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Exam (elaborations)

Dunphy Primary Care: Neuro Questions and Answers Graded A+

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Dunphy Primary Care: Neuro Questions and Answers Graded A+ Herpes Zoster: Management Correct Answ_Manage healed vesicles Antiviral agents Pain relief: systemic corticosteroids; soothing lotions for lesions Prevent secondary infection/complications Postherpetic neuralgia (PHN)

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Dunphy Primary Care: Neuro Questions and
Answers Graded A+

Herpes Zoster: Management Correct Answ_Manage healed vesicles


Antiviral agents

Pain relief: systemic corticosteroids; soothing lotions for lesions

Prevent secondary infection/complications

Postherpetic neuralgia (PHN)




Herpes Zoster: Prevention Correct Answ_One in three people will develop zoster in their

lifetime. Prevent!

Shingles vaccine recommended by the Advisory Committee on Immunization Practices (ACIP)

to reduce the risk of shingles and its associated pain in people 60 years old or older

Also give vaccine to persons who have previously developed shingles




Meningitis Correct Answ_Purulent forms: Neisseria meningitidis, Haemophilus influenzae

type B, Streptococcus pneumoniae

Subacute or chronic: Fungus, mycobacteria, spirochete, HIV, and neoplasms

Aseptic meningitis: Virus, brain tumor, CVA

, Meningitis: S/S Correct Answ_Headache, photophobia


Nuchal rigidity

Fever >103°F, chills, tachycardia, tachypnea

Signs of meningeal irritation

Brudzinski's sign, Kernig's sign, opisthotonus

Altered level of consciousness




Meningitis: Management Correct Answ_Eliminate infection: Antimicrobial therapy


Symptomatic care: Reduction of fever, bedrest, nutrition

Prevention and/or treatment of complications: Vaccine/chemoprophylaxis

Assess for IICP and RX




AD Correct Answ_A fine line between the benign forgetfulness of age-associated memory

impairment (AAMI) and the onset of AD

Word-finding difficulty (anomia)

Trouble doing routine chores

Progresses to experiencing difficulty with simple tasks

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