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Adult Primary Care - Exams -1 and Final Exam Questions and Correct Answers .

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Adult Primary Care - Exams -1 and Final Exam Questions and Correct Answers .Adult Primary Care - Exams -1 and Final Exam Questions and Correct Answers .

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Adult Primary Care - Exams #1 and Final
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#1 causative agent of otitis externa Pseudomonas

Seborrheic: "stuck on" appearance; benign
Actinic verus seborrheic keratoses
Actinic: Sandpaper-like texture; premalignant

Stringy discharge
Allergic conjunctivitis BILATERAL
Pruritus

American Cancer Society Recommended q3 yrs for ages 20-40 and annually >40
screening for skin cancer

Discharge is thick, purulent, with crusting of the lids
Bacterial conjunctivitis
Worse in the morning upon awakening

May treat with silvadene cream

Burn treatment
In primary care will only treat superficial burns or do follow up with more serious
burs

Abrupt onset shaking/chills
Pleuritic chest pain
Cough (productive)
Dyspnea
Fever
CAP clinical presentation Tachypnea
Crackles/Ronchi
SOB
Increased tactile fremitus
Dullness to percussion
Bronchial breath sounds

#1 Rhinovirus
Coronavirus
Causes of viral rhinitis
Influenza virus
Adenovirus

, Gray, adherent membrane on nasal mucosa, pharynx, tonsils uvula


C. diphtheria pharyngitis Bleeds with membrane removal


Refer to ID

Cellulitis treatment Cover MRSA -- Bactrim, Clinda, Doxy

No pain
Chalazion Little redness
Localized lesion on conjunctival side of lid (will need to invert for inspection)

Circumscribed edema Wheal

1) Posterior cervical lymphadenopathy
2) Fever
Classic triad of symptoms for mono 3) Pharyngitis


Also may have HA, malaise, fatigue, arthralgia, anorexia, fever, chills, dysphagia

Tetanus
Concert with lacerations
Sutures?

Narrowing and obstruction of the small airway due to inflammatory cells and
mucous gland hypertrophy

Definition of chronic bronchitis
Chronic or recurrent productive cough
-present most days for a minimum of three months per year
-no less than 2 successive years

Confirm presence of living lice prior to treatment
Diagnosis and treatment of lice Permethrin
Wash everything in hot water

Nutrition
Education for decubitus ulcer
Skin care

A1C
Education for diabetic ulcer Location
Wound care

Know causative agent
Education with burns Make sure tetanus is up to date
Teach s/s of infection

Flat discoloration >1 cm Patch

Flat, non-blanchable, red-purple lesion Purpura

Flat, non-palpable discoloration <1 cm Macule

Mupirocin cream, apply TID x5 days
Folliculitis treatment
Oral doxy or bactrim if suspected MRSA

Scabies
For what 3 conditions would you do a skin
Herpes
scraping?
Fungal infection

Hallmark sign of otits externa Very painful -- pinna and triages sign

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