UTA Nurs 5338 Urgent Emergencies EXAM
Questions With Correct Answers
Describe the pharmacological treatment for gonorrhea - CORRECT ANSWER✔✔-
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Ceftriaxone 500 mg IM as a single dose, for persons weighing < 150 kg
| | | | | | | | | | | | |
For persons weighing > 150 kg, ceftriaxone 1gm IM as a single dose
| | | | | | | | | | | |
Describe the pharmacological treatment for chlamydia - CORRECT ANSWER✔✔-
| | | | | | | |
Doxycycline 100 mg PO BID for 7 days | | | | | | |
During pregnancy, azithromycin 1 gm as a single dose to treat chlamydia
| | | | | | | | | | |
Alternative regimens: |
Gentamicin 240 mg IM as a single dose + azithromycin 2 gm PO as a single dose
| | | | | | | | | | | | | | | |
Cefixime 800 mg orally as a single dose + doxycycline 100 mg PO BID for 7 days (if
| | | | | | | | | | | | | | | | |
chlamydia CANNOT be excluded)
| | | |
When assessing a patient, what is done first? - CORRECT ANSWER✔✔-- Observe
| | | | | | | | | | |
- Inspect
|
- Listen
|
- Palpate, respectively
| |
Describe assessment findings for appendicitis - CORRECT ANSWER✔✔-Abdominal
| | | | | | |
pain, usually severe; localized to the right lower quadrant (RLQ)
| | | | | | | | | |
,Most common symptoms: anorexia, abdominal pain, nausea and vomiting
| | | | | | | | |
(typically present in this order)
| | | |
Constipation and diarrhea occur after the pain | | | | | |
Describe acute abdominal pain - CORRECT ANSWER✔✔-- severe, persistent pain
| | | | | | | | |
- sudden onset
| |
- nausea, vomiting
| |
- abdominal distention
| |
- fever, signs of shock
| | | |
What is obturator sign? - CORRECT ANSWER✔✔-- The 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
| | | |
How is sepsis handled in the primary care setting? - CORRECT ANSWER✔✔-refer
| | | | | | | | | | | |
patient to the ED | | |
Describe treatment for an abscess - CORRECT ANSWER✔✔-I&D
| | | | | | |
Describe assessment findings for cellulitis - CORRECT ANSWER✔✔-Erythema
| | | | | | |
Warmth
Edema
Pain
Fever
, Lymphadenopathy
Fissuring, scaling or maceration in toe webs may be source of colonization (treat
| | | | | | | | | | | | |
with antifungal agents such as econazole, naftifine)
| | | | | |
History of recurrent abscesses
| | |
How is a puncture wound from an animal bite treated? - CORRECT ANSWER✔✔--
| | | | | | | | | | | | |
typically not sutured closed | | |
- treat with Augmentin
| | |
Describe assessment findings for bacterial vaginosis - CORRECT 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 | |
Describe the diagnostic study for bacterial vaginosis - CORRECT 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
| | |
- Positive whiff test: amine (fishy) odor after application of 10% KOH on vaginal
| | | | | | | | | | | | | |
discharge sample |
- Presence of more than 20% epithelial cells (clue cells) on saline microscopy:
| | | | | | | | | | | | |
microscopic evaluation of vaginal discharge on glass slide with normal saline
| | | | | | | | | | |
shows few WBCs, and epithelial cells are obscured with coccobacilli.
| | | | | | | | |
Questions With Correct Answers
Describe the pharmacological treatment for gonorrhea - CORRECT ANSWER✔✔-
| | | | | | | |
Ceftriaxone 500 mg IM as a single dose, for persons weighing < 150 kg
| | | | | | | | | | | | |
For persons weighing > 150 kg, ceftriaxone 1gm IM as a single dose
| | | | | | | | | | | |
Describe the pharmacological treatment for chlamydia - CORRECT ANSWER✔✔-
| | | | | | | |
Doxycycline 100 mg PO BID for 7 days | | | | | | |
During pregnancy, azithromycin 1 gm as a single dose to treat chlamydia
| | | | | | | | | | |
Alternative regimens: |
Gentamicin 240 mg IM as a single dose + azithromycin 2 gm PO as a single dose
| | | | | | | | | | | | | | | |
Cefixime 800 mg orally as a single dose + doxycycline 100 mg PO BID for 7 days (if
| | | | | | | | | | | | | | | | |
chlamydia CANNOT be excluded)
| | | |
When assessing a patient, what is done first? - CORRECT ANSWER✔✔-- Observe
| | | | | | | | | | |
- Inspect
|
- Listen
|
- Palpate, respectively
| |
Describe assessment findings for appendicitis - CORRECT ANSWER✔✔-Abdominal
| | | | | | |
pain, usually severe; localized to the right lower quadrant (RLQ)
| | | | | | | | | |
,Most common symptoms: anorexia, abdominal pain, nausea and vomiting
| | | | | | | | |
(typically present in this order)
| | | |
Constipation and diarrhea occur after the pain | | | | | |
Describe acute abdominal pain - CORRECT ANSWER✔✔-- severe, persistent pain
| | | | | | | | |
- sudden onset
| |
- nausea, vomiting
| |
- abdominal distention
| |
- fever, signs of shock
| | | |
What is obturator sign? - CORRECT ANSWER✔✔-- The 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
| | | |
How is sepsis handled in the primary care setting? - CORRECT ANSWER✔✔-refer
| | | | | | | | | | | |
patient to the ED | | |
Describe treatment for an abscess - CORRECT ANSWER✔✔-I&D
| | | | | | |
Describe assessment findings for cellulitis - CORRECT ANSWER✔✔-Erythema
| | | | | | |
Warmth
Edema
Pain
Fever
, Lymphadenopathy
Fissuring, scaling or maceration in toe webs may be source of colonization (treat
| | | | | | | | | | | | |
with antifungal agents such as econazole, naftifine)
| | | | | |
History of recurrent abscesses
| | |
How is a puncture wound from an animal bite treated? - CORRECT ANSWER✔✔--
| | | | | | | | | | | | |
typically not sutured closed | | |
- treat with Augmentin
| | |
Describe assessment findings for bacterial vaginosis - CORRECT 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 | |
Describe the diagnostic study for bacterial vaginosis - CORRECT 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
| | |
- Positive whiff test: amine (fishy) odor after application of 10% KOH on vaginal
| | | | | | | | | | | | | |
discharge sample |
- Presence of more than 20% epithelial cells (clue cells) on saline microscopy:
| | | | | | | | | | | | |
microscopic evaluation of vaginal discharge on glass slide with normal saline
| | | | | | | | | | |
shows few WBCs, and epithelial cells are obscured with coccobacilli.
| | | | | | | | |
