NRNP 6560 Final Exam Questions AND Correct Answers
50-50-50 rule - ✔✔guide for antiviral therapy
< 50 hrs since onset of lesions
> 50 years
> 50 lesions
ABCDE - ✔✔asymmetry, border, color, diameter >6mm,
evolving
ACE-I - ✔✔chronic cough and angioedema
acne - ✔✔inflammatory disease of the skin involving the
sebaceous glands and hair follicles
causes: corticosteriods, isoniazid
acute subdural hematoma sxs - ✔✔drowsiness, agitation, and
confusion
HA
unilateral or bilateral pupil dilatation
hemiparesis
noncontrast CT
sx indications: >10mm thickness with >5mm midline shift
regardless of GCS
,acyclovir-resistance varicella-zoster virus treatment -
✔✔foscarnet
adjunct therapy for Herpes Zoster treatment - ✔✔tylenol,
cold compress, tramadol, opioids, oral corticosteriods,
hydroxyzine (pruritus)
Aeromonas - ✔✔gram negative bacillus; freshwater exposure
aeromonas hydrophila cellulitis treatment - ✔✔doxy +
ceftriaxone or cipro
anticonvulsants and sulfonamines - ✔✔m/c cause of toxic
epidermal necrolysis (TEN) and Stevens-Johnson syndrome
(SJS)
antiviral for herpes zoster treatment - ✔✔acyclovir
valacyclovir
Ataxic hemiparesis - ✔✔lacunar stroke of the anterior limb of
internal capsule or PONS base
,weakness and ataxia on ipsi side of body, usually leg
weakness more than arm
avoid hyperventilation in TBI unless: - ✔✔herniation
symptoms are present of if measured ICP is severely high
AVPU - ✔✔Awake, responsive to voice, responsive to pain,
unresponsive
barbiturate coma - ✔✔may be used to treat ICP after admit;
Reduces Metabolic Demand
Pentobarbital
basal cell carcinoma (BCC) - ✔✔malignant tumor of the basal
layer of the epidermis;
papule or nodule with a central scab or eroded area. Nodule
has a waxy "pearly" appearance
basal ganglia hemorrhage - ✔✔Contralateral hemiparesis and
hemisensory loss
ipsilateral Homonymous hemianopsia
ipsilateral Gaze palsy
decreased LOC
, basilar fracture signs - ✔✔anterior or posterior skull base
BCC and SCC management - ✔✔dermatologist referral
bx
curettage and electrodesiccation of BCC lesion <1cm in
diameter and in nonfacial area
BCC follow up - annually for 5 years
SCC - every 3 months with close exam of lymph nodes for 1
year then twice a year after that
BCC characteristics - ✔✔noldules, papules, non-healing
ulcers, or scabbed lesions
waxy, pearly nodules with telangiectatic vessels, or as visual
or scaly plaques
borders are translucent, elevated, and shiny with fine
telangiectasia
BCC predisposing factors - ✔✔sun exposure
arsenic exposure
m/c on face and neck
50-50-50 rule - ✔✔guide for antiviral therapy
< 50 hrs since onset of lesions
> 50 years
> 50 lesions
ABCDE - ✔✔asymmetry, border, color, diameter >6mm,
evolving
ACE-I - ✔✔chronic cough and angioedema
acne - ✔✔inflammatory disease of the skin involving the
sebaceous glands and hair follicles
causes: corticosteriods, isoniazid
acute subdural hematoma sxs - ✔✔drowsiness, agitation, and
confusion
HA
unilateral or bilateral pupil dilatation
hemiparesis
noncontrast CT
sx indications: >10mm thickness with >5mm midline shift
regardless of GCS
,acyclovir-resistance varicella-zoster virus treatment -
✔✔foscarnet
adjunct therapy for Herpes Zoster treatment - ✔✔tylenol,
cold compress, tramadol, opioids, oral corticosteriods,
hydroxyzine (pruritus)
Aeromonas - ✔✔gram negative bacillus; freshwater exposure
aeromonas hydrophila cellulitis treatment - ✔✔doxy +
ceftriaxone or cipro
anticonvulsants and sulfonamines - ✔✔m/c cause of toxic
epidermal necrolysis (TEN) and Stevens-Johnson syndrome
(SJS)
antiviral for herpes zoster treatment - ✔✔acyclovir
valacyclovir
Ataxic hemiparesis - ✔✔lacunar stroke of the anterior limb of
internal capsule or PONS base
,weakness and ataxia on ipsi side of body, usually leg
weakness more than arm
avoid hyperventilation in TBI unless: - ✔✔herniation
symptoms are present of if measured ICP is severely high
AVPU - ✔✔Awake, responsive to voice, responsive to pain,
unresponsive
barbiturate coma - ✔✔may be used to treat ICP after admit;
Reduces Metabolic Demand
Pentobarbital
basal cell carcinoma (BCC) - ✔✔malignant tumor of the basal
layer of the epidermis;
papule or nodule with a central scab or eroded area. Nodule
has a waxy "pearly" appearance
basal ganglia hemorrhage - ✔✔Contralateral hemiparesis and
hemisensory loss
ipsilateral Homonymous hemianopsia
ipsilateral Gaze palsy
decreased LOC
, basilar fracture signs - ✔✔anterior or posterior skull base
BCC and SCC management - ✔✔dermatologist referral
bx
curettage and electrodesiccation of BCC lesion <1cm in
diameter and in nonfacial area
BCC follow up - annually for 5 years
SCC - every 3 months with close exam of lymph nodes for 1
year then twice a year after that
BCC characteristics - ✔✔noldules, papules, non-healing
ulcers, or scabbed lesions
waxy, pearly nodules with telangiectatic vessels, or as visual
or scaly plaques
borders are translucent, elevated, and shiny with fine
telangiectasia
BCC predisposing factors - ✔✔sun exposure
arsenic exposure
m/c on face and neck
