MVU NURS 629 EXAM 2 SET QUESTIONS AND
ANSWERS SURE A+
✔✔Lyme disease, stage 3 - ✔✔Ø periarticular or monoarticular arthritis
o Weeks to months after initial bite
o Chronic neurological symptoms
✔✔lyme disease treatment - ✔✔o <8yo—Amoxicillin 50mg/kg/day TID x14 days
o >8yo—Doxycycline 200mg daily or 4mg/kg BID x14 days
o If unable to take PCN or doxy—Cefuroxime 30mg/kg BID x14 days
✔✔Rocky mountain spotted fever - ✔✔Fever 104, Chills
Severe headache, Myalgias, GI upset, N/V/D, Cough, Conjunctival injection,
Photophobia, Altered LOC, Maculopapular rash 2-5 days after fever
TX:Within 5 days of clinical symptoms!!!
--Doxycyline
<100lbs—2.2mg/kg BID x7-10 days
>100lbs—100mg BID x7-10 days
✔✔Cat scratch disease - ✔✔· B. Henselae
· Systemic illness
Linear pattern following the cat scratch
Lymph node edema 1-4 weeks after scratch
Lymphadenopathy lasts 1-2 months up to 1 year
TX: Abx if bacterial or immunocompromised
--Azithromycin, Bactrim, Clarithromycin, Rifampin, Cipro, Doxy
✔✔Meningococcal Disease - ✔✔· Transmission via respiratory secretions
Hospitalization!
IV Antibiotics for 5-7 days
If exposed: oral Rifampin or Cipro
, Vaccine
✔✔RBC - ✔✔erythrocytes
✔✔WBC - ✔✔leukocytes
✔✔Small WBC containing proteins - ✔✔granulocytes
✔✔neutrophils - ✔✔fight bacteria
✔✔Eosinophils - ✔✔increased numbers during an allergic reaction
✔✔basophils - ✔✔A circulating leukocyte that produces histamine.
✔✔monocytes - ✔✔An agranular leukocyte that is able to migrate into tissues and
transform into a macrophage.
✔✔lymphocytes - ✔✔The two types of white blood cells that are part of the body's
immune system: B lymphocytes form in the bone marrow and release antibodies that
fight bacterial infections; T lymphocytes form in the thymus and other lymphatic tissue
and attack cancer cells, viruses, and foreign substances.
✔✔plasma - ✔✔maintains volume; helps with coagulation and acid-base balance
✔✔RDW - ✔✔size and shape of RBCs; distribution width
✔✔MCV (mean corpuscular volume) - ✔✔average volume or size of cell
✔✔microcytic - ✔✔small; iron deficiency anemia
✔✔macrocytic - ✔✔large; megaloblastic anemia, folic acid anemia, juvenile pernicious
anemia
✔✔MCH (mean corpuscular hemoglobin) - ✔✔amount of hemoglobin in a RBC
✔✔MCHC (mean corpuscular hemoglobin concentration) - ✔✔Concentration of
hemoglobin per RBC
✔✔WBC count with differential - ✔✔indicator of infection and illness; WBC attacks
foreign material
normal = 4,500 to 17,000
✔✔Neutrophil %--Bands and Stabs - ✔✔o above 6 indicative of bandicemia—bacterial
infection
ANSWERS SURE A+
✔✔Lyme disease, stage 3 - ✔✔Ø periarticular or monoarticular arthritis
o Weeks to months after initial bite
o Chronic neurological symptoms
✔✔lyme disease treatment - ✔✔o <8yo—Amoxicillin 50mg/kg/day TID x14 days
o >8yo—Doxycycline 200mg daily or 4mg/kg BID x14 days
o If unable to take PCN or doxy—Cefuroxime 30mg/kg BID x14 days
✔✔Rocky mountain spotted fever - ✔✔Fever 104, Chills
Severe headache, Myalgias, GI upset, N/V/D, Cough, Conjunctival injection,
Photophobia, Altered LOC, Maculopapular rash 2-5 days after fever
TX:Within 5 days of clinical symptoms!!!
--Doxycyline
<100lbs—2.2mg/kg BID x7-10 days
>100lbs—100mg BID x7-10 days
✔✔Cat scratch disease - ✔✔· B. Henselae
· Systemic illness
Linear pattern following the cat scratch
Lymph node edema 1-4 weeks after scratch
Lymphadenopathy lasts 1-2 months up to 1 year
TX: Abx if bacterial or immunocompromised
--Azithromycin, Bactrim, Clarithromycin, Rifampin, Cipro, Doxy
✔✔Meningococcal Disease - ✔✔· Transmission via respiratory secretions
Hospitalization!
IV Antibiotics for 5-7 days
If exposed: oral Rifampin or Cipro
, Vaccine
✔✔RBC - ✔✔erythrocytes
✔✔WBC - ✔✔leukocytes
✔✔Small WBC containing proteins - ✔✔granulocytes
✔✔neutrophils - ✔✔fight bacteria
✔✔Eosinophils - ✔✔increased numbers during an allergic reaction
✔✔basophils - ✔✔A circulating leukocyte that produces histamine.
✔✔monocytes - ✔✔An agranular leukocyte that is able to migrate into tissues and
transform into a macrophage.
✔✔lymphocytes - ✔✔The two types of white blood cells that are part of the body's
immune system: B lymphocytes form in the bone marrow and release antibodies that
fight bacterial infections; T lymphocytes form in the thymus and other lymphatic tissue
and attack cancer cells, viruses, and foreign substances.
✔✔plasma - ✔✔maintains volume; helps with coagulation and acid-base balance
✔✔RDW - ✔✔size and shape of RBCs; distribution width
✔✔MCV (mean corpuscular volume) - ✔✔average volume or size of cell
✔✔microcytic - ✔✔small; iron deficiency anemia
✔✔macrocytic - ✔✔large; megaloblastic anemia, folic acid anemia, juvenile pernicious
anemia
✔✔MCH (mean corpuscular hemoglobin) - ✔✔amount of hemoglobin in a RBC
✔✔MCHC (mean corpuscular hemoglobin concentration) - ✔✔Concentration of
hemoglobin per RBC
✔✔WBC count with differential - ✔✔indicator of infection and illness; WBC attacks
foreign material
normal = 4,500 to 17,000
✔✔Neutrophil %--Bands and Stabs - ✔✔o above 6 indicative of bandicemia—bacterial
infection
