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NRNP 6550 Midterm EXAM LATEST 2023 /NRNP6552 WEEK 6 MIDTERM 100 QUESTIONS AND ANSWERS| VERIFIED ANSWERS

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NRNP 6550 Midterm EXAM LATEST 2023 /NRNP6552 WEEK 6 MIDTERM 100 QUESTIONS AND ANSWERS| VERIFIED ANSWERS Vaccinations and immunosuppression. 2 keypoints - give inactive agents instead of live agents - might not work as effectively live virus vaccine types Virus: - measles - mumps - polio (oral) - rubella - varicella - yellow fever - herpes zoster Bacteria: - typhoid inactive vaccine virus Virus: - Hep A and B - HPV - influenza - polio (subq) - rabies Bacteria: - anthrax - cholera - diphteria - Lyme - meningococcus - pertussis - plague - pneumococcus - tetanus Immunization recommendation influenza all ages, all types (pregnant, diabetes, immunocompromised, etc) Immunization recommendation pregnancy and weakened immune system - 1 dose Tdap - no varicella, zoster, MMR HIV and vaccinations Give inactive agents when CD4 count is greater than 200 cells/ mm3 health screening 18 - 45 years - BMI - BP (q2years) - at age 20: fasting lipid profile: total cholesterol, LDL, HDL, triglycerides (cardiac testing if LDL greater than 200 or HDL lower than 40) - annual breast exam, females - Pap-smear annually health screening 45 and up - blood glucose q3years - 50 and up: colorectal screening (digital exam annually, sigmoidscopy q5years, colonoscopy q10yrs) - PSA with digital exam annually for males - mammography q1 -2 yrs - women 65 and up: screen for osteoporosis top 5 leading causes of death 1. heart disease 2. cancer 3. respiratory disease 4. stroke 5. accidents Conjunctivitis; definition

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NRNP 6550 Midterm EXAM
LATEST 2023 /NRNP6552 WEEK 6
MIDTERM 100 QUESTIONS AND
ANSWERS| VERIFIED ANSWERS
Vaccinations and immunosuppression. 2 keypoints

- give inactive agents instead of live agents
- might not work as effectively

live virus vaccine types
Virus:

- measles
- mumps
- polio (oral)
- rubella
- varicella
- yellow fever
- herpes zoster
Bacteria:

- typhoid

inactive vaccine virus
Virus:

- Hep A and B
- HPV
- influenza
- polio (subq)
- rabies

Bacteria:

- anthrax
- cholera
- diphteria
- Lyme
- meningococcus
- pertussis
- plague

,NRNP 6550 Midterm EXAM
LATEST 2023 /NRNP6552 WEEK 6
MIDTERM 100 QUESTIONS AND
ANSWERS| VERIFIED ANSWERS
- pneumococcus
- tetanus

Immunization recommendation influenza
all ages, all types (pregnant, diabetes, immunocompromised, etc)
Immunization recommendation pregnancy and weakened immune system

- 1 dose Tdap
- no varicella, zoster, MMR
HIV and vaccinations
Give inactive agents when CD4 count is greater than 200 cells/ mm3
health screening 18 - 45 years

- BMI
- BP (q2years)
- at age 20: fasting lipid profile: total cholesterol, LDL, HDL, triglycerides (cardiac testing
if LDL greater than 200 or HDL lower than 40)

- annual breast exam, females
- Pap-smear annually
health screening 45 and up
- blood glucose q3years
- 50 and up: colorectal screening (digital exam annually, sigmoidscopy q5years,
colonoscopy q10yrs)
- PSA with digital exam annually for males
- mammography q1 -2 yrs
- women 65 and up: screen for osteoporosis

top 5 leading causes of death

1. heart disease
2. cancer
3. respiratory disease
4. stroke
5. accidents

Conjunctivitis; definition

, NRNP 6550 Midterm EXAM
LATEST 2023 /NRNP6552 WEEK 6
MIDTERM 100 QUESTIONS AND
ANSWERS| VERIFIED ANSWERS
-Pink eyey
- Inflammation of conjuctiva (outer layer of eye)

Conjunctivitis: causes
Chemical, bacterial, viral, allergic, herpetic. Adenovirus is the most common cause, but
bacteria (Haemophilus influenzae and Streptococcus pneumoniae) are also common
causes in children.
Conjunctivitis: findings

- redness
- itching
- discharge
- edema eyelid
- may find gonorrhea or chlamydia in eye discharge



Conjunctivitis: management

- cooling
- rule out corneal abrasion
- bacteria: antibiotic solution (gentamicin, neomycin)
- chlamydia: oral tetracycline or erythromycin
- gonorrhea: single dose ceftriaxone
- herpes: refer to opthalmologist

Corneal abrasion: definition, cause, findings, treatment

- disruption of cornea (clear covering of eye)
- foreign body/ trauma
- pain, redness, photophobia, decreased visual acuity
- ab ointment: gentamicin, sulfacetamide, eye-patch, ophthalmologist

diabetic retinopathy: definition, cause, findings, treatment

- ocular retinal disease due to DM
- DM, exac by smoking and HTN (macular edema)
- flashing lights in vision, blurred vision, black spots, loss of vision, sustained glucose

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