Week 9 Case Study: SCI 251 /
SCI251 (Latest )
Microbiology | Questions & Answers
100% Correct - Nightingale
Question:
Stage 1: Harold, a 72-year-old man, reports severe burning pain along his
upper back. Two days later, a line of fluid-filled blisters appears along one
side of his spine. The rash does not cross the midline. He reports having
chickenpox as a child.
The provider suspects viral reactivation affecting nerve pathways.
Which findings support shingles diagnosis in Harold? Select all that apply.
a) Bilateral rash appearing evenly across both sides of body
b) Pain occurring before visible rash along nerve distribution area
c) History of prior chickenpox infection during childhood years
d) Rapid spread through airborne respiratory droplets among contacts
e) Lesions confined to one side following dermatomal pattern distribution
Answer:
Pain occurring before visible rash along nerve distribution area
History of prior chickenpox infection during childhood years
Lesions confined to one side following dermatomal pattern distribution
, Question:
Which diagnosis explains Harold's symptoms?
a) Contact dermatitis caused by allergic reaction to environmental
substances
b) Impetigo causing superficial crusted lesions primarily around facial
regions
c) Cellulitis involving dermis with diffuse swelling and redness of skin
d) Shingles caused by reactivation of latent varicella-zoster virus infection
Answer:
Shingles caused by reactivation of latent varicella-zoster virus infection
Question:
Stage 2: The provider explains that the Varicella-zoster virus remained
dormant after childhood infection and reactivated due to decreased
immunity. Harold must understand the underlying disease process.
The virus described remains dormant in the sensory nerve ganglia and
reactivates when cell-mediated immunity declines.
Answer:
SCI251 (Latest )
Microbiology | Questions & Answers
100% Correct - Nightingale
Question:
Stage 1: Harold, a 72-year-old man, reports severe burning pain along his
upper back. Two days later, a line of fluid-filled blisters appears along one
side of his spine. The rash does not cross the midline. He reports having
chickenpox as a child.
The provider suspects viral reactivation affecting nerve pathways.
Which findings support shingles diagnosis in Harold? Select all that apply.
a) Bilateral rash appearing evenly across both sides of body
b) Pain occurring before visible rash along nerve distribution area
c) History of prior chickenpox infection during childhood years
d) Rapid spread through airborne respiratory droplets among contacts
e) Lesions confined to one side following dermatomal pattern distribution
Answer:
Pain occurring before visible rash along nerve distribution area
History of prior chickenpox infection during childhood years
Lesions confined to one side following dermatomal pattern distribution
, Question:
Which diagnosis explains Harold's symptoms?
a) Contact dermatitis caused by allergic reaction to environmental
substances
b) Impetigo causing superficial crusted lesions primarily around facial
regions
c) Cellulitis involving dermis with diffuse swelling and redness of skin
d) Shingles caused by reactivation of latent varicella-zoster virus infection
Answer:
Shingles caused by reactivation of latent varicella-zoster virus infection
Question:
Stage 2: The provider explains that the Varicella-zoster virus remained
dormant after childhood infection and reactivated due to decreased
immunity. Harold must understand the underlying disease process.
The virus described remains dormant in the sensory nerve ganglia and
reactivates when cell-mediated immunity declines.
Answer:
