NRNP 6560 Final Exam Questions and
Answers Graded A+
ABCDE - ANSWER-asymmetry, border, color, diameter >6mm, evolving
ACE-I - ANSWER-chronic cough and angioedema
acne - ANSWER-inflammatory disease of the skin involving the sebaceous glands and
hair follicles
causes: corticosteriods, isoniazid
acute subdural hematoma sxs - ANSWER-drowsiness, agitation, and confusion
HA
unilateral or bilateral pupil dilatation
hemiparesis
noncontrast CT
sx indications: >10mm thickness with >5mm midline shift regardless of GCS
acyclovir-resistance varicella-zoster virus treatment - ANSWER-foscarnet
adjunct therapy for Herpes Zoster treatment - ANSWER-tylenol, cold compress,
tramadol, opioids, oral corticosteriods, hydroxyzine (pruritus)
Aeromonas - ANSWER-gram negative bacillus; freshwater exposure
aeromonas hydrophila cellulitis treatment - ANSWER-doxy + ceftriaxone or cipro
anticonvulsants and sulfonamines - ANSWER-m/c cause of toxic epidermal necrolysis
(TEN) and Stevens-Johnson syndrome (SJS)
antiviral for herpes zoster treatment - ANSWER-acyclovir
valacyclovir
Ataxic hemiparesis - ANSWER-lacunar stroke of the anterior limb of internal capsule or
PONS base
weakness and ataxia on ipsi side of body, usually leg weakness more than arm
avoid hyperventilation in TBI unless: - ANSWER-herniation symptoms are present of if
measured ICP is severely high
AVPU - ANSWER-Awake, responsive to voice, responsive to pain, unresponsive
, barbiturate coma - ANSWER-may be used to treat ICP after admit; Reduces Metabolic
Demand
Pentobarbital
basal cell carcinoma (BCC) - ANSWER-malignant tumor of the basal layer of the
epidermis;
papule or nodule with a central scab or eroded area. Nodule has a waxy "pearly"
appearance
basal ganglia hemorrhage - ANSWER-Contralateral hemiparesis and hemisensory loss
ipsilateral Homonymous hemianopsia
ipsilateral Gaze palsy
decreased LOC
basilar fracture signs - ANSWER-anterior or posterior skull base
BCC and SCC management - ANSWER-dermatologist referral
bx
curettage and electrodesiccation of BCC lesion <1cm in diameter and in nonfacial area
BCC follow up - annually for 5 years
SCC - every 3 months with close exam of lymph nodes for 1 year then twice a year after
that
BCC characteristics - ANSWER-noldules, papules, non-healing ulcers, or scabbed
lesions
waxy, pearly nodules with telangiectatic vessels, or as visual or scaly plaques
borders are translucent, elevated, and shiny with fine telangiectasia
BCC predisposing factors - ANSWER-sun exposure
arsenic exposure
m/c on face and neck
Beta Blockers - ANSWER-precipitate asthma and should not be given to patients at
high risk of anaphylaxis, BB may block the action of epi
blast injury - ANSWER-hippocampus and brain stem
brain injury - ANSWER-concussion, contusion, hematoma, subdural hematoma,
traumatic subarachnoid hemorrhage, diffuse axonal injury
Bulla - ANSWER-a large blister that is usually more than 0.5 cm in diameter
bullous lesions - ANSWER-Caused by exfoliative toxins A and B
Have the appearance of wrinkled tissue paper
Lead to widespread desquamation of the skin
Answers Graded A+
ABCDE - ANSWER-asymmetry, border, color, diameter >6mm, evolving
ACE-I - ANSWER-chronic cough and angioedema
acne - ANSWER-inflammatory disease of the skin involving the sebaceous glands and
hair follicles
causes: corticosteriods, isoniazid
acute subdural hematoma sxs - ANSWER-drowsiness, agitation, and confusion
HA
unilateral or bilateral pupil dilatation
hemiparesis
noncontrast CT
sx indications: >10mm thickness with >5mm midline shift regardless of GCS
acyclovir-resistance varicella-zoster virus treatment - ANSWER-foscarnet
adjunct therapy for Herpes Zoster treatment - ANSWER-tylenol, cold compress,
tramadol, opioids, oral corticosteriods, hydroxyzine (pruritus)
Aeromonas - ANSWER-gram negative bacillus; freshwater exposure
aeromonas hydrophila cellulitis treatment - ANSWER-doxy + ceftriaxone or cipro
anticonvulsants and sulfonamines - ANSWER-m/c cause of toxic epidermal necrolysis
(TEN) and Stevens-Johnson syndrome (SJS)
antiviral for herpes zoster treatment - ANSWER-acyclovir
valacyclovir
Ataxic hemiparesis - ANSWER-lacunar stroke of the anterior limb of internal capsule or
PONS base
weakness and ataxia on ipsi side of body, usually leg weakness more than arm
avoid hyperventilation in TBI unless: - ANSWER-herniation symptoms are present of if
measured ICP is severely high
AVPU - ANSWER-Awake, responsive to voice, responsive to pain, unresponsive
, barbiturate coma - ANSWER-may be used to treat ICP after admit; Reduces Metabolic
Demand
Pentobarbital
basal cell carcinoma (BCC) - ANSWER-malignant tumor of the basal layer of the
epidermis;
papule or nodule with a central scab or eroded area. Nodule has a waxy "pearly"
appearance
basal ganglia hemorrhage - ANSWER-Contralateral hemiparesis and hemisensory loss
ipsilateral Homonymous hemianopsia
ipsilateral Gaze palsy
decreased LOC
basilar fracture signs - ANSWER-anterior or posterior skull base
BCC and SCC management - ANSWER-dermatologist referral
bx
curettage and electrodesiccation of BCC lesion <1cm in diameter and in nonfacial area
BCC follow up - annually for 5 years
SCC - every 3 months with close exam of lymph nodes for 1 year then twice a year after
that
BCC characteristics - ANSWER-noldules, papules, non-healing ulcers, or scabbed
lesions
waxy, pearly nodules with telangiectatic vessels, or as visual or scaly plaques
borders are translucent, elevated, and shiny with fine telangiectasia
BCC predisposing factors - ANSWER-sun exposure
arsenic exposure
m/c on face and neck
Beta Blockers - ANSWER-precipitate asthma and should not be given to patients at
high risk of anaphylaxis, BB may block the action of epi
blast injury - ANSWER-hippocampus and brain stem
brain injury - ANSWER-concussion, contusion, hematoma, subdural hematoma,
traumatic subarachnoid hemorrhage, diffuse axonal injury
Bulla - ANSWER-a large blister that is usually more than 0.5 cm in diameter
bullous lesions - ANSWER-Caused by exfoliative toxins A and B
Have the appearance of wrinkled tissue paper
Lead to widespread desquamation of the skin
