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A young adult patient presents to the clinic with concerns about a skin
infection. The patient reports no tenderness or drainage and states the
rash started after participating in a wrestling tournament.
Upon examination, the nurse practitioner finds plaques with crusting on
the right lower leg.
A culture is done and shows a Staphylococcus aureus infection.
Which bacterial skin infection does the nurse practitioner suspect?
,a) impetigo
b) folliculitis
c) Herpes gladiatorum
d) Hidradenitis suppurativa - ANSWER ✔✔Impetigo
- Nonbullous impetigo, an S. aureus infection, occurs in a localized area
that initially begins as papules and progresses to vesicles, pustules, and
then honey-colored plaques.
In performing a neurological exam and assessing the patient's cranial
nerves, the nurse practitioner notes fasciculations across the tongue's
surface.
Which nerve is affected?
a) CN VI (abducens)
b) CN XII (hypoglossal)
c) CN XI (accessory)
d) CN X (vagus) - ANSWER ✔✔Cranial nerve XII (hypoglossal)
,- Cranial nerve XII is the hypoglossal nerve and allows motor movement
of the tongue muscles. This nerve is tested by asking the patient to stick
out the tongue and observing for atrophy, fasciculations, and tongue
deviation to one side.
A 34-week pregnant patient presents to the emergency room with
sudden onset of abdominal pain and vaginal bleeding.
Which condition is most likely?
a) placental abruption
b) ectopic pregnancy
c) Miscarriage
d) Placenta previa - ANSWER ✔✔Placental abruption
- Placental abruption is the early separation of the placenta from the
lining of the uterus.
It is a rare but serious complication of the second half of pregnancy.
Placental abruption is an emergency situation that places the well-being
of the mother and fetus at risk.
Which is a common causative organism of pelvic inflammatory disease?
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, a) Neisseria gonorrhoeae
b) Trichomonas vaginalis
c) Treponema pallidum
d) Mycoplasma genitalium - ANSWER ✔✔Neisseria gonorrhoeae
- Gonorrhea and chlamydia are the most common organisms causing
pelvic inflammatory disease.
A middle-aged patient presents to the clinic for evaluation of new-onset
hypertension and occasional flank pain.
There is a family history of a maternal grandmother deceased with
"some kind of kidney problem", and an in-office urinalysis is positive for 3
plus protein.
In addition to addressing hypertension, which is the next appropriate
step in the management of this patient?
a) refer for genetic testing
b) restrict all protein in diet