NUR 810: Exam 2 Questions With Complete
Solutions
ABX for malrotation Correct Answers Broad
spectrum with gram - coverage
Amp + Gent + Flagyl
Beta lactamase inhibitor + Gent
Acceptable and elevated total cholesterol levels
Correct Answers Acceptable: < 170
High: > 200
Acceptable and elevated total LDL levels Correct
Answers Acceptable: < 110
Elevated: > 130
Acceptable and elevated trigs levels Correct
Answers Acceptable: < 75-90
High: > 100-130
Acute abdomen Correct Answers any rapidly
progressing abdominal pathology that requires
emergent evaluation and tx
Anorexia: Presentation Correct Answers
Bradycardia
Orthostasis
Hypothermia
Thinning of the scalp hair
,Cardiac murmur
Lanugo
Sunken cheeks
Yellow skin
Pitting edema of the extremities
Flat affect
Cold extremities, acrocyanosis
Appendicitis Correct Answers Bacterial invasion of
the appendix
Bacterial Vaginosis (BV) Correct Answers a
condition in women in which there is an abnormal
overgrowth of certain bacteria in the vagina
Balantitis: DX Correct Answers -Culture of any
discharge
-Test for STIs in older pts
-Test for strep
Balantitis: Presentation Correct Answers -
Irritability in younger pts
-Dysuria
-Itching
-Pain
-Swelling
-Erythema
Balantitis: TX (suspected irritant cause or
suspected STI cause) Correct Answers -Sitz baths
,-Proper hygiene and cleaning of the foreskin and
glans
-+/- hydrocortisone cream (more inclined to order
if it is a suspected irritant etiology; would then
order 0.5% or 1% hydrocortisone crema)
-If suspected STI, treat with one time dose of IM
ceftriaxone until test comes back
-Refer to urology with recurrent episodes
Bells classification for NEC Correct Answers How
they classify severity
Bulimia: Presentation Correct Answers
Bradycardia
Orthostasis
Hypothermia
Parotitis
Russel Sign
Mouth sores
Dry skin
Palatal or tonsillar scratches
Dental erosion
BV: DX Correct Answers Amsel Criteria (must
have 3 out of 4):
1) Vaginal pH > 4.5
2) Presence of clue cells on wet mount
3) + amine, "whiff" or "fishy odor" test
4) Homogeneous, thin, non-viscous, adherent,
milky-white discharge
, Vaginal gram stain:
-Mixed flora
-Gold standard for dx
BV: Presentation Correct Answers o Malodorous
vaginal discharge - "Fishy odor"
- Increases after menses and after sex
o May or may not have vaginal pruritis
- If itching is present, it is described as intense
o Possible spontaneous remission, Can come and
go
o May be asymptomatic
BV: TX Correct Answers First line: Metronidazole
500 mg for 7 days OR Metrnoidazole gel
application q day for 5 days
Second line:
-Clinda ovules or cream
Tinidizole 2 g PO q day for 2 days
Cause of myositis Correct Answers Often a
consequence of a viral illness
Cause of rhabdo Correct Answers Trauma,
exercise, meds, infection (viral)
In peds, infection and trauma = most common
causes
Solutions
ABX for malrotation Correct Answers Broad
spectrum with gram - coverage
Amp + Gent + Flagyl
Beta lactamase inhibitor + Gent
Acceptable and elevated total cholesterol levels
Correct Answers Acceptable: < 170
High: > 200
Acceptable and elevated total LDL levels Correct
Answers Acceptable: < 110
Elevated: > 130
Acceptable and elevated trigs levels Correct
Answers Acceptable: < 75-90
High: > 100-130
Acute abdomen Correct Answers any rapidly
progressing abdominal pathology that requires
emergent evaluation and tx
Anorexia: Presentation Correct Answers
Bradycardia
Orthostasis
Hypothermia
Thinning of the scalp hair
,Cardiac murmur
Lanugo
Sunken cheeks
Yellow skin
Pitting edema of the extremities
Flat affect
Cold extremities, acrocyanosis
Appendicitis Correct Answers Bacterial invasion of
the appendix
Bacterial Vaginosis (BV) Correct Answers a
condition in women in which there is an abnormal
overgrowth of certain bacteria in the vagina
Balantitis: DX Correct Answers -Culture of any
discharge
-Test for STIs in older pts
-Test for strep
Balantitis: Presentation Correct Answers -
Irritability in younger pts
-Dysuria
-Itching
-Pain
-Swelling
-Erythema
Balantitis: TX (suspected irritant cause or
suspected STI cause) Correct Answers -Sitz baths
,-Proper hygiene and cleaning of the foreskin and
glans
-+/- hydrocortisone cream (more inclined to order
if it is a suspected irritant etiology; would then
order 0.5% or 1% hydrocortisone crema)
-If suspected STI, treat with one time dose of IM
ceftriaxone until test comes back
-Refer to urology with recurrent episodes
Bells classification for NEC Correct Answers How
they classify severity
Bulimia: Presentation Correct Answers
Bradycardia
Orthostasis
Hypothermia
Parotitis
Russel Sign
Mouth sores
Dry skin
Palatal or tonsillar scratches
Dental erosion
BV: DX Correct Answers Amsel Criteria (must
have 3 out of 4):
1) Vaginal pH > 4.5
2) Presence of clue cells on wet mount
3) + amine, "whiff" or "fishy odor" test
4) Homogeneous, thin, non-viscous, adherent,
milky-white discharge
, Vaginal gram stain:
-Mixed flora
-Gold standard for dx
BV: Presentation Correct Answers o Malodorous
vaginal discharge - "Fishy odor"
- Increases after menses and after sex
o May or may not have vaginal pruritis
- If itching is present, it is described as intense
o Possible spontaneous remission, Can come and
go
o May be asymptomatic
BV: TX Correct Answers First line: Metronidazole
500 mg for 7 days OR Metrnoidazole gel
application q day for 5 days
Second line:
-Clinda ovules or cream
Tinidizole 2 g PO q day for 2 days
Cause of myositis Correct Answers Often a
consequence of a viral illness
Cause of rhabdo Correct Answers Trauma,
exercise, meds, infection (viral)
In peds, infection and trauma = most common
causes
