Microbiology Final- Portage Learning, UTA Nurs
5338 Urgent Emergencies EXAM QUESTIONS WITH
SOLVED CORRECT ANSWERS.
- a contract to call 911 instead of suicide
- the patient and provider both must sign it - CORRECT ANSWER✅✅If a patient is
suicidal, agreeing to this will prevent detention
- Acute withdrawal syndrome
- post-acute withdrawal syndrome (PAWS) - CORRECT ANSWER✅✅State the types
of withdrawals
- affects the posterior or anterior canals
- free floating particles in the affected semicircular canals stimulate the cupula and
cause vertigo
- relocating these particles to the utricle by using the Epley maneuver works in 90-95%
of cases - CORRECT ANSWER✅✅Describe benign paroxysmal positional vertigo
(BPPV)
- also called onychocryptosis
- starts with microbial inflammation of the paronychium
- results in nail buried inside the granuloma - CORRECT ANSWER✅✅Describe
ingrown toenail
- Always ask someone with conjunctivitis if they have recently injured their eye or if they
wear contact lenses
- Fluorescein dye is used with a woods lamp
- If the injury is from a tree branch or any vegetation, do not patch the eye
- Ophthalmic emergency
- Refer out for foreign body which is embedded in the eye - CORRECT
ANSWER✅✅What follow up question should the FNP ask for an eye injury?
- always measure nevus or what you are biopsying and record - CORRECT
ANSWER✅✅When conducting a biopsy what should the FNP complete first?
- amoxicillin or clindamycin
- Peridex oral rinse and pain medication
- naproxen - CORRECT ANSWER✅✅What is the treatment for orofacial pain in
primary care?
- an injury caused by grinding or rubbing away layers of skin
,- remove any debris from the wound
- apply a topical antibiotic
- apply dressing as necessary to keep the wound from drying out and interfering with
healing.
- apply a topical analgesia if painful - CORRECT ANSWER✅✅What is the treatment
for an abrasion?
- antibiotics
- corticosteroids
Tumor necrosis factor (TNF)-alpha inhibitors
- infliximab (remicade), adalimumab (humira) have promise as third line treatment- -
CORRECT ANSWER✅✅How is hidradenitis suppurativa treated?
- antihistamines
- glucocorticoids
- epinephrine
- theophylline
- cromolyn sodium
- antileukotrienes, such as montelukast, zafirlukast
- anti-cholinergics
- compounds that impair eosinophil chemotaxis - CORRECT ANSWER✅✅List several
antagonistic drugs used to block allergic mediators
- assessing the patient's history of the presenting complaint and the physical exam
- this should derive the diagnosis in 90% of the cases - CORRECT ANSWER✅✅It's
important for the FNP to assess abdominal pain by
- avoid the allergen
- steroids
- antihistamines/decongestants
- epinephrine for anaphylaxis
- immunotherapy - CORRECT ANSWER✅✅What is the treatment for allergic
reactions?
- benzodiazepines
- may be present with alcohol and opioid addiction - CORRECT
ANSWER✅✅Protracted withdrawal syndrome is commonly caused by
- brain natriuretic peptide (BNP) produced mainly in the cardiac ventricles of humans
- CMP
- chest X-ray
- eval lower extremities for edema - CORRECT ANSWER✅✅What diagnostic studies
help confirm the patient has CHF?
- Brain tissue isn't sensitive to pain
,- periosteum of the skull
- muscles
- nerves
- arteries
- veins
- subcutaneous tissues
- eyes
- ears
- sinuses
- mucous membranes - CORRECT ANSWER✅✅What are the pain sensitive structures
in the head?
- bursae should be aspirated to rule out infection
- uninfected bursitis is treated with RICE, physiotherapy, NSAIDS
- Infected bursae need antibiotics and steroids
- sometimes surgery is necessary - CORRECT ANSWER✅✅How is bursitis treated?
- Call 911
- file application for detention
- do not take no for an answer - CORRECT ANSWER✅✅A patient has a plan to
commit suicide, what's the next step?
- Call 911
- file application for detention
- do not take no for an answer - CORRECT ANSWER✅✅What action do you take if a
patient is homicidal?
- cellulitis
- sebaceous cyst
- necrotizing fasciitis - CORRECT ANSWER✅✅When diagnosing an abscess, what are
differential diagnosis?
- cleaning may be required with soap and water
- apply dressing
- ok to leave blisters intact - CORRECT ANSWER✅✅Describe the treatment for partial
thickness burns
- closed within 6 hours and up to 24 hours after cleaning the wound
- concern for infection if closed after this time
- absorbable sutures preferred with children - CORRECT ANSWER✅✅How is an open
laceration treated in primary care?
- commonly caused by viruses
- remove triggers, such as smoking, allergens- - CORRECT ANSWER✅✅Non-
pharmacologic treatments for URI
, - commonly treated outpatient
- lovenox injections BID for a few days plus coumadin and then coumadin alone
- INR is required (should be between 2.0-3.0)
- coumadin diet
- Vitamin K is the antidote for increased INR - CORRECT ANSWER✅✅How is DVT
treated?
- consists of linear branching corneal ulcer
- during eye exam stained with fluorescein dye
- patients with epitheal keratitis complain of foreign-body sensation, light sensitivity,
redness and blurred vision
- focal or diffuse reduction in corneal sensation develops following recurrent epithelial
keratitis - CORRECT ANSWER✅✅Describe herpes of the eye
- corticosteroids within 3 days after onset
- lacrilube for dry eye - CORRECT ANSWER✅✅Describe the treatment for Bell's palsy
- Duoneb, albuterol 2.5mg/ml and atrovent .5mg
- then up to three albuterol nebulizers
- O2 may be needed
- solumedrol injection
- monitor for tachycardia - CORRECT ANSWER✅✅What is the treatment for an acute
asthma attack?
- dyspnea, weakness, fatigue
- fatigue, sleep disturbance, dyspnea can precede MI by as much as one month
- some experience back or jaw pain - CORRECT ANSWER✅✅Describe symptoms of
MI in an elderly diabetic female
- ear pain
may be caused by:
- impacted teeth
- sinus disease
- inflamed tonsils
- infections of the nose and pharynx
- throat cancer
- occasionally as a sensory aura that precedes a migraine - CORRECT
ANSWER✅✅Describe otalgia
- either surgical or conservative
- conservative treatment with pain management, immobilization, non-surgical
stabilization
- either open vs closed treatment - CORRECT ANSWER✅✅Describe the treatment for
bone fractures
5338 Urgent Emergencies EXAM QUESTIONS WITH
SOLVED CORRECT ANSWERS.
- a contract to call 911 instead of suicide
- the patient and provider both must sign it - CORRECT ANSWER✅✅If a patient is
suicidal, agreeing to this will prevent detention
- Acute withdrawal syndrome
- post-acute withdrawal syndrome (PAWS) - CORRECT ANSWER✅✅State the types
of withdrawals
- affects the posterior or anterior canals
- free floating particles in the affected semicircular canals stimulate the cupula and
cause vertigo
- relocating these particles to the utricle by using the Epley maneuver works in 90-95%
of cases - CORRECT ANSWER✅✅Describe benign paroxysmal positional vertigo
(BPPV)
- also called onychocryptosis
- starts with microbial inflammation of the paronychium
- results in nail buried inside the granuloma - CORRECT ANSWER✅✅Describe
ingrown toenail
- Always ask someone with conjunctivitis if they have recently injured their eye or if they
wear contact lenses
- Fluorescein dye is used with a woods lamp
- If the injury is from a tree branch or any vegetation, do not patch the eye
- Ophthalmic emergency
- Refer out for foreign body which is embedded in the eye - CORRECT
ANSWER✅✅What follow up question should the FNP ask for an eye injury?
- always measure nevus or what you are biopsying and record - CORRECT
ANSWER✅✅When conducting a biopsy what should the FNP complete first?
- amoxicillin or clindamycin
- Peridex oral rinse and pain medication
- naproxen - CORRECT ANSWER✅✅What is the treatment for orofacial pain in
primary care?
- an injury caused by grinding or rubbing away layers of skin
,- remove any debris from the wound
- apply a topical antibiotic
- apply dressing as necessary to keep the wound from drying out and interfering with
healing.
- apply a topical analgesia if painful - CORRECT ANSWER✅✅What is the treatment
for an abrasion?
- antibiotics
- corticosteroids
Tumor necrosis factor (TNF)-alpha inhibitors
- infliximab (remicade), adalimumab (humira) have promise as third line treatment- -
CORRECT ANSWER✅✅How is hidradenitis suppurativa treated?
- antihistamines
- glucocorticoids
- epinephrine
- theophylline
- cromolyn sodium
- antileukotrienes, such as montelukast, zafirlukast
- anti-cholinergics
- compounds that impair eosinophil chemotaxis - CORRECT ANSWER✅✅List several
antagonistic drugs used to block allergic mediators
- assessing the patient's history of the presenting complaint and the physical exam
- this should derive the diagnosis in 90% of the cases - CORRECT ANSWER✅✅It's
important for the FNP to assess abdominal pain by
- avoid the allergen
- steroids
- antihistamines/decongestants
- epinephrine for anaphylaxis
- immunotherapy - CORRECT ANSWER✅✅What is the treatment for allergic
reactions?
- benzodiazepines
- may be present with alcohol and opioid addiction - CORRECT
ANSWER✅✅Protracted withdrawal syndrome is commonly caused by
- brain natriuretic peptide (BNP) produced mainly in the cardiac ventricles of humans
- CMP
- chest X-ray
- eval lower extremities for edema - CORRECT ANSWER✅✅What diagnostic studies
help confirm the patient has CHF?
- Brain tissue isn't sensitive to pain
,- periosteum of the skull
- muscles
- nerves
- arteries
- veins
- subcutaneous tissues
- eyes
- ears
- sinuses
- mucous membranes - CORRECT ANSWER✅✅What are the pain sensitive structures
in the head?
- bursae should be aspirated to rule out infection
- uninfected bursitis is treated with RICE, physiotherapy, NSAIDS
- Infected bursae need antibiotics and steroids
- sometimes surgery is necessary - CORRECT ANSWER✅✅How is bursitis treated?
- Call 911
- file application for detention
- do not take no for an answer - CORRECT ANSWER✅✅A patient has a plan to
commit suicide, what's the next step?
- Call 911
- file application for detention
- do not take no for an answer - CORRECT ANSWER✅✅What action do you take if a
patient is homicidal?
- cellulitis
- sebaceous cyst
- necrotizing fasciitis - CORRECT ANSWER✅✅When diagnosing an abscess, what are
differential diagnosis?
- cleaning may be required with soap and water
- apply dressing
- ok to leave blisters intact - CORRECT ANSWER✅✅Describe the treatment for partial
thickness burns
- closed within 6 hours and up to 24 hours after cleaning the wound
- concern for infection if closed after this time
- absorbable sutures preferred with children - CORRECT ANSWER✅✅How is an open
laceration treated in primary care?
- commonly caused by viruses
- remove triggers, such as smoking, allergens- - CORRECT ANSWER✅✅Non-
pharmacologic treatments for URI
, - commonly treated outpatient
- lovenox injections BID for a few days plus coumadin and then coumadin alone
- INR is required (should be between 2.0-3.0)
- coumadin diet
- Vitamin K is the antidote for increased INR - CORRECT ANSWER✅✅How is DVT
treated?
- consists of linear branching corneal ulcer
- during eye exam stained with fluorescein dye
- patients with epitheal keratitis complain of foreign-body sensation, light sensitivity,
redness and blurred vision
- focal or diffuse reduction in corneal sensation develops following recurrent epithelial
keratitis - CORRECT ANSWER✅✅Describe herpes of the eye
- corticosteroids within 3 days after onset
- lacrilube for dry eye - CORRECT ANSWER✅✅Describe the treatment for Bell's palsy
- Duoneb, albuterol 2.5mg/ml and atrovent .5mg
- then up to three albuterol nebulizers
- O2 may be needed
- solumedrol injection
- monitor for tachycardia - CORRECT ANSWER✅✅What is the treatment for an acute
asthma attack?
- dyspnea, weakness, fatigue
- fatigue, sleep disturbance, dyspnea can precede MI by as much as one month
- some experience back or jaw pain - CORRECT ANSWER✅✅Describe symptoms of
MI in an elderly diabetic female
- ear pain
may be caused by:
- impacted teeth
- sinus disease
- inflamed tonsils
- infections of the nose and pharynx
- throat cancer
- occasionally as a sensory aura that precedes a migraine - CORRECT
ANSWER✅✅Describe otalgia
- either surgical or conservative
- conservative treatment with pain management, immobilization, non-surgical
stabilization
- either open vs closed treatment - CORRECT ANSWER✅✅Describe the treatment for
bone fractures
