NURS 624 Exam 1 - Cary Review Questions well
answered graded A+
1. Stage 1 Lyme o Early Localized Lyme Disease (1-4
Dis- ease weeks) Circular "bullseye rash"
(Erythema migrants) Mild flu-like
symptoms:
• Fever, Chills, Joint and muscle pain, stitt neck, HA, fatigue,
lymphedema.
2. Stage 2 Lyme o Early Disseminated Lyme Disease (Weeks to Month after infection)
Dis-
ease Can range from mild to severe, or not at all
• Flu -like: Similar or worse than Stage 1
• Visual disturbances
• Bell's Palsy
• Classic Rash with multiple lesions
• Palpitations
3. Stage 3 Lyme o Late Disseminated Lyme Disease (occurs when not treated for stage 1
Dis- and 2
ease months to years after initial bite)
Severe HA
Large joint pain
Arrhythmias
Brain disturbance: memory loss, mood changes, sleep issues
Diflculty concentration, "foggy" feeling
Numbness/Tingling in limbs
Extreme fatigue
Temporary paralysis of facial muscles
4. Stage 4 Lyme o Late Stage or Chronic Lyme Arthritis (Episodes lasting > 6 months)
Dis-
ease Recurrent form of joint inflammation (usually attects the knees)
• Swelling
1/
30
,NURS 624 Exam 1 - Cary Review Questions well
answered graded A+
• Redness
• Fluid Build Up
5. First Line Tx: Doxycycline 10-14 days
Lyme Disease
2/
30
,NURS 624 Exam 1 - Cary Review Questions well
answered graded A+
6. Tinea Versicolor o Round or oval lesions of hypopigmentation or hyperpigmentation
macules
o Located mainly on back, chest, arms, sometimes neck/face
7. Tinea Clotrimazole
Versicolor Tx
8. • Seborrhea
o Common in Parkinson's patients
Der- matitis
o Scaly, greasy rash
9. Seborrheic
Scalp: OTC dandrutt shampoo, nizoral
Der- matitis
shampoo Face: Ketoconazole, Steroid
Tx
cream
10. • Folliculitis o Infected Hair follicle; Red, raised rash
11. • Folliculitis Tx Bactriban
12. CD4 test • CD4 tests measure the number of CD4 T-cells in the blood to gauge
the strength of the immune system in the presence of HIV infection
o HIV can take up to 6 months to attect CD4
o The CD4 cell count of a person who does not have HIV can be
anything between 500 and 1500.
o People living with HIV who have a CD4 cell count below 200 are at
high risk of developing serious illnesses. HIV treatment is recommended
for all people living with HIV. It is especially important for people with
low CD4 counts
13. Viral Load measures the number of virus particles in the blood directly
o A low viral load indicates that HIV is not actively reproducing and
that the immediate risk of disease progression is low.
o A high viral load means the virus is active and the infection will
progress.
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30
answered graded A+
1. Stage 1 Lyme o Early Localized Lyme Disease (1-4
Dis- ease weeks) Circular "bullseye rash"
(Erythema migrants) Mild flu-like
symptoms:
• Fever, Chills, Joint and muscle pain, stitt neck, HA, fatigue,
lymphedema.
2. Stage 2 Lyme o Early Disseminated Lyme Disease (Weeks to Month after infection)
Dis-
ease Can range from mild to severe, or not at all
• Flu -like: Similar or worse than Stage 1
• Visual disturbances
• Bell's Palsy
• Classic Rash with multiple lesions
• Palpitations
3. Stage 3 Lyme o Late Disseminated Lyme Disease (occurs when not treated for stage 1
Dis- and 2
ease months to years after initial bite)
Severe HA
Large joint pain
Arrhythmias
Brain disturbance: memory loss, mood changes, sleep issues
Diflculty concentration, "foggy" feeling
Numbness/Tingling in limbs
Extreme fatigue
Temporary paralysis of facial muscles
4. Stage 4 Lyme o Late Stage or Chronic Lyme Arthritis (Episodes lasting > 6 months)
Dis-
ease Recurrent form of joint inflammation (usually attects the knees)
• Swelling
1/
30
,NURS 624 Exam 1 - Cary Review Questions well
answered graded A+
• Redness
• Fluid Build Up
5. First Line Tx: Doxycycline 10-14 days
Lyme Disease
2/
30
,NURS 624 Exam 1 - Cary Review Questions well
answered graded A+
6. Tinea Versicolor o Round or oval lesions of hypopigmentation or hyperpigmentation
macules
o Located mainly on back, chest, arms, sometimes neck/face
7. Tinea Clotrimazole
Versicolor Tx
8. • Seborrhea
o Common in Parkinson's patients
Der- matitis
o Scaly, greasy rash
9. Seborrheic
Scalp: OTC dandrutt shampoo, nizoral
Der- matitis
shampoo Face: Ketoconazole, Steroid
Tx
cream
10. • Folliculitis o Infected Hair follicle; Red, raised rash
11. • Folliculitis Tx Bactriban
12. CD4 test • CD4 tests measure the number of CD4 T-cells in the blood to gauge
the strength of the immune system in the presence of HIV infection
o HIV can take up to 6 months to attect CD4
o The CD4 cell count of a person who does not have HIV can be
anything between 500 and 1500.
o People living with HIV who have a CD4 cell count below 200 are at
high risk of developing serious illnesses. HIV treatment is recommended
for all people living with HIV. It is especially important for people with
low CD4 counts
13. Viral Load measures the number of virus particles in the blood directly
o A low viral load indicates that HIV is not actively reproducing and
that the immediate risk of disease progression is low.
o A high viral load means the virus is active and the infection will
progress.
3/
30
