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UTA Nurs 5338 Urgent Emergencies Questions & Answers

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UTA Nurs 5338 Urgent Emergencies Questions & Answers

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UTA Nurs 5338 Urgent Emergencies
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1. Describe the Ceftriaxone 500 mg IM as a single dose, for persons weighing < 150 kg
pharmacological For persons weighing > 150 kg, ceftriaxone 1gm IM as a single dose
treatment for
gonorrhea

2. Describe the Doxycycline 100 mg PO BID for 7 days
pharmacological During pregnancy, azithromycin 1 gm as a single dose to treat chlamydia
treatment for Alternative regimens:
chlamydia Gentamicin 240 mg IM as a single dose + azithromycin 2 gm PO as a single dose
Cefixime 800 mg orally as a single dose + doxycycline 100 mg PO BID for 7 days
(if chlamydia CANNOT be excluded)

3. When assessing - Observe
a patient, what is - Inspect
done first? - Listen
- Palpate, respectively

4. Describe assess- Abdominal pain, usually severe; localized to the right lower quadrant (RLQ)
ment findings for Most common symptoms: anorexia, abdominal pain, nausea and vomiting (typi-
appendicitis cally present in this order)
Constipation and diarrhea occur after the pain

5. Describe acute - severe, persistent pain
abdominal pain - sudden onset
- nausea, vomiting
- abdominal distention
- fever, signs of shock

6. What is obturator - The patient lies on the back with hip and knee flexed at 90 degrees while the
sign? knee is stabilized and the ankle rotated away from the body

7. How is sepsis refer patient to the ED
handled in the


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primary care set-
ting?

8. Describe treat- I&D
ment for an ab-
scess

9. Describe assess- Erythema
ment findings for Warmth
cellulitis Edema
Pain
Fever
Lymphadenopathy
Fissuring, scaling or maceration in toe webs may be source of colonization (treat
with antifungal agents such as econazole, naftifine)
History of recurrent abscesses

10. How is a punc- - typically not sutured closed
ture wound from - treat with Augmentin
an animal bite
treated?

11. Describe assess- Most women with BV are asymptomatic
ment findings for Fishy or musty vaginal odor, more prominent after sexual intercourse and menses
bacterial vagi- Thin, homogenous discharge
nosis No redness or edema
Normal bimanual exam

12. Describe the di- Amsel's criteria specify that diagnosis of BV requires three or more of the following
agnostic study clinical signs and symptoms:
for bacterial vagi- - Homogenous, thin, gray-white discharge coating the vaginal wall
nosis - Vaginal pH >4.5
- Positive whiff test: amine (fishy) odor after application of 10% KOH on vaginal


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discharge sample
- Presence of more than 20% epithelial cells (clue cells) on saline microscopy:
microscopic evaluation of vaginal discharge on glass slide with normal saline
shows few WBCs, and epithelial cells are obscured with coccobacilli.

13. What is the most Presence of clue cells identified by an experienced microscopist is the single most
reliable predictor reliable predictor of BV
of bacterial vagi-
nosis?

14. For hematuria one week
caused by an STI,
when should fol-
low up sched-
uled?

15. Describe assess- Cough: dry and nonproductive, then productive; may be purulent
ment findings for URI symptoms
acute bronchitis Fatigue
Fever due to bacterial infection; more common in smokers and patients with
COPD
Fever due to viral cause (unusual after first few days)
Burning sensation in chest
Crackles, wheezes
Chest wall pain
Perform detailed review of preexisting health conditions & exposure history

16. When assess- measurements
ing skin disease,
what's important
to include?

17. refer to the ED

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