UTA NURS 5338 URGENT EMERGENCIES
COMPREHENSIVE EXAM 2026 QUESTIONS
AND ANSWERS 100% CORRECT
◉ Describe the pharmacological treatment for chlamydia . Answer:
Doxycycline 100 mg PO BID for 7 days
During pregnancy, azithromycin 1 gm as a single dose to treat chlamydia
Alternative regimens:
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)
◉ When assessing a patient, what is done first? . Answer: - Observe
- Inspect
- Listen
- Palpate, respectively
◉ Describe assessment findings for appendicitis . Answer: Abdominal
pain, usually severe; localized to the right lower quadrant (RLQ)
Most common symptoms: anorexia, abdominal pain, nausea and
vomiting (typically present in this order)
Constipation and diarrhea occur after the pain
,◉ Describe acute abdominal pain . Answer: - severe, persistent pain
- sudden onset
- nausea, vomiting
- abdominal distention
- fever, signs of shock
◉ What is obturator sign? . Answer: - The patient lies on the back with
hip and knee flexed at 90 degrees while the knee is stabilized and the
ankle rotated away from the body
◉ How is sepsis handled in the primary care setting? . Answer: refer
patient to the ED
◉ Describe treatment for an abscess . Answer: I&D
◉ Describe assessment findings for cellulitis . Answer: Erythema
Warmth
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
◉ How is a puncture wound from an animal bite treated? . Answer: -
typically not sutured closed
- treat with Augmentin
◉ Describe assessment findings for bacterial vaginosis . Answer: Most
women with BV are asymptomatic
Fishy or musty vaginal odor, more prominent after sexual intercourse
and menses
Thin, homogenous discharge
No redness or edema
Normal bimanual exam
◉ Describe the diagnostic study for bacterial vaginosis . Answer:
Amsel's criteria specify that diagnosis of BV requires three or more of
the following clinical signs and symptoms:
- Homogenous, thin, gray-white discharge coating the vaginal wall
- Vaginal pH >4.5
- Positive whiff test: amine (fishy) odor after application of 10% KOH
on vaginal discharge sample
COMPREHENSIVE EXAM 2026 QUESTIONS
AND ANSWERS 100% CORRECT
◉ Describe the pharmacological treatment for chlamydia . Answer:
Doxycycline 100 mg PO BID for 7 days
During pregnancy, azithromycin 1 gm as a single dose to treat chlamydia
Alternative regimens:
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)
◉ When assessing a patient, what is done first? . Answer: - Observe
- Inspect
- Listen
- Palpate, respectively
◉ Describe assessment findings for appendicitis . Answer: Abdominal
pain, usually severe; localized to the right lower quadrant (RLQ)
Most common symptoms: anorexia, abdominal pain, nausea and
vomiting (typically present in this order)
Constipation and diarrhea occur after the pain
,◉ Describe acute abdominal pain . Answer: - severe, persistent pain
- sudden onset
- nausea, vomiting
- abdominal distention
- fever, signs of shock
◉ What is obturator sign? . Answer: - The patient lies on the back with
hip and knee flexed at 90 degrees while the knee is stabilized and the
ankle rotated away from the body
◉ How is sepsis handled in the primary care setting? . Answer: refer
patient to the ED
◉ Describe treatment for an abscess . Answer: I&D
◉ Describe assessment findings for cellulitis . Answer: Erythema
Warmth
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
◉ How is a puncture wound from an animal bite treated? . Answer: -
typically not sutured closed
- treat with Augmentin
◉ Describe assessment findings for bacterial vaginosis . Answer: Most
women with BV are asymptomatic
Fishy or musty vaginal odor, more prominent after sexual intercourse
and menses
Thin, homogenous discharge
No redness or edema
Normal bimanual exam
◉ Describe the diagnostic study for bacterial vaginosis . Answer:
Amsel's criteria specify that diagnosis of BV requires three or more of
the following clinical signs and symptoms:
- Homogenous, thin, gray-white discharge coating the vaginal wall
- Vaginal pH >4.5
- Positive whiff test: amine (fishy) odor after application of 10% KOH
on vaginal discharge sample
