Exam 1: NSG554/ NSG 554 (Latest 2023/ 2024) - Nurse Practitioners in Primary Care I Exam Review| Complete Guide with Verified Answers| 100% Correct

Exam 1: NSG554/ NSG 554 (Latest 2023/ 2024) - Nurse Practitioners in Primary Care I Exam Review| Complete Guide with Verified Answers| 100% Correct Q: Yellow Fever (Aedes mosquito) S&S: Mild Answer: Incubation 3-6 days Mild form- malaise, headache, fever, retroorbital pain, nausea, vomiting, photopho- bia; Relative bradycardia, conjunctival injection and facial flossing may be present Q: Yellow Fever (Aedes mosquito) S&S: Severe Answer: Initial symptoms are mild but a brief fever remission lasting hours to a few days is followed by a period of intoxication manifested by fever, relative bradycardia (Faget sign), hypotension, jaundice, hemorrhage, delirum Q: Yellow Fever: Laboratory findings Answer: Leukopenia, elevated liver enzymes, biliru- bin, proteinuria Early stages (up to 10 days) can be diagnosed with RT-PCR in blood Later stages ELISA to measure IgM 3 days after onset of symptoms ( west nile, zika can give false-positive) * yellow fever virus-specific IgM antibody and negative ELISA panel to confirm diagnosis Q: Yellow Fever: treatment Answer: supportive, no antivirals Q: Yellow Fever: Prevention Answer: Live-attenuated 17D strain vaccine, single dose contraindicated in those with egg allergies, immunocompromised, over the age of 60 or breastfeeding, pregnant Recommended for those over 9 months Q: Zika Virus (Aedes Mosquito) Answer: Flavivirus transmitted from mosquito or sexual transmission from males to females (can persist in semen for months), vertical transmission from mothers to fetus Q: Zika Virus (Aedes Mosquito): S & S Answer: incubation period is about 10 days acute onset fever, maculopapular rash usually pruritic, non purulent conjunctivitis, arthralgia (mimics chikungunya virus); symptoms up to 7 days Q: Zika Virus (Aedes Mosquito): laboratory findings Answer: diagnosed through IgM after 4+ days of symptom onset or IgG after 7+ days Q: Zika Virus (Aedes Mosquito): Complications Answer: 1.Congenital microcephaly: associated with brain calcifications,