NR 511 WEEK 3 Q AND A

NR 511 WEEK 3 Q AND A
ISM:gkFinitegkM Chaptergk12:gkDifferencegkEquationsgkandgkMathematicalgkM
ath odels




Anj22-year-
oldnjAfricannjAmericannjfemalenjpresentsnjtonjyournjfamilynjpracticenjofficenjcomplainingnjofnjprogressive
skinnjdiscoloration.njShenjisnjadoptednjandnjhasnjnonjknownnjfamilynjhistorynjofnjskinnjproblems.njThenjpatient
otes
nonpalpablenjpatchesnjofnjskinnjlossnjandnjblanchingnjofnjhernjforeheadnjandnjbothnjhandsnjandnjfeet.njItnjhas
developednjovernjanjperiodnjofnj6njmonthsnjandnjappearsnjtonjhavenjstopped.njItnjisnjnotnjpruritic,njandnjtherenji
no
erythemanjornjsignnjofnjinfectiousnjetiology.njWhatnjisnjthenjmostnjlikelynjdiagnosis?
•njVitiligo
•njAlopecia
AddisonnjDiseasenj
TineanjVersicolornj-njanswer--Vitiligo-njThisnjisnjthenjphysicalnjdescriptionnjofnjvitiligo.

Whichnjpresentationnjisnjmostnjconcerningnjfornjskinnjcancer?
•njDarknjpigmentationnjofnj1njsolitarynjnailnjthatnjhasnjdevelopednjquicklynjandnjwithoutnjtrauma.nj
•njAnj1-
mmnjblue,njround,njnonpalpablenjdiscolorationnjofnjthenjskinnjthatnjhasnjbeennjpresentnjsincenjbirthnjwithoutnjc
ange.
Anj5-mmnjblacknjmolenjwithnjround,njregularnjboarders.
•njAnj2-mmnjbrownnjmolenjthatnjisnjraisednj1njmmnjbutnjroundnjandnjregular.nj-njanswer--
Darknjpigmentationnjofnj1njsolitarynjnailnjthatnjhasnjdevelopednjquicklynjandnjwithoutnjtrauma.njThisnjis
concerningnjfornjacralnjmelanoma

Anj4-year-
oldnjmalenjpresentsnjtonjyournjpediatricnjclinicnjwithnjhisnjmothernjcomplainingnjofnjannjitchynjrash,njmostly
betweennjhisnjfingers.njThisnjhasnjbeennjgoingnjonnjfornjmultiplenjdaysnjandnjhasnjbeennjgettingnjworse.njThen
atient
recentlynjstartednjatnjanjnewnjdaynjcare.njOnnjphysicalnjexam,njthenjpatientnjisnjafebrilenjandnjhasnjmultiplenjsm
lnj(1-2
mm)njrednjpapulesnjinnjsetsnjofnj3njlocatednjinnjthenjwebnjspacesnjbetweennjhisnjfingers.njHenjalsonjhasnjsigns
excoriation.njWhatnjisnjthenjtreatmentnjfornjthisnjproblem?
•njPermethrinnjlotionnjfornjthenjpatientnjandnjalsonjhisnjfamilynjmembers.
Coldnjcompressesnjandnjhydrocortisonenjcreamnj1%njtwicenjanjday.
Over-the-counternjBenadrylnjcream.
Ketoconazolenjcream.nj-njanswer--Permethrinnjlotionnjfornjthenjpatientnjandnjalsonjhisnjfamilynjmembers.nj-
njThisnjisnjthenjtreatmentnjfor
scabies

WhichnjofnjthenjfollowingnjpatientsnjwouldnjnotnjbenjatnjrisknjofnjCandidanjinfection?
•njAnjpatientnjwithnjanjhistorynjofnjcoronarynjarterynjdisease.
Anjdiabeticnjpatient.
•njAnjpatientnjrequiringnjhomenjantibioticsnjwhilenjrecoveringnjfromnjannjoperationnjfornjannjinfectednjhernia.
Anjpatientnjusingnjanjsteroidnjregimennjfornjasthmanjcontrolnj-njanswer--
Anjpatientnjwithnjanjhistorynjofnjcoronarynjarterynjdisease.njCoronarynjarterynjdiseasenjdoesn'tnjincrease
thenjrisknjofnjCandidanjinfection.
Anjdiabeticnjpatient.

,Diabetes njincreases
Chapter njthenj
gk12:gkDifference gkrisk njofnjCandida
Equations njinfection.gkM
gkandgkMathematical ISM:gkFinitegkM
odels ath
Anj3-year-
oldnjpatientnjpresentsnjtonjyournjpediatricnjofficenjwithnjhernjmother.njShenjhasnjrecentlynjbeennjstartednjinnjda
care.njHernjmothernjnotednjslightnjperioralnjerythemanjonnjthenjrightnjsidenjofnjthenjpatient'snjmouthnjpriornjtonjb
dnjlastnjnight.njThenjpatientnjawokenjtodaynjwithnj3njsmall,njsuperficial,njhoney-
colorednjvesiclesnjwherenjthenjerythemanjwasnjlastnjnight.njThenjpatientnjhasnjnonjsurroundingnjerythema.njS
njhadnjnonjdifficultynjeatingnjthis
morningnjandnjisnjactivenjandnjenergeticnjandnjdoesn'tnjappearnjlethargicnjornjfatigued.njShenjisnjalsonjafebrile
How
wouldnjyounjtreatnjthisnjchild?
•njLocalnjdebridementnjandnjmupirocinnjfornj5njdays.nj
OralnjKeflexnjfornj7njdays.
TopicalnjcompressnjwithnjBurownjsolutionnjandnjfollow-upnjinnj2njtonj3njdays.nj
LocalnjdebridementnjandnjtopicalnjcompressnjwithnjBurownjsolutionnjandnjclosenjfollow-up.nj-njanswer--
Localnjdebridementnjandnjmupirocinnjfornj5njdays.njThisnjisnjthenjtreatmentnjofnjchoicenjfornjimpetigo.

Anj22-year-
oldnjcollegenjstudentnjpresentsnjtonjyournjurgentnjcarenjclinicnjcomplainingnjofnjanjrash.njShenjwasnjrecently
onnjspringnjbreaknjandnjspentnjeverynjnightnjinnjthenjhotnjtubnjatnjhernjhotel.njOnnjphysicalnjexam,njshenjhasnjm
iple
smallnjareasnjofnj1-njtonj2-mmnjerythematousnjpustulesnjthatnjarenjpresentnjmostlynjwherenjhernjbathingnjsuit
coverednjhernjbuttocks.njWhatnjisnjthenjmostnjlikelynjpathogennjcausingnjthesenjlesions?
•njPseudomonasnjaeruginosa.
Klebsiella.nj
Staphylococcusnjaureus.nj
Streptococcus.nj-njanswer--Pseudomonasnjaeruginosa.njThisnjisnjanjcommonnjcausenjofnjhotnjtubnjfolliculitis

Whichnjhumannjpapillomavirusnjserotypesnjmostnjcommonlynjcausenjcancer?
Serotypesnj16njandnj18
Serotypesnj6njandnj11
Serotypesnj3njandnj10
Serotypesnj27njandnj29nj-njanswer--Serotypesnj16njandnj18.nj-njCausenjCancer

Anj27-year-
oldnjfemalenjcomesnjinnjtonjyournjprimarynjcarenjofficenjcomplainingnjofnjanjperioralnjrash.njThenjpatient
noticednjburningnjaroundnjhernjlipsnjanjcouplenjdaysnjagonjthatnjquicklynjwentnjaway.njShenjawokenjfromnjslee
yesterdaynjandnjnoticednjanjgroupnjofnjvesiclesnjwithnjerythematousnjbasesnjwherenjthenjburningnjhadnjbeen
efore.
Therenjisnjnonjburningnjtoday.njShenjisnjafebrilenjandnjhasnjnonjdifficultynjeatingnjornjswallowing.njWhatnjtestnjw
uld
confirmnjhernjdiagnosis?
•njTzancknjsmear.
Potassiumnjhydroxidenj(KOH)njprep.
ExamnjundernjanjWoodnjlamp.
Sterilenjculturenjsentnjfornjaerobicnjandnjanaerobicnjbacterianj-njanswer--
Tzancknjsmear.njThisnjwouldnjshownjgiantnjcellsnjconsistentnjwithnjherpesnjsimplexnjvirus.

Whichnjconditionnjisnjnotnjincludednjinnjthenjatopicnjtriad?
Asthma
AllergicnjRhinitis
Eczema

, •njAspirin njsensitivity
ISM:gkFinite gkM nj-njanswer-- Chaptergk12:gkDifferencegkEquationsgkandgkMathematicalgkM
•njAspirinnjsensitivitynjThisnjisnjincludednjinnjthenjodels
ath ASA,njornjSamter,njtriad,njwhichnjalsonjincludesnjnasalnjpolyp
andnjasthma.

Anj16-year-
oldnjmalenjpresentsnjtonjyournjoffice.njHenjwasnjsentnjbynjannjorthopedist.njHenjhasnjrecentlynjhadnjsurgicalnjfix
ionnjofnjanjhumerusnjfracture.njThenjpatientnjhasnjbeennjgoingnjtonjphysicalnjtherapynjandnjhasnjbeennjdevelop
gnjanjrashnjonnjhisnjarmnjafternjtherapynjthatnjdisappearsnjshortlynjafternjreturningnjhome.njHenjdoesnjnotnjhave
henjrashnjpriornjtonjtherapy.njThenjpatientnjdeniesnjfeversnjandnjchills,njandnjhisnjincisionnjisnjwellnjhealed,njwit
nonjsignsnjof
infection.njOfnjnote,njthenjpatientnjhasnjbeennjexperiencingnjmorenjhandnjedemanjthannjthenjaveragenjpatient
ndnjhasnjhadnjedemanjwrapsnjusednjatnjthenjendnjofnjtherapynjtonjhelpnjwithnjhisnjswelling.njThenjwrapsnjarenjm
denjofnjasyntheticnjplasticnjmaterial.njThenjrashnjthenjpatientnjgetsnjisnjerythematousnjandnjblotchy,njnotnjraise
njitnjisnjonnjthe
operativenjuppernjextremity.njWhatnjisnjthenjmostnjlikelynjdiagnosis?
•njContactnjdermatitis
atopicnjdermatitis
seborrheicnjdermatitis
psoriasisnj-njanswer--
contactnjdermatitisnjThenjpatient'snjhistorynjandnjrashnjarenjconsistentnjwithnjanjlatexnjornjplasticnjsensitivity
duenjtonjthenjedemanjwrapsnjusednjinnjtherapy.

Whichnjofnjthenjfollowingnjstatementsnjaboutnjpsoriasisnjisnjnotnjtrue?

Psoriaticnjlesionsnjarenjoftennjsilverynjscalesnjthatnjformnjovernjerythematousnjplaques.nj
Psoriaticnjlesionsnjoftennjoccurnjinnjthenjfoldsnjofnjthenjelbowsnjandnjbehindnjthenjknees
Peoplenjwithnjpsoriasisnjhavenjanjgreaternjrisknjofnjdepressionnjthannjthenjaveragenjpopulation
Psoriasisnjhasnjanjgeneticnjcomponent.nj-njanswer--
Psoriaticnjlesionsnjoftennjoccurnjinnjthenjfoldsnjofnjthenjelbowsnjandnjbehindnjthenjknees.njThisnjisnjuntrue;
lesionsnjusuallynjoccurnjonnjthenjfrontsnjofnjthenjknees,njthenjposteriornjaspectsnjofnjthenjelbows,njandnjthenjsc

Whichnjofnjthenjfollowingnjhas/havenjnotnjbeennjlinkednjtonjthenjusenjofnjisotretinoin?

Elevatednjlivernjtransaminases.nj
Depression,njpsychosis,njandnjsuicidality.nj
Benignnjintracranialnjhypertension.nj
Pancreatitis.nj-njanswer--Pancreatitis.njThisnjisnjnotnjannjadversenjeffectnjofnjisotretinoin.

Anj55-year-
oldnjlandscapernjpresentsnjtonjyournjprimarynjcarenjofficenjcomplainingnjofnjanjsmallnjskinnjlesionnjonnjhis
face.njThenjpatientnjstatesnjthenjlesionnjcausesnjnonjpainnjornjothernjsymptoms.njOnnjphysicalnjexam,njyounjno
cenja
smallnj(3njmm)njpapulenjthatnjisnjflesh-colorednjandnjirregular.njTonjpalpation,njthenjlesionnjfeelsnjhardnjandnjli
sandpaper.njWhatnjtypenjofnjmalignancynjisnjthisnjpatientnjatnjrisknjfornjgivennjthenjappearancenjofnjthisnjlesion

SquamousnjCellnjCarcinoma.
Melanomanj
Rosaceanj
BasalnjCellnjCarcinomanj-njanswer--
squamousnjCellnjCarcinoma.njThenjlesionnjdescribednjisnjannjactinicnjkeratosis,njwhichnjisnjanjpremalignant
lesionnjthatnjcannjprogressnjtonjsquamousnjcellnjcarcinoma.