dizziness/syncope |- |VERIFIED |ANSWER✔✔-PE
3 |things |EKG |helps |to |identify |- |VERIFIED |ANSWER✔✔-ischemic |changes,
|rhythm/rate |disturbances, |and |electrolyte |imbalances
part |of |the |EKG |that |resembles |Atrial |depolarization |- |VERIFIED |ANSWER✔✔-p |wave
normal |p |wave |length |- |VERIFIED |ANSWER✔✔-<0.12 |seconds
part |of |the |EKG |that |resembles |ventricular |depolarization |- |VERIFIED |ANSWER✔✔-
correct answers
primary |treatment |for |skin |and |soft |tissue |abscesses |with |or |without |adjunct |abx |tx |-
|VERIFIED |ANSWER✔✔-I&D
most |common |place |for |cutaneous |abscess |to |form |- |VERIFIED |ANSWER✔✔-
buttocks, |axillary, |extremities
localized |collections |of |pus |that |occur |within |the |dermis |and |subcutaneous |space; |
erythema, |induration, |TTP, |and |fluctuant |are |main |characteristics |- |VERIFIED |
ANSWER✔✔-cutaneous |abscess
when |is |wound |packing |NOT |recommended |for |abscesses |- |VERIFIED |ANSWER✔✔-
less |than |5cm |in |diameter
where |is |the |incision |made |when |performing |an |I&D |on |an |abscess |- |VERIFIED |
ANSWER✔✔-directly |over |the |center |of |the |abscess
most |common |causes |of |skin |and |soft |tissues |infections |- |VERIFIED |ANSWER✔✔-
Staph |aureus |or |MRSA
how |often |can |you |give |Narcan |- |VERIFIED |ANSWER✔✔-every |2-3min
how |should |patient |be |positioned |to |receive |nasal |Narcan |- |VERIFIED |ANSWER✔✔-
supine, |on |their |back
local |anesthetic |which |rapid |onset |of |action, |but |shorter |duration |for |most |skin |
procedures |- |VERIFIED |ANSWER✔✔-Lidocaine |(Amides-Xylocaine)
local |anesthetic |that |has |a |slower |onset |but |a |long |duration |- |VERIFIED |ANSWER✔✔-
Bupivacaine |(Marcaine)
steps |to |reduce |pain |with |local |anesthetic |injection: |- |VERIFIED |ANSWER✔✔-stretch |
skin |taut, |pressure |on |skin |surface |around |the |site, |30G |needed, |enter |at |90degrees,
|aspirate |plunger |(avoid |IV |placement), |superficial |placement |first, |allow |to |"set"
when |and |where |to |avoid |use |of |Epi |- |VERIFIED |ANSWER✔✔-hx |of |tachyarrhythmia |
or |vasospastic |disease |(Raynauds); |distal |to |wrist, |ankle, |and |male |genitalia
ratio |when |mixing |Lido |and |Epi |- |VERIFIED |ANSWER✔✔-10:1
shave |biopsy |is |used |for... |- |VERIFIED |ANSWER✔✔-exophytic |lesions
punch |biopsy |is |used |for.. |- |VERIFIED |ANSWER✔✔-rashes |and |endophytic |lesions
when |are |pre-procedure |abx |indicated |for |skin |biopsies |- |VERIFIED |ANSWER✔✔-
prosthetic |heart |valve, |joint |replacement |in |past |2 |yrs, |hx |of |endocarditis, |
,symptomatic |valvular |heart |disease
pre |procedure |antibiotic |choice |for |skin |biopsy |- |VERIFIED |ANSWER✔✔-amoxicillin |
2g |po |1 |hr |prior; |OR |clindamycin
cryotherapy |is |used |for.. |- |VERIFIED |ANSWER✔✔-viral |warts |and |actinic |keratosis |
(precancerous)
contraindications |to |cyrotherapy |- |VERIFIED |ANSWER✔✔-raynauds, |pyoderma |
gangrenosum, |cold |urticaria, |cryoglobulienemia, |cold |intolerance, |connective |tissue
|disease
skin |condition |characterized |by |hives |or |wheals |that |results |from |some |trigger |- |
VERIFIED |ANSWER✔✔-urticaria
acute |urticaria |lasts.. |- |VERIFIED |ANSWER✔✔-less |than |6 |weeks
most |common |cause |of |acute |urticaria |- |VERIFIED |ANSWER✔✔-viral
most |common |cause |of |chronic |urticaria |- |VERIFIED |ANSWER✔✔-idiopathic
what |medication |should |someone |with |chronic |urticaria |avoid |- |VERIFIED |
ANSWER✔✔-Aspirin
treatment |for |papular |urticaria |- |VERIFIED |ANSWER✔✔-topical |steroid |- |low |dose
first |line |treatment |for |urticaria |- |VERIFIED |ANSWER✔✔-non |sedating |antihistamines
|(allegra, |claritin, |zyrtec)
risk |factor |for |anaphylaxis |- |VERIFIED |ANSWER✔✔-asthma
"Darrier's |sign" |is |a |symptom |of |what |skin |condition |- |VERIFIED |ANSWER✔✔-
dermatographism
LDL |normal |range |- |VERIFIED |ANSWER✔✔-<100
HDL |normal |range |- |VERIFIED |ANSWER✔✔->60
type |of |diet |to |prevent |HLD |- |VERIFIED |ANSWER✔✔-mediterranean |and |DASH
therapy |indicated |if |ASCVD |preventative |measures |fail |- |VERIFIED |ANSWER✔✔-
statins
statins |may |be |started |as |primary |prevention |in |those |with: |- |VERIFIED |ANSWER✔✔-
diagnosed |ASCVD, |LDL |>190, |diagnosed |with |DM |aged |40-75 |and |LDL |between |70-
189, |ages |40-75 |with |LDL |between |70-189 |and |>7.5% |10yr |ASCVD |risk
MOA |of |statins |- |VERIFIED |ANSWER✔✔-inhibits |the |enzyme |needed |for |cholesterol |
synthesis; |decreases |LDLs
, what |should |be |performed |before |prescribing |a |statin |- |VERIFIED |ANSWER✔✔-
baseline |fasting |lipid |profile, |LFTs |and |pregnancy |test
side |effects |you |should |monitor |for |while |someone |is |taking |a |statin |- |and |what |lab |
to |order |if |presenting |with |symptoms |- |VERIFIED |ANSWER✔✔-myopathies |and |
rhabdomyolysis; |CK
LDL |target |goal |for |those |on |statin |therapy |- |VERIFIED |ANSWER✔✔-<70 |for |
secondary |prevention; |<100 |for |primary |prevention
when |to |reassess |lipid |profile |after |starting |a |stain |- |VERIFIED |ANSWER✔✔-4-12 |
weeks
common |side |effects |of |statins |- |VERIFIED |ANSWER✔✔-memory |loss, |increase |A1C |
levels, |myopathies
emergent |causes |of |chest |pain |- |VERIFIED |ANSWER✔✔-ACS, |PE, |aortic |dissection
non |emergency |causes |of |chest |pain |- |VERIFIED |ANSWER✔✔-etiology |of |
musculoskeletal, |GI, |pulmonary
EKG |interpretation |of |ACS |- |VERIFIED |ANSWER✔✔-ST |depression |(NSTEMI), |T |wave |
inversion(NSTEMI), |or |ST |elevation(STEMI)
treatment |for |STEMI |- |VERIFIED |ANSWER✔✔-emergent |PCI |within |90min |of |ED |
arrival, |aspirin, |nitro, |O2
how |often |can |you |give |nitro |for |a |STEMI |- |VERIFIED |ANSWER✔✔-every |5 |minutes |up
|to |3 |doses, |if |BP |allows
type |of |antihypertensive |that |is |used |after |STEMI |event |- |VERIFIED |ANSWER✔✔-ACE |
inhibitors; |lisinopril
presents |as |acute |and |severe, |sharp |chest |and |back |pain |often |described |as
|"tearing" |- |VERIFIED |ANSWER✔✔-aortic |dissection
causes/risk |factors |for |aortic |dissection |- |VERIFIED |ANSWER✔✔-uncontrolled |htn, |
cocaine |use, |congenital |bicuspid |AV, |smoking, |male |>60
presents |as |sever |pleuritic |chest |discomfort, |tachycardia/palpitations, |tachypnea, |
SOB, |dizziness/syncope |- |VERIFIED |ANSWER✔✔-PE
3 |things |EKG |helps |to |identify |- |VERIFIED |ANSWER✔✔-ischemic |changes,
|rhythm/rate |disturbances, |and |electrolyte |imbalances
part |of |the |EKG |that |resembles |Atrial |depolarization |- |VERIFIED |ANSWER✔✔-p |wave
normal |p |wave |length |- |VERIFIED |ANSWER✔✔-<0.12 |seconds
part |of |the |EKG |that |resembles |ventricular |depolarization |- |VERIFIED |ANSWER✔✔-
