Nurs 511 final exam questions with answers 100% verified
a 21 year old male presents to the clinic with pruritic and emacerated skin in the groin area. Which is this?
tinea cruris
Marcia, age 4, is brought in to the office by her mother. She has a sore throat, difficulty swallowing,
copious oral secretions, respiratory difficulty, stridor, and a temperature of 102°F but no pharyngeal
erythema or cough. What do you suspect?
• Epiglottitis
• Group A beta-hemolytic streptococcal pharyngitis
• Tonsillitis
• Diphtheria
• Epiglottitis (A symptom cluster of severe throat pain with difficulty swallowing,
difficulty, stridor, and fever but copious oral secretions, respiratory without
pharyngeal erythema or cough is epiglottitis) indicative of
(Streptococcal pharyngitis presents with cervical adenitis, petechiae, a beefy-red uvula, and a
tonsillar exudate) (A mild case of tonsillitis may appear to be only a slight sore throat. A more
severe case would involve inflamed, swollen tonsils; a very sore throat; and a high fever)
headache, and nausea, and then progresses to patches of
(Diphtheria starts with a sore throat, fever, membranes in the throat that eventually
grow
grayish or dirty-yellowish
into 1 membrane) Peptic ulcer disease
symptom Burning/nawing
you are assessing a first grader, and find that the tonsils are touching the uvula: 3
(Grade 1 indicates the tonsils are visible)
(Grade 2 indicates the tonsils are halfway between the tonsillar pillars and the uvula)
(Grade 3 indicates the tonsils are touching the uvula. Tonsils are enlarged to 2, 3, or 4 with an acute
infection)
(Grade 4 indicates the tonsils are touching each other)
A 54-year-old female presents to your primary care office for routine reevaluation for gastroesophageal
reflux disease (GERD). She has been treated with diet modifications and 6 weeks of
Nurs 511 final exam questions with
answers 100% verified
omeprazole without improvement of her symptoms. What is the next step in management of this patient's
GERD?
1.
, Nurs 511 final exam questions with answers 100% verified
• Order an endoscopy
• Order a Helicobacter pylori blood test
• Try adding ranitidine to the patient's regimen • Try adding bismuth to the patient's regimen
• Order an endoscopy (This is the next step in treatment in order to evaluate the etiology of the
patient's GERD and consider biopsy if
necessary)
(The next step in care is an endoscopy. If warranted, a biopsy can be done and sent
considered a less for H pylori at that time) (H2 antagonists are
aggressive treatment for GERD and would likely
not help the patient's to help symptoms) (Bismuth can be added
treat Helicobacter pylori, but that diagnosis has not yet been made)
A 39 year old female reports a 10 year history of crohns disease.
which of the following is true of crohns disease?
a. they have a higher risk of colon perf than UC.
b. the disease is isolated to the colon and occurs in rectosigmoid area
c. obstructions, fissures are seen with disease progression
d. mucosal surface of the colon is inflamed and friable?
C
Michael, a 25-year-old military reservist, presents to your clinic for a rash that began on his chest and has
since developed into smaller lesions that are more concentrated on the lower abdomen and pubic area.
In obtaining a history of the present illness, he reports that he had an upper respiratory infection 1
month before the rash developed. He tells you it started with 1 large oval-shaped lesion on his left chest,
and 1 to 2 weeks later he developed numerous smaller lesions on the lower abdomen and groin. It has
been 2 weeks since the smaller lesions developed, and he tells you he is concerned that the rash isn't
improving. As you examine the patient, you note that the lesions are salmon-colored and have a thin
collarette of scale within them. The original lesion is still present. You suspect Michael has:
• Guttate psoriasis.
• Tinea versicolor.
• Secondary syphilis.
• Pityriasis rosea.
Pityriasis rosea. Pityriasis rosea is a common, self-limiting,
• usually
which asymptomatic eruption with a distinct initial lesion. This
"herald patch," appears suddenly and without symptoms,
Nurs 511 final exam questions with
answers 100% verified
,usually is on the chest or back. Secondary lesions appear 1 to 2 weeks later while the herald patch
remains. The collarette scaling is another classic symptom of
lesions usually resolve spontaneously in 4 to 12 pityriasis rosea. The
1.
, Nurs 511 final exam questions with
answers 100% verified
weeks without scarring. Outbreaks have been known to occur in close quarters like military
barracks and dormitories.
a 21 year old male presents to the clinic with pruritic and emacerated skin in the groin area. Which is this?
tinea cruris
Marcia, age 4, is brought in to the office by her mother. She has a sore throat, difficulty swallowing,
copious oral secretions, respiratory difficulty, stridor, and a temperature of 102°F but no pharyngeal
erythema or cough. What do you suspect?
• Epiglottitis
• Group A beta-hemolytic streptococcal pharyngitis
• Tonsillitis
• Diphtheria
• Epiglottitis (A symptom cluster of severe throat pain with difficulty swallowing,
difficulty, stridor, and fever but copious oral secretions, respiratory without
pharyngeal erythema or cough is epiglottitis) indicative of
(Streptococcal pharyngitis presents with cervical adenitis, petechiae, a beefy-red uvula, and a
tonsillar exudate) (A mild case of tonsillitis may appear to be only a slight sore throat. A more
severe case would involve inflamed, swollen tonsils; a very sore throat; and a high fever)
headache, and nausea, and then progresses to patches of
(Diphtheria starts with a sore throat, fever, membranes in the throat that eventually
grow
grayish or dirty-yellowish
into 1 membrane) Peptic ulcer disease
symptom Burning/nawing
you are assessing a first grader, and find that the tonsils are touching the uvula: 3
(Grade 1 indicates the tonsils are visible)
(Grade 2 indicates the tonsils are halfway between the tonsillar pillars and the uvula)
(Grade 3 indicates the tonsils are touching the uvula. Tonsils are enlarged to 2, 3, or 4 with an acute
infection)
(Grade 4 indicates the tonsils are touching each other)
A 54-year-old female presents to your primary care office for routine reevaluation for gastroesophageal
reflux disease (GERD). She has been treated with diet modifications and 6 weeks of
Nurs 511 final exam questions with
answers 100% verified
omeprazole without improvement of her symptoms. What is the next step in management of this patient's
GERD?
1.
, Nurs 511 final exam questions with answers 100% verified
• Order an endoscopy
• Order a Helicobacter pylori blood test
• Try adding ranitidine to the patient's regimen • Try adding bismuth to the patient's regimen
• Order an endoscopy (This is the next step in treatment in order to evaluate the etiology of the
patient's GERD and consider biopsy if
necessary)
(The next step in care is an endoscopy. If warranted, a biopsy can be done and sent
considered a less for H pylori at that time) (H2 antagonists are
aggressive treatment for GERD and would likely
not help the patient's to help symptoms) (Bismuth can be added
treat Helicobacter pylori, but that diagnosis has not yet been made)
A 39 year old female reports a 10 year history of crohns disease.
which of the following is true of crohns disease?
a. they have a higher risk of colon perf than UC.
b. the disease is isolated to the colon and occurs in rectosigmoid area
c. obstructions, fissures are seen with disease progression
d. mucosal surface of the colon is inflamed and friable?
C
Michael, a 25-year-old military reservist, presents to your clinic for a rash that began on his chest and has
since developed into smaller lesions that are more concentrated on the lower abdomen and pubic area.
In obtaining a history of the present illness, he reports that he had an upper respiratory infection 1
month before the rash developed. He tells you it started with 1 large oval-shaped lesion on his left chest,
and 1 to 2 weeks later he developed numerous smaller lesions on the lower abdomen and groin. It has
been 2 weeks since the smaller lesions developed, and he tells you he is concerned that the rash isn't
improving. As you examine the patient, you note that the lesions are salmon-colored and have a thin
collarette of scale within them. The original lesion is still present. You suspect Michael has:
• Guttate psoriasis.
• Tinea versicolor.
• Secondary syphilis.
• Pityriasis rosea.
Pityriasis rosea. Pityriasis rosea is a common, self-limiting,
• usually
which asymptomatic eruption with a distinct initial lesion. This
"herald patch," appears suddenly and without symptoms,
Nurs 511 final exam questions with
answers 100% verified
,usually is on the chest or back. Secondary lesions appear 1 to 2 weeks later while the herald patch
remains. The collarette scaling is another classic symptom of
lesions usually resolve spontaneously in 4 to 12 pityriasis rosea. The
1.
, Nurs 511 final exam questions with
answers 100% verified
weeks without scarring. Outbreaks have been known to occur in close quarters like military
barracks and dormitories.
