Maryville University NURS 623 Exam 1 QUESTIONS AND
ANSWERS LATEST NEW 2025/2026
Mode of transmission for parasi c skin infec ons - CORRECT ANSWERS Close direct skin
contact.
Clinical presenta on for Scabies - CORRECT ANSWERS Intense itching, worse at night. Burrows
noted between webs of fingers.
Commonly prescribed medica ons for Scabies - CORRECT ANSWERS Permethrin Cream 5%
(Elimite) is the first-line treatment. Safe in 2 months and older. Apply to all areas from neck
down and leave on for 8-12 hours. Repeat applica on in 1 week. May repeat a third me in
another week. Follow up in 1 week.
An histamines and topical steroids if the pruri s is bad.
What should you include in the pa ent educa on to prevent spreading of the various parasi c
skin problems? - CORRECT ANSWERS Avoid close contact. Wash all bedding, clothing, cloth
items, and stuffed animals in hot water. All close contacts family members, people you live with
and sexual partners need to be treated as well.
Which bacterial skin infec on is considered highly contagious? - CORRECT ANSWERS Impe go
What is the "classic" presenta on of impe go? - CORRECT ANSWERS Honey crusted lesions
What is the management of a minor case of folliculi s (non-pharmacologic)? - CORRECT
ANSWERS Gentle cleansing by washing the skin twice a day with an bacterial soap.
, What are the commonly prescribed medica ons for folliculi s? - CORRECT ANSWERS
Mupirocin (Bactroban) 2% ointment or cream, TID, 5-14 days, for secondarily infected skin
lesions.
Mupirocin (Bactroban) twice daily for 5 days in the nose for people with recurrent folliculi s to
clear the coloniza on of S. Aureus.
Furuncles - CORRECT ANSWERS Ini ally appear small (0.5-1 cm), red, tender, indurated
nodule. As it grows it develops a central yellow plug. They eventually rupture spontaneously.
Fluctuant or larger furuncles should be treated with I&D and covered with a simple dry sterile
dressing. Pa ents should be instructed to use warm compresses twice daily to encourage
drainage of pus.
Carbuncles - CORRECT ANSWERS Ini ally appear as mul ple furuncles and develops into a
large, erythematous lump and must be drained before healing will take place and this typically
occurs spontaneously within 2 weeks. Carbuncles frequently require I&D and need systemic
an bio cs and a referral. An bio cs include: TMP-SMX (MRSA converage), dicloxacillin,
cephalexin, or doxycycline.
A gram stain is recommended to check for MRSA strains.
What are the considera ons when determining treatment for celluli s? - CORRECT ANSWERS
Severe infec ons, infec ons around the eyes, or systemic involvement (fever & chills),
immunocompromised should be sent to the ED for inpa ent IV treatment.
Mild cases can be treated with PO an bio cs that should show improvement within 48-72
hours. Penicillin VK, dicloxacillin, clindamycin, or cephalexin for 5 days.
Infected human & animal bites need to be treated with amoxicillin-clavulanic acid (Augmen n)
for 2 weeks. Prophylaxis treatment for human & animal bites (within 6 hours) amoxicillin-
clavulanic acid (Augmen n) for 3-5 days.
HSV - CORRECT ANSWERS grouped vesicles on an erythematous base, followed by ulcers or
erosions that crust over with honey color. Lesions typically heal in 7-10 days. Mouth, face, or
genitals.
, Diagnos c tests for HSV - CORRECT ANSWERS Viral Culture Gold Standard & PCR tests are
standard for diagnosis. Vesicle fluid can be cultured with 72 hours of outbreak. Tzanck smear.
HIV tes ng is advisable in HSV-2 pa ents.
Herpe c keratoconjunc vi s - CORRECT ANSWERS requires immediate referral to an
ophthalmologist.
HSV-2 Genital lesion treatment - CORRECT ANSWERS Treated with oral an virals Valacyclovir
or famciclovir. Warm compresses and oatmeal sitz baths can help promote comfort and healing.
Urinate into a warm bath. Increase fluid intake and rest.
HSV-1 oral lesion treatment - CORRECT ANSWERS Acetaminophen to control pain. Ice or lip
ointments like Blistex. OTC docosanol (abreva) 10% cream applied 5 mes a day. For more
extensive lesions, penciclovir (Denavir) 1% cream applied every 2 hours while awake. Extensive
oral lesions may require lidocaine, and acyclovier oral suspension 200mg/5mL, rinse mouth
with 1 teaspoon and swallow five mes a day.
HSV Pa ent educa on - CORRECT ANSWERS Begin an viral at the first sign of ngling or
burning.
No sharing of towels, silverware, or glasses. Wash hands frequently.
Avoid sex un l lesions are healed, Use condoms every me to avoid viral spread.
Which derma s is an inherited skin reac on that begins in infancy - CORRECT ANSWERS
Atopic derma s
What is the "atopic triad?" - CORRECT ANSWERS Atopic eczema, asthma, and allergies
What derma s is associated with the expression "the itch that rashes?" - CORRECT ANSWERS
Atopic derma s
ANSWERS LATEST NEW 2025/2026
Mode of transmission for parasi c skin infec ons - CORRECT ANSWERS Close direct skin
contact.
Clinical presenta on for Scabies - CORRECT ANSWERS Intense itching, worse at night. Burrows
noted between webs of fingers.
Commonly prescribed medica ons for Scabies - CORRECT ANSWERS Permethrin Cream 5%
(Elimite) is the first-line treatment. Safe in 2 months and older. Apply to all areas from neck
down and leave on for 8-12 hours. Repeat applica on in 1 week. May repeat a third me in
another week. Follow up in 1 week.
An histamines and topical steroids if the pruri s is bad.
What should you include in the pa ent educa on to prevent spreading of the various parasi c
skin problems? - CORRECT ANSWERS Avoid close contact. Wash all bedding, clothing, cloth
items, and stuffed animals in hot water. All close contacts family members, people you live with
and sexual partners need to be treated as well.
Which bacterial skin infec on is considered highly contagious? - CORRECT ANSWERS Impe go
What is the "classic" presenta on of impe go? - CORRECT ANSWERS Honey crusted lesions
What is the management of a minor case of folliculi s (non-pharmacologic)? - CORRECT
ANSWERS Gentle cleansing by washing the skin twice a day with an bacterial soap.
, What are the commonly prescribed medica ons for folliculi s? - CORRECT ANSWERS
Mupirocin (Bactroban) 2% ointment or cream, TID, 5-14 days, for secondarily infected skin
lesions.
Mupirocin (Bactroban) twice daily for 5 days in the nose for people with recurrent folliculi s to
clear the coloniza on of S. Aureus.
Furuncles - CORRECT ANSWERS Ini ally appear small (0.5-1 cm), red, tender, indurated
nodule. As it grows it develops a central yellow plug. They eventually rupture spontaneously.
Fluctuant or larger furuncles should be treated with I&D and covered with a simple dry sterile
dressing. Pa ents should be instructed to use warm compresses twice daily to encourage
drainage of pus.
Carbuncles - CORRECT ANSWERS Ini ally appear as mul ple furuncles and develops into a
large, erythematous lump and must be drained before healing will take place and this typically
occurs spontaneously within 2 weeks. Carbuncles frequently require I&D and need systemic
an bio cs and a referral. An bio cs include: TMP-SMX (MRSA converage), dicloxacillin,
cephalexin, or doxycycline.
A gram stain is recommended to check for MRSA strains.
What are the considera ons when determining treatment for celluli s? - CORRECT ANSWERS
Severe infec ons, infec ons around the eyes, or systemic involvement (fever & chills),
immunocompromised should be sent to the ED for inpa ent IV treatment.
Mild cases can be treated with PO an bio cs that should show improvement within 48-72
hours. Penicillin VK, dicloxacillin, clindamycin, or cephalexin for 5 days.
Infected human & animal bites need to be treated with amoxicillin-clavulanic acid (Augmen n)
for 2 weeks. Prophylaxis treatment for human & animal bites (within 6 hours) amoxicillin-
clavulanic acid (Augmen n) for 3-5 days.
HSV - CORRECT ANSWERS grouped vesicles on an erythematous base, followed by ulcers or
erosions that crust over with honey color. Lesions typically heal in 7-10 days. Mouth, face, or
genitals.
, Diagnos c tests for HSV - CORRECT ANSWERS Viral Culture Gold Standard & PCR tests are
standard for diagnosis. Vesicle fluid can be cultured with 72 hours of outbreak. Tzanck smear.
HIV tes ng is advisable in HSV-2 pa ents.
Herpe c keratoconjunc vi s - CORRECT ANSWERS requires immediate referral to an
ophthalmologist.
HSV-2 Genital lesion treatment - CORRECT ANSWERS Treated with oral an virals Valacyclovir
or famciclovir. Warm compresses and oatmeal sitz baths can help promote comfort and healing.
Urinate into a warm bath. Increase fluid intake and rest.
HSV-1 oral lesion treatment - CORRECT ANSWERS Acetaminophen to control pain. Ice or lip
ointments like Blistex. OTC docosanol (abreva) 10% cream applied 5 mes a day. For more
extensive lesions, penciclovir (Denavir) 1% cream applied every 2 hours while awake. Extensive
oral lesions may require lidocaine, and acyclovier oral suspension 200mg/5mL, rinse mouth
with 1 teaspoon and swallow five mes a day.
HSV Pa ent educa on - CORRECT ANSWERS Begin an viral at the first sign of ngling or
burning.
No sharing of towels, silverware, or glasses. Wash hands frequently.
Avoid sex un l lesions are healed, Use condoms every me to avoid viral spread.
Which derma s is an inherited skin reac on that begins in infancy - CORRECT ANSWERS
Atopic derma s
What is the "atopic triad?" - CORRECT ANSWERS Atopic eczema, asthma, and allergies
What derma s is associated with the expression "the itch that rashes?" - CORRECT ANSWERS
Atopic derma s
