Update) Nurse Practitioners in Primary
Care I Questions and Verified Answers
100% Correct {Grade A} – Wilkes
when should PEP for influenza be started - Correct answer within **48** hrs of
infection/symptoms
Who can get zanamivir? - Correct answer 5 years and older
Influenza prophylaxis vs treatment dose - Correct answer treatment: BID and only 5
days (vs. 7 days)
Hospital influenza tx differences - Correct answer increase dose to 150 mg
can start within 4-5 days
can extend to 10 days
pregnant flu tx
imunocompromised - Correct answer oral oseltamivir (C)
,Primary infection duration of shedding - Correct answer oral: 10-14 days
genital: 2-4 weeks
Recurrent infection duration of shedding - Correct answer Oral: 4 days
Genital: 7-12 days
10 more recurrent genital herpes - Correct answer Valcyclovir 1 g for 1 year or longer
1 day herpes therapy - Correct answer Recurrent
Valacyclovir 2g PO BID FOR 1 DAY
Famciclovir 1500mg PO x1 dose FOR 1 DAY
AE of IV acyclovir - Correct answer CRYSTALS IN renal tutubles
-> nephrotoxicity
***PREHYDRATION***
,Topical antivirals for genital herpes?? - Correct answer NONONONONONONONONON
Topical for Oral only
Afraid of needles for influenza - Correct answer Afluria -> needless injector
Fluzone Intradermal
Similarities between Giadiasis and amebiasis - Correct answer protozoa
cysts and water transfer
tinidazole or metronidazole
diarrhea
Amebiaasis is more severe
Steps in the malaira life cycle - Correct answer 1. Plasmodium sprozite in mosquito
saliva
2. Blood meal -> inject sporozites
3. Sportozites treavel to LIVER -> infect hepatocytes
4. Multiply -> RUTURE THE HEPATOCYTE -> encase in hepatocyte membrane (avoids
immune system (merozoites)
, 5. Merozites then infects the RBC and eat the Hbg
6. Hbg is metabolized by psmalodium lyssome -> toxin hemozin
7. Hemozin-> ruture of RBC -> plasodium detefcted by immune esystem (SYMPTOMS,
fever, reaction!!!)
Risk factors for Hep C - Correct answer Intravenous drug use (IVDU)
Sexual transmission
Baby boomer - 1945-1965
Unsterile tattoos or piercings
Intranasal illicit drug use
Clotting factors before 1987
Needle sticks