Page |1
NURS 5433 MIDTERM EXAM 2025/2026 BANK 2025/2026 NEWEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND VERIFIED ANSWERS |ALREADY GRADED A+|
A 13 year old with a rapid strep test in the office is negative. Patient's flu test is positive. What is the
best next step in management?
A. Baloxavir
B. Oseltamivir
C. Peramivir
D. Zanamirvir - ANSWER-A. Baloxavir
4 year old is brought in by her mother. She had generalized rash, and her mother doesn't understand
where it came from. The patient that's had a fever for 5 days. She has a bright red tongue with dry
cracked lips, swollen lymph nodes in the neck. Which od the following medications should be given to
this patient?
A. IV gamma globulin
B. Penicillin
C. Ibuprofen
D. Flu vaccine - ANSWER-A. IV gamma globulin
What is the causative agent of Lyme Disease? - ANSWER-Borrelia burgdorferi (spirochete)
What will you see upon physical exam for Lyme Disease? - ANSWER-Erythema Migrans (Target Rash)
At least one of the following:
Neuro: lymphocytic meningitis, cranial neuritis, encephalomyelitis
CV: high grade AV block (2nd or 3rd degree)
MSK: joint swelling
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What test can confirm Lyme disease? - ANSWER-Western blot
Positive EIA or IFA
What three medications can be given to a patient with Lyme Disease? - ANSWER-CAD
Doxycycline
Amoxicillin
Cefuroxime
A 6 year old patient comes in to the office. The mother of the patient said that she has to removed a tick
a few days after they got home from a trip. Which of the following would you do to treat the patient?
(55lbs)
A. Azithromycin 100mg BID divided into two doses for 14 days
B. Doxycycline 100mg BID divided into two doses for 14 days
C. Amoxicillin 600mg TID for 14 days
D. Cefuroxine 1000mg BID for 14 days - ANSWER-B. Doxycycline 100mg BID divided into two doses for
14 days
What's the Gold Standard Diagnostic test for Rocky Mountain Spotted Fever? - ANSWER-Indirect
Florescent Antibody Test (IFA)
What is the first line treatment for Rocky Mountain Spotted Fever for all age groups?
A. Amoxicillin
B. Doxycycline
C. Ceftriaxone
D. Azithromycin - ANSWER-B. Doxycycline
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What type of Rash in seen on patients with RMSF?
A. Maculopapular that spares palms
B. Urticarial
C. Petechial
D. Vesicular - ANSWER-C. Petechial, staring on wrists ankles and spreading
A rash appears on all patients with RMSF, True or False? - ANSWER-False,
No rash in 10-20% of people
A 18 year old patient presents with a sore throat, fever and fatigue. On examination she has educative
pharyngitis, bilateral cervical lymphadenopathy and enlargement spleen, you give the patient Penicillin
for treatment and a rash appears days later. which of the following conditions could this be?
A. Strep throat
B. Meningitis
C. Rubella
D. Influenza
E. Mononucleosis - ANSWER-E. Mononucleosis
A 18 year old patient presents with a sore throat, fever and fatigue. On examination she has educative
pharyngitis, bilateral cervical lymphadenopathy and enlargement spleen, which of the following
conditions could this be?
A. Strep throat
B. Meningitis
C. Rubella
D. Influenza
E. Mononucleosis - ANSWER-E. Mononucleosis
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What test is most likely to be positive in Mononucleosis?
A. Heterphile antibody test
B. Rapid strep test
C. EBV DNA PCR
D. ANA - ANSWER-A. Heterphile antibody test
Antivirals such as acyclovir will greatly reduce symptoms of Mononucleosis, True or False? - ANSWER-
False,
There is no clinical benefit to taking acyclovir and it is not routinely recommended for mononucleosis
If a patient is positive for Strep and Mononucleosis which of the following medications are best to use?
A. Levofloxacin
B. Penicillin
C. Azithromycin
D. Ampicillin - ANSWER-C. Azithromycin
Pen and Amp both will cause a rash if the patient also has mono.
4 year old patient is brought in by his mother who complains that her son has pink eye and needs
medication for the condition. The patient has a fever of 101, is coughing. And has a runny nose. Upon
examination of the Boy's oral cavity the NP notices some white spots on a red base of the buccal
mucosa. Which of the following conditions could this be?
A. Rubeola
B. Rubella
C. Scarlet fever
D. Mononucleosis
NURS 5433 MIDTERM EXAM 2025/2026 BANK 2025/2026 NEWEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND VERIFIED ANSWERS |ALREADY GRADED A+|
A 13 year old with a rapid strep test in the office is negative. Patient's flu test is positive. What is the
best next step in management?
A. Baloxavir
B. Oseltamivir
C. Peramivir
D. Zanamirvir - ANSWER-A. Baloxavir
4 year old is brought in by her mother. She had generalized rash, and her mother doesn't understand
where it came from. The patient that's had a fever for 5 days. She has a bright red tongue with dry
cracked lips, swollen lymph nodes in the neck. Which od the following medications should be given to
this patient?
A. IV gamma globulin
B. Penicillin
C. Ibuprofen
D. Flu vaccine - ANSWER-A. IV gamma globulin
What is the causative agent of Lyme Disease? - ANSWER-Borrelia burgdorferi (spirochete)
What will you see upon physical exam for Lyme Disease? - ANSWER-Erythema Migrans (Target Rash)
At least one of the following:
Neuro: lymphocytic meningitis, cranial neuritis, encephalomyelitis
CV: high grade AV block (2nd or 3rd degree)
MSK: joint swelling
, Page |2
What test can confirm Lyme disease? - ANSWER-Western blot
Positive EIA or IFA
What three medications can be given to a patient with Lyme Disease? - ANSWER-CAD
Doxycycline
Amoxicillin
Cefuroxime
A 6 year old patient comes in to the office. The mother of the patient said that she has to removed a tick
a few days after they got home from a trip. Which of the following would you do to treat the patient?
(55lbs)
A. Azithromycin 100mg BID divided into two doses for 14 days
B. Doxycycline 100mg BID divided into two doses for 14 days
C. Amoxicillin 600mg TID for 14 days
D. Cefuroxine 1000mg BID for 14 days - ANSWER-B. Doxycycline 100mg BID divided into two doses for
14 days
What's the Gold Standard Diagnostic test for Rocky Mountain Spotted Fever? - ANSWER-Indirect
Florescent Antibody Test (IFA)
What is the first line treatment for Rocky Mountain Spotted Fever for all age groups?
A. Amoxicillin
B. Doxycycline
C. Ceftriaxone
D. Azithromycin - ANSWER-B. Doxycycline
, Page |3
What type of Rash in seen on patients with RMSF?
A. Maculopapular that spares palms
B. Urticarial
C. Petechial
D. Vesicular - ANSWER-C. Petechial, staring on wrists ankles and spreading
A rash appears on all patients with RMSF, True or False? - ANSWER-False,
No rash in 10-20% of people
A 18 year old patient presents with a sore throat, fever and fatigue. On examination she has educative
pharyngitis, bilateral cervical lymphadenopathy and enlargement spleen, you give the patient Penicillin
for treatment and a rash appears days later. which of the following conditions could this be?
A. Strep throat
B. Meningitis
C. Rubella
D. Influenza
E. Mononucleosis - ANSWER-E. Mononucleosis
A 18 year old patient presents with a sore throat, fever and fatigue. On examination she has educative
pharyngitis, bilateral cervical lymphadenopathy and enlargement spleen, which of the following
conditions could this be?
A. Strep throat
B. Meningitis
C. Rubella
D. Influenza
E. Mononucleosis - ANSWER-E. Mononucleosis
, Page |4
What test is most likely to be positive in Mononucleosis?
A. Heterphile antibody test
B. Rapid strep test
C. EBV DNA PCR
D. ANA - ANSWER-A. Heterphile antibody test
Antivirals such as acyclovir will greatly reduce symptoms of Mononucleosis, True or False? - ANSWER-
False,
There is no clinical benefit to taking acyclovir and it is not routinely recommended for mononucleosis
If a patient is positive for Strep and Mononucleosis which of the following medications are best to use?
A. Levofloxacin
B. Penicillin
C. Azithromycin
D. Ampicillin - ANSWER-C. Azithromycin
Pen and Amp both will cause a rash if the patient also has mono.
4 year old patient is brought in by his mother who complains that her son has pink eye and needs
medication for the condition. The patient has a fever of 101, is coughing. And has a runny nose. Upon
examination of the Boy's oral cavity the NP notices some white spots on a red base of the buccal
mucosa. Which of the following conditions could this be?
A. Rubeola
B. Rubella
C. Scarlet fever
D. Mononucleosis
