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Exam (elaborations)

MVU NURS 629 EXAM WITH COMPLETE SOLUTION LATEST UPDATE(A+ exam)

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MVU NURS 629 EXAM WITH COMPLETE SOLUTION LATEST UPDATE(A+ exam)

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MVU NURS 629 EXAM WITH
COMPLETE SOLUTION LATEST
UPDATE(A+ exam)
Otitis media - ANSWER>>Middle ear infection; common causes: S. Pneumoniae, H. Influenzae,
M. Catarrhils

Otitis externa - ANSWER>>Outer ear infection; common causes: Pseudomonas aeruginosa,
Staphylococcus Aureus

Hearing Test - ANSWER>>Evaluation of hearing; normal range -10 to +15; severe loss 71-90

Viral vs. bacterial pharyngitis - ANSWER>>Pharyngitis causes: viral (common), bacterial (Group
A Beta Hemolytic strep)

Mono (Mononucleosis) - ANSWER>>Epstein-Barr Virus infection; classic triad: fever, exudative
pharyngitis, posterior cervical adenopathy

Impetigo - ANSWER>>Contagious skin infection; causes: Streptococci, Staphylococci

Hand foot and mouth - ANSWER>>Coxsackievirus A16 infection; affects children <10; spread via
contact with fluids

oral lesions first; should resolve in 7 days

Fifth disease - ANSWER>>Human Parovirus B19 infection; common in 5-15-year-olds;
characterized by distinct rash phases

Tinea corporis - ANSWER>>Ringworm skin infection; rash: pink, scaly, round with raised border

Pityriasis rosea - ANSWER>>Benign viral skin eruption; common in winter; presents with herald
patch

Eczema (Atopic Dermatitis) - ANSWER>>Inflammatory skin condition; intensely itchy red rash,
lichenification, excoriations

,Scarlet Fever - ANSWER>>Strep throat complication; multisystem disease; characteristic rash,
strawberry tongue

Kawasaki disease - ANSWER>>Acute febrile illness; signs include rash, injected eyes, strawberry
tongue, coronary aneurysms

Kolpik spots - ANSWER>>Small white papules inside cheeks by rear molar in measles

Varicella-zoster virus - ANSWER>>Agent causing chickenpox

VZV PCR - ANSWER>>Preferred test for chickenpox diagnosis

Erythrocyte sedimentation rate (ESR) - ANSWER>>Blood test for inflammation levels

Vitamin A dosing for measles - ANSWER>>50,000 IU for infants <6 months, 100,000 IU for 6-11
months, 200,000 IU for children ≥12 months

Corticosteroids in resistant cases - ANSWER>>Used when standard treatment fails in certain
diseases

Pertussis stages - ANSWER>>Catarrhal, paroxysmal, and convalescent stages

Tetralogy of Fallot - ANSWER>>Congenital heart defect with four issues: pulmonary stenosis,
VSD, RV hypertrophy, overriding aorta

-cyanosis improved with squatting, hypoxia, metabolic acidosis, exercise intolerance, murmur

-boot shaped xray findings

-surgical correction

High dose aspirin - ANSWER>>Administered when risk factors for complications are present

Direct fluorescent antibody (DFA) - ANSWER>>Diagnostic test for chickenpox

Croup - ANSWER>>Acute onset in children with tracheal swelling and barking cough

, Community-acquired pneumonia (CAP) management - ANSWER>>Decide outpatient vs.
hospitalization based on severity and age

Chickenpox incubation period - ANSWER>>Up to 21 days before symptoms appear

Measles IgM antibody - ANSWER>>Lab test to confirm measles diagnosis

Hypertension stages - ANSWER>>Stage 1: >95th percentile, Stage 2: >95th% + 12mmHg

Corticosteroids in croup - ANSWER>>Mainstay treatment for all croup severities

Bronchiolitis management - ANSWER>>Focus on hydration and supportive care

Acyclovir in severe chickenpox - ANSWER>>Treatment for severe cases or
immunocompromised patients

Measles transmission - ANSWER>>Through contact, droplet, and airborne routes

Acellular pertussis vaccine - ANSWER>>Recommended for universal childhood immunization

Corticosteroids in CAP - ANSWER>>Oral corticosteroids for all CAP severity levels

CRP - ANSWER>>C-reactive protein blood test for inflammation

Varicella vaccine - ANSWER>>Administered at 1 & 5 years of age

Polycythemia - ANSWER>>Excess red blood cells in the bloodstream

Metabolic acidosis - ANSWER>>Excessive acidity in the body's fluids

Systolic murmur at 2nd left ICS - ANSWER>>Abnormal heart sound during contraction at 2nd
intercostal space

Holosystolic murmur at LLSB - ANSWER>>Continuous heart sound throughout contraction at
lower left sternal border

Atrial Septal Defect (ASD) - ANSWER>>Opening between left and right atrium, causing
increased pulmonary blood flow

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