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Is transmission of Lyme disease likely if the thick attachment is less than 48 hours? - CORRECT
ANSWER-No
What is the incubation period of Lyme disease? - CORRECT ANSWER-3 to 31 days but typically
around 7 to 14 days
How many stages does Lyme disease have? - CORRECT ANSWER-4
What is the first stage of Lyme disease called? - CORRECT ANSWER-Early localized Lyme disease
Which test is performed to confirm ELISA results with Lyme disease? - CORRECT
ANSWERImmunoblot test
How long may stage 1 Lyme disease (early localized Lyme disease) last for? - CORRECT ANSWER-
1 to 4 weeks
Which symptoms may present with stage 1 (early localized) Lyme disease? - CORRECT
ANSWERErythema migrans with bulls eye appearance, flu like symptoms such as fever, chills,
joint and muscle pain, stiff neck and headache, general feeling of illness, and swollen lymph
glands
NURS 623 Exam 1 questions with complete solutions
,What is the third stage of Lyme disease called? - CORRECT ANSWER-Late disseminated Lyme
disease
What is the fourth stage of Lyme disease called? - CORRECT ANSWER-Late stage or chronic Lyme
arthritis
What is the second stage of Lyme disease called? - CORRECT ANSWER-Early disseminated Lyme
disease
What may the patient present with that makes you suspect Lyme disease? - CORRECT
ANSWERFever, rash, facial paralysis, arthritis, chills, headache, fatigue, muscle and joint aches,
and swollen lymph nodes
Which test is most commonly used to diagnose Lyme disease? - CORRECT ANSWER-ELISA
Which pathogen causes Lyme disease? - CORRECT ANSWER-Borrelia burgdorferi
A circular rash that may expand over time which may also have a bulls eye appearance. -
CORRECT ANSWER-Erythema migrans
What is treatment for stage 1 (early localized) Lyme disease? - CORRECT ANSWER-Doxycycline,
Cefuroxime, or amoxicillin
How soon may stage 2 (early disseminated) Lyme disease present after initial infection? -
CORRECT ANSWER-Weeks to months
NURS 623 Exam 1 questions with complete solutions
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With this stage of Lyme disease, symptoms can range from mild to severe, or not at all. Flu like
symptoms may be similar to or worse than stage 1 and includes fever, chills, joint and muscle
pain, stiff neck and headache, swollen lymph nodes or glands, fatigue, sore throat, visual
disturbances such as blurry vision, paralysis or weakness in the face, pain or numbness in the
bite area, and heart palpitations. - CORRECT ANSWER-Stage 2 (early disseminated) Lyme disease
NURS 623 Exam 1 questions with complete solutions
, What are symptoms of stage 3 (late disseminated) Lyme disease? - CORRECT ANSWER-Severe
headaches, arthritis of the large joints (knees, hips, etc.), heart arrhythmia, brain disturbances
(memory loss, mood disturbances, sleep interruptions), difficulty concentrating and mental
fogginess, temporary amnesia, difficulty following conversations or speaking, numbness or
tingling in the limbs (arms, legs, feet, or hands), extreme fatigue, and temporary paralysis of
facial muscles
What is treatment of stage 2 (early disseminated) Lyme disease if IV treatment is needed? -
CORRECT ANSWER-Azithromycin, doxycycline, amoxicillin, cefuroxime, or ceftriaxone. (Most
commonly is doxycycline except for children 8 years old and younger or nursing/pregnant
women).
What are oral antibiotic choices for treatment of stage 2 (early disseminated) Lyme disease? -
CORRECT ANSWER-Azithromycin, doxycycline (except in children <8 years old, nursing or
pregnant women), amoxicillin, and cefuroxime. (Most common is doxycycline except for <8 y.o.,
pregnant, or nursing).
When does stage 3 (late disseminated) Lyme disease typically present? - CORRECT
ANSWERWhen the infection has not been treated during stages 1 and 2. It starts months or
even years after the original tick bite.
What is the dosage and duration and first line treatment for an adult with early Lyme disease? -
CORRECT ANSWER-Doxycycline 100 mg PO BID for 14-21 days
What is the second line treatment for adults with early Lyme disease? - CORRECT ANSWER-
Amoxil 500 mg TID for 14-21 days
What lab test would most likely be elevated with infectious mono?
A. hgb
B. MCHC
NURS 623 Exam 1 questions with complete solutions