NURSE 623 EXAM 1 QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
LATEST UPDATE
What gare gthe gStages gof gLyme gDisease? g g g g g g g gANS: g✔- gEarly glocalized
Early gdisseminated
Late gLyme
Early gLocalized gLyme gDisease g g g g g g g gANS: g✔- g-occurs gdays gto gmonths
gafter gexposure
-Symptoms gnonspecific: gmalaise, gfever, gcervical gstiffness, gmyalgias,
garthralgias
-Can ghave ga g" gbulls geye grash gaka g"erythema gmigrans"which gis g> g5cm
Early gdiseminated gLyme gDisease g g g g g g g gANS: g✔- g-occurs gdays gto g10
gmonths gafter ginfection
-Systemic gmanifestations gie: gmeningitis, gcranial gnerve gpalsies g(esp. gVII)
gand gradiculoneuritis
,Swelling gof gjoints, gnumbness gin gextremities, gpalpatations gadn
gdifficulty gconcentrating.
-NO gRASH
Late gLyme gDisease g g g g g g g gANS: g✔- g-occurs gmonths gto gyears gafter
gexposure
-May ghave gintermittent garthritis
-May galso gexperience gneurological gmanifestations gie: gencephalopathy,
gperipheral gneuropathy gor gneurocognitive gimpairment.
S/S gof gHIV g g g g g g g gANS: g✔- g-Majority gof gacute gHIV gasymptomatics
g -Flu glike gsymptoms gthe gfirststages g6 gdays gto g6 gweeks g
-Fever, gsore gthroat gmyalgias, gheadache, gcervival glymphadenopathy
gand gnightsweats
Risk gFactors gfor gHIV g g g g g g g gANS: g✔- gSexual ghistory, gsexually
gtransmitted gdisease, gsubstance gabuse, gtransfusion ghistory, ginfection
ghistory gand goccupation ghistory
Hypersensitivity gReactions g g g g g g g gANS: g✔- g
Type g1 gHypersensitivity gRX g g g g g g g gANS: g✔- g
, Type gII gHypersensitivity gRx g g g g g g g gANS: g✔- g
Type gIII gHypersensitivity gRX g g g g g g g gANS: g✔- g
Type gIV gHypersensitivity gRx g g g g g g g gANS: g✔- g
MCV g g g g g g g gANS: g✔- gthe gsize gof gthe gRBC
MCH g g g g g g g gANS: g✔- gVolume gof gRBC
MCHC g g g g g g g gANS: g✔- gthe gconcentration g%
Normocytic ganemia g g g g g g g gANS: g✔- gMCV g82-92 g(normal gsize) g
MCH g25-30 g(normal gcolor) g
MCHC g32-36
EX: ganemia gof gchronic gdisease, gsepsis, ghemorrhagic, gaplastic ganemia
gand gheriditary gspherocytosis
Microcytic gAnemia g g g g g g g gANS: g✔- g" gSmall glight gincompetant"
ANSWERS WITH COMPLETE SOLUTIONS
LATEST UPDATE
What gare gthe gStages gof gLyme gDisease? g g g g g g g gANS: g✔- gEarly glocalized
Early gdisseminated
Late gLyme
Early gLocalized gLyme gDisease g g g g g g g gANS: g✔- g-occurs gdays gto gmonths
gafter gexposure
-Symptoms gnonspecific: gmalaise, gfever, gcervical gstiffness, gmyalgias,
garthralgias
-Can ghave ga g" gbulls geye grash gaka g"erythema gmigrans"which gis g> g5cm
Early gdiseminated gLyme gDisease g g g g g g g gANS: g✔- g-occurs gdays gto g10
gmonths gafter ginfection
-Systemic gmanifestations gie: gmeningitis, gcranial gnerve gpalsies g(esp. gVII)
gand gradiculoneuritis
,Swelling gof gjoints, gnumbness gin gextremities, gpalpatations gadn
gdifficulty gconcentrating.
-NO gRASH
Late gLyme gDisease g g g g g g g gANS: g✔- g-occurs gmonths gto gyears gafter
gexposure
-May ghave gintermittent garthritis
-May galso gexperience gneurological gmanifestations gie: gencephalopathy,
gperipheral gneuropathy gor gneurocognitive gimpairment.
S/S gof gHIV g g g g g g g gANS: g✔- g-Majority gof gacute gHIV gasymptomatics
g -Flu glike gsymptoms gthe gfirststages g6 gdays gto g6 gweeks g
-Fever, gsore gthroat gmyalgias, gheadache, gcervival glymphadenopathy
gand gnightsweats
Risk gFactors gfor gHIV g g g g g g g gANS: g✔- gSexual ghistory, gsexually
gtransmitted gdisease, gsubstance gabuse, gtransfusion ghistory, ginfection
ghistory gand goccupation ghistory
Hypersensitivity gReactions g g g g g g g gANS: g✔- g
Type g1 gHypersensitivity gRX g g g g g g g gANS: g✔- g
, Type gII gHypersensitivity gRx g g g g g g g gANS: g✔- g
Type gIII gHypersensitivity gRX g g g g g g g gANS: g✔- g
Type gIV gHypersensitivity gRx g g g g g g g gANS: g✔- g
MCV g g g g g g g gANS: g✔- gthe gsize gof gthe gRBC
MCH g g g g g g g gANS: g✔- gVolume gof gRBC
MCHC g g g g g g g gANS: g✔- gthe gconcentration g%
Normocytic ganemia g g g g g g g gANS: g✔- gMCV g82-92 g(normal gsize) g
MCH g25-30 g(normal gcolor) g
MCHC g32-36
EX: ganemia gof gchronic gdisease, gsepsis, ghemorrhagic, gaplastic ganemia
gand gheriditary gspherocytosis
Microcytic gAnemia g g g g g g g gANS: g✔- g" gSmall glight gincompetant"