MVU NURS 629 CORRECT FINAL EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔lymphoma clinical manifestations - ✔✔Most common tumor site is intestinal tract
(abdominal pain/distention/fullness/constipation)
Non-tender lymph node enlargement
Symptoms usually present late at stage 3 or 4
✔✔Cutaneous Abscess - ✔✔· Pus in cutaneous tissue; MSSA and MRSA
· Most common locations—inguinal region, neck or back, axillary region
· Management
o I&D with culture; war soaks & compresses
o Abx if necessary
✔✔Cellulitis - ✔✔· Bacterial infection involving dermis and SQ tissue
· Group A beta strep, S. aureus most common; possibly H.flu if <3yo
· Cephalexin 50-75 mg/kg/day x10 days
· Augmentin 50-80 mg/kg/day x10 days
· Clindamycin 10-25 mg/kg/day x10 days
· Bactrim (if MRSA)—must be >2mo old—8-12 mg/kg/day x10 days
✔✔MRSA - ✔✔Rapid onset
Abscess that is not draining, warm, erythematous & painful; KEEP COVERED
Bactrim 8-12 mg/kg/day x10 days
Bactrim DS BID x10 days
Clindamycin 10-25mg/kg/day TID
Or 300mg/QID
Doxycycline (>8yo) 100mg BID x10d
✔✔impetigo - ✔✔· Contagious, superficial skin infection
· Staph or Strep; Spread by contact
· Most common—nose, mouth, limbs
, -yellow, crusted lesions/ honey crust
· Mupirocin/Bactroban TID x7-14 day Cephalexin 40 mg/kg/day x10 days
· Bacitracin TID x7-14 days Erythromycin 30-50 mg/kg/day x10 days
· TMP/SMX—only if others have failed
✔✔Acne Vulgaris - ✔✔o Noninflammatory lesions—open & closed comedones
o Inflammatory lesions—papules, pustules, nodules
✔✔acne vulgaris TX - ✔✔o Topical
§ Benzoyl peroxide—2.5%, 5%, 10%
§ Tretinoin—0.05% to 0.1% cream
§ Topical abx for inflammatory
o Oral Abx
§ Used when topical is ineffective or patient has moderate disease presentation
§ Tetracycline
§ Minocycline/Doxycycline
§ Erythromycin
o OCPs if older than 15
✔✔Tinea Capitis - ✔✔· Red, dry patch, that spreads to red raised border with central
clearing; loss of hair
· Treatment
o Oral Griseofulvin Microsize (>2yo 10-20 mg/kg/day x4-8 week)—take with high fate
meal
o Topical antifungal shampoo—ketoconazole every 2-3 days x4-8 weeks (avoid getting
in eyes)
✔✔Tinea Cruris - ✔✔· Male inguinal region—"jock itch"
· Raise border, scaly, may have central clearing; usually bilateral
· Treatment
o Topical antifungal x2-6 weeks
· Education
o Frequent diaper changes, leave open to air if possible, cotton underwear (if out of
diapers)
✔✔Tinea Corporis - ✔✔· Ringworm
· Pink, scaly, round with raised border
· Treatment
o Topical antifungal cream x2-6 weeks
· Education
o Avoid contact with lesion
o No contact sports x48 hours of treatment
✔✔Verruca Vulgaris - ✔✔· Common warts
· Transmitted by touch
QUESTIONS AND ANSWERS SURE A+
✔✔lymphoma clinical manifestations - ✔✔Most common tumor site is intestinal tract
(abdominal pain/distention/fullness/constipation)
Non-tender lymph node enlargement
Symptoms usually present late at stage 3 or 4
✔✔Cutaneous Abscess - ✔✔· Pus in cutaneous tissue; MSSA and MRSA
· Most common locations—inguinal region, neck or back, axillary region
· Management
o I&D with culture; war soaks & compresses
o Abx if necessary
✔✔Cellulitis - ✔✔· Bacterial infection involving dermis and SQ tissue
· Group A beta strep, S. aureus most common; possibly H.flu if <3yo
· Cephalexin 50-75 mg/kg/day x10 days
· Augmentin 50-80 mg/kg/day x10 days
· Clindamycin 10-25 mg/kg/day x10 days
· Bactrim (if MRSA)—must be >2mo old—8-12 mg/kg/day x10 days
✔✔MRSA - ✔✔Rapid onset
Abscess that is not draining, warm, erythematous & painful; KEEP COVERED
Bactrim 8-12 mg/kg/day x10 days
Bactrim DS BID x10 days
Clindamycin 10-25mg/kg/day TID
Or 300mg/QID
Doxycycline (>8yo) 100mg BID x10d
✔✔impetigo - ✔✔· Contagious, superficial skin infection
· Staph or Strep; Spread by contact
· Most common—nose, mouth, limbs
, -yellow, crusted lesions/ honey crust
· Mupirocin/Bactroban TID x7-14 day Cephalexin 40 mg/kg/day x10 days
· Bacitracin TID x7-14 days Erythromycin 30-50 mg/kg/day x10 days
· TMP/SMX—only if others have failed
✔✔Acne Vulgaris - ✔✔o Noninflammatory lesions—open & closed comedones
o Inflammatory lesions—papules, pustules, nodules
✔✔acne vulgaris TX - ✔✔o Topical
§ Benzoyl peroxide—2.5%, 5%, 10%
§ Tretinoin—0.05% to 0.1% cream
§ Topical abx for inflammatory
o Oral Abx
§ Used when topical is ineffective or patient has moderate disease presentation
§ Tetracycline
§ Minocycline/Doxycycline
§ Erythromycin
o OCPs if older than 15
✔✔Tinea Capitis - ✔✔· Red, dry patch, that spreads to red raised border with central
clearing; loss of hair
· Treatment
o Oral Griseofulvin Microsize (>2yo 10-20 mg/kg/day x4-8 week)—take with high fate
meal
o Topical antifungal shampoo—ketoconazole every 2-3 days x4-8 weeks (avoid getting
in eyes)
✔✔Tinea Cruris - ✔✔· Male inguinal region—"jock itch"
· Raise border, scaly, may have central clearing; usually bilateral
· Treatment
o Topical antifungal x2-6 weeks
· Education
o Frequent diaper changes, leave open to air if possible, cotton underwear (if out of
diapers)
✔✔Tinea Corporis - ✔✔· Ringworm
· Pink, scaly, round with raised border
· Treatment
o Topical antifungal cream x2-6 weeks
· Education
o Avoid contact with lesion
o No contact sports x48 hours of treatment
✔✔Verruca Vulgaris - ✔✔· Common warts
· Transmitted by touch
