UTA NURS 5338 URGENT EMERGENCIES
ACTUAL EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ Chlamydia Pharmacological Treatment . Answer: Doxycycline 100
mg PO BID for 7 days; Azithromycin 1 gm as a single dose during
pregnancy
◉ Chlamydia Alternative Regimens . Answer: - Gentamicin 240 mg IM
+ Azithromycin 2 gm PO as a single dose
- Cefixime 800 mg orally + Doxycycline 100 mg PO BID for 7 days (if
chlamydia CANNOT be excluded)
◉ Initial Patient Assessment Steps . Answer: - Observe
- Inspect
- Listen
- Palpate, respectively
◉ Appendicitis Assessment Findings . Answer: - Abdominal pain,
usually severe; localized to the right lower quadrant (RLQ)
,- Most common symptoms: anorexia, abdominal pain, nausea, vomiting
(typically present in this order)
- Constipation and diarrhea occur after the pain
◉ Acute Abdominal Pain Characteristics . Answer: - Severe, persistent
pain
- Sudden onset
- Nausea, vomiting
- Abdominal distention
- Fever, signs of shock
◉ Obturator Sign . Answer: - Patient lies on the back with hip and knee
flexed at 90 degrees while the knee is stabilized and the ankle rotated
away from the body
◉ Sepsis Management in Primary Care . Answer: Refer patient to the
ED
◉ Abscess Treatment . Answer: I&D
◉ Cellulitis Assessment . Answer: - Erythema
- Warmth
- Edema
, - Pain
- Fever
- Lymphadenopathy
- Fissuring, scaling, or maceration in toe webs may be source of
colonization (treat with antifungal agents)
- History of recurrent abscesses
◉ Animal Bite Puncture Wound Treatment . Answer: - Typically not
sutured closed
- Treat with Augmentin
◉ Bacterial Vaginosis Assessment Findings . Answer: Most women
with BV are asymptomatic.
- Fishy or musty vaginal odor, more prominent after sexual intercourse
and menses
- Thin, homogenous discharge
- No redness or edema
- Normal bimanual exam
◉ Bacterial Vaginosis Diagnostic . Answer: Amsel's criteria specify
that diagnosis of BV requires three or more of the following clinical
signs and symptoms:
- Homogenous, thin, gray-white discharge coating the vaginal wall
- Vaginal pH >4.5
ACTUAL EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ Chlamydia Pharmacological Treatment . Answer: Doxycycline 100
mg PO BID for 7 days; Azithromycin 1 gm as a single dose during
pregnancy
◉ Chlamydia Alternative Regimens . Answer: - Gentamicin 240 mg IM
+ Azithromycin 2 gm PO as a single dose
- Cefixime 800 mg orally + Doxycycline 100 mg PO BID for 7 days (if
chlamydia CANNOT be excluded)
◉ Initial Patient Assessment Steps . Answer: - Observe
- Inspect
- Listen
- Palpate, respectively
◉ Appendicitis Assessment Findings . Answer: - Abdominal pain,
usually severe; localized to the right lower quadrant (RLQ)
,- Most common symptoms: anorexia, abdominal pain, nausea, vomiting
(typically present in this order)
- Constipation and diarrhea occur after the pain
◉ Acute Abdominal Pain Characteristics . Answer: - Severe, persistent
pain
- Sudden onset
- Nausea, vomiting
- Abdominal distention
- Fever, signs of shock
◉ Obturator Sign . Answer: - Patient lies on the back with hip and knee
flexed at 90 degrees while the knee is stabilized and the ankle rotated
away from the body
◉ Sepsis Management in Primary Care . Answer: Refer patient to the
ED
◉ Abscess Treatment . Answer: I&D
◉ Cellulitis Assessment . Answer: - Erythema
- Warmth
- Edema
, - Pain
- Fever
- Lymphadenopathy
- Fissuring, scaling, or maceration in toe webs may be source of
colonization (treat with antifungal agents)
- History of recurrent abscesses
◉ Animal Bite Puncture Wound Treatment . Answer: - Typically not
sutured closed
- Treat with Augmentin
◉ Bacterial Vaginosis Assessment Findings . Answer: Most women
with BV are asymptomatic.
- Fishy or musty vaginal odor, more prominent after sexual intercourse
and menses
- Thin, homogenous discharge
- No redness or edema
- Normal bimanual exam
◉ Bacterial Vaginosis Diagnostic . Answer: Amsel's criteria specify
that diagnosis of BV requires three or more of the following clinical
signs and symptoms:
- Homogenous, thin, gray-white discharge coating the vaginal wall
- Vaginal pH >4.5
