NURS 5350 TEST 4 QUESTIONS AND CORRECT ANSWERS
Psoas sign-ANSWER RLQ pain w/ extension of right thigh indicative of appendicitis
WHAT IS PANCREATITIS A COMPLICATION OF?-ANSWER CHOLELITHIASIS (CULLEN,
GRAY)
Obturator sign-ANSWER RLQ pain on internal rotation of right thigh indicative of
appendicitis
What are the symptoms of herpes simplex virus (HSV) infection? -ANSWER Fever,
malaise, tender submandibular lymphadenopathy, cold sores/fever blisters
Pathogenesis of HSV I and II- ANWER Epidermotropic viruses with infection occurring in
keratinocytes. Transmission only by direct contact with active lesions. Incubation 2-14
days
Herpes zoster/shingles- ANSWER Herpetic lesions along dermatomes
Clinical features of tinea pedis- ANSWER Fungal infection of the foot, vesiculopustular
lesions with fine-scale, itching
What are the different types of candidiasis? - ANSWER Oral (thrush), vaginal (cheesy
discharge with white plaques on erythematous base)
What is balantis? - ANSWER Red erosions on male genitalia
What is diaper rash? - ANSWER Beefy red lesions with pustules and papules
, What is intertriginous? - ANSWER Skin folds like axilla, inguinal, inframammary
What is the cause of itching in external genitalia? - ANSWER Redness, swelling, and skin
erosions
What laboratory evaluation is most commonly used for Kaposi's sarcoma? - ANSWER
CD4 lymphocyte counts and plasma HIV viral load studies
What are the treatment options for acne? - ANSWER a. Mild: topical benzoyl peroxide
and topical retinoids
b. Mild to moderate: Topical antibiotics with or without retinoids
c. Moderate to severe: systemic antibiotics
d. Severe: Accutane
e. Clindamycin and Erythromycin are most common antibiotics.
Estrogen-containing OCP can be used, but are not 1st line.
f. Pt education: wash gently with mild soap (Purpose, Basis, Cetaphil),
avoid topical exposure to oils and grease, low glycemic diet, hygiene,
avoid picking lesions
What are the physical findings of a carbuncle? - ANSWER a. Furuncles and carbuncles
evolve from a folliculitis
b. Furuncle (boil) is a deep bacterial infection of the hair follicle with abscess formation
caused almost exclusively by gram+ Staphylococcus aureus. Furuncles are extremely
tender to touch and appear a bright red color. The most common locations are the
scalp, neck, axilla, buttocks, groin, and thighs. Furuncles frequently become fluctuant.
With the application of warm compresses, most furuncles drain pus and resolve
spontaneously
c. Carbuncles are large, multiloculated abscesses that result from several furuncles
occurring together in a contiguous area. Compared to furuncles, carbuncles are less
frequent. They present as a large painful, red lump on the skin with several follicular
openings
d. Carbuncles: 2 or more confluent furuncles with separate heads
Psoas sign-ANSWER RLQ pain w/ extension of right thigh indicative of appendicitis
WHAT IS PANCREATITIS A COMPLICATION OF?-ANSWER CHOLELITHIASIS (CULLEN,
GRAY)
Obturator sign-ANSWER RLQ pain on internal rotation of right thigh indicative of
appendicitis
What are the symptoms of herpes simplex virus (HSV) infection? -ANSWER Fever,
malaise, tender submandibular lymphadenopathy, cold sores/fever blisters
Pathogenesis of HSV I and II- ANWER Epidermotropic viruses with infection occurring in
keratinocytes. Transmission only by direct contact with active lesions. Incubation 2-14
days
Herpes zoster/shingles- ANSWER Herpetic lesions along dermatomes
Clinical features of tinea pedis- ANSWER Fungal infection of the foot, vesiculopustular
lesions with fine-scale, itching
What are the different types of candidiasis? - ANSWER Oral (thrush), vaginal (cheesy
discharge with white plaques on erythematous base)
What is balantis? - ANSWER Red erosions on male genitalia
What is diaper rash? - ANSWER Beefy red lesions with pustules and papules
, What is intertriginous? - ANSWER Skin folds like axilla, inguinal, inframammary
What is the cause of itching in external genitalia? - ANSWER Redness, swelling, and skin
erosions
What laboratory evaluation is most commonly used for Kaposi's sarcoma? - ANSWER
CD4 lymphocyte counts and plasma HIV viral load studies
What are the treatment options for acne? - ANSWER a. Mild: topical benzoyl peroxide
and topical retinoids
b. Mild to moderate: Topical antibiotics with or without retinoids
c. Moderate to severe: systemic antibiotics
d. Severe: Accutane
e. Clindamycin and Erythromycin are most common antibiotics.
Estrogen-containing OCP can be used, but are not 1st line.
f. Pt education: wash gently with mild soap (Purpose, Basis, Cetaphil),
avoid topical exposure to oils and grease, low glycemic diet, hygiene,
avoid picking lesions
What are the physical findings of a carbuncle? - ANSWER a. Furuncles and carbuncles
evolve from a folliculitis
b. Furuncle (boil) is a deep bacterial infection of the hair follicle with abscess formation
caused almost exclusively by gram+ Staphylococcus aureus. Furuncles are extremely
tender to touch and appear a bright red color. The most common locations are the
scalp, neck, axilla, buttocks, groin, and thighs. Furuncles frequently become fluctuant.
With the application of warm compresses, most furuncles drain pus and resolve
spontaneously
c. Carbuncles are large, multiloculated abscesses that result from several furuncles
occurring together in a contiguous area. Compared to furuncles, carbuncles are less
frequent. They present as a large painful, red lump on the skin with several follicular
openings
d. Carbuncles: 2 or more confluent furuncles with separate heads
