Questions and Answers), Exams of Nursing
1. Treatment for Rocky Mountain Spotted Fever - ANSWER Doxycycline for any mi mi mi mi mi mi mi mi mi mi
age and regardless of pregnancy
mi mi mi mi
2. Presentation of Rocky Mountain Spotted Fever - ANSWER Rash on palms of mi mi mi mi mi mi mi mi mi mi mi
hands and soles of feet pops up after 3-5 days of initial treatment
mi mi mi mi mi mi mi mi mi mi mi mi
3. Presentation of Lyme Disease - ANSWER Bulls eye rash mi mi mi mi mi mi mi mi
4. Lyme disease is also known as... - ANSWER Erythema migrans
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5. Treatment for Lyme disease over 8 years old - ANSWER Doxycycline mi mi mi mi mi mi mi mi mi mi
6. Treatment for Lyme disease less than 8 years old - ANSWER Amoxicillin mi mi mi mi mi mi mi mi mi mi mi
7. Aphthous Stomatitis vs herpes - ANSWER Aphthous Stomatits: kanker sore
mi mi mi mi mi mi mi mi mi
inside the mouthmi mi
8. Herpes: painful clustered vesicles located outside the mouth
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9. Treatment for herpes - ANSWER Antivirals with 48-72 hours mi mi mi mi mi mi mi mi
10. Valtrex or Acyclovir mi mi
11. Impetigo - 2 causes of bacteria - ANSWER Staph aureus & strep pyogenies
mi mi mi mi mi mi mi mi mi mi mi mi
12. Impetigo presentation - ANSWER Honey crusted lesions
mi mi mi mi mi mi
13.2 types of Impetigo treatment - ANSWER Bullous: PO antibiotics
i
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14. Nonbollous: mupirocin ointment mi mi
15. Pityriasis Rosea presentation - ANSWER Christmas tree like pattern rash
mi mi mi mi mi mi mi mi mi
16. Herald Patch mi
17. pityoriasis rosea treatment - ANSWER Self limiting mi mi mi mi mi mi
,18. Rubeola presentation - ANSWER Cough, congestion, conjunctivitis (3 C's).
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19.3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
i
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20.Rubeola prevention - ANSWER MMR vaccine after 12 months old
i
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21.( live vaccine)
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22. Mumps presentation - ANSWERParotid gland swellingmi mi mi mi mi mi
23. Sialolithiasis: what is it! - ANSWER Salivary gland stone mi mi mi mi mi mi mi mi
24. Mass under chin when eating mi mi mi mi
25. actinic keratosis presentation - ANSWER Dry pink lesions on a sun exposed area
mi mi mi mi mi mi mi mi mi mi mi mi
26. actinic keratosis treatment - ANSWER 5FU cream (topical chemo) and use liquid
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nitrogen (cryotherapy) mi
27. If actinic keratosis is left untreated, what can it develop into? - ANSWER
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squamous cell carcinoma mi mi
28. sqamous cell carcinoma presentation - ANSWER Slow growing scaly ulcerated, mi mi mi mi mi mi mi mi mi
bleeds easily mi
29. if squamous cell CA is suspected and a visible lesion is present, the next step
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should be - ANSWER Refer to dermatology mi mi mi mi mi mi
30. ABCDEs of melanoma - ANSWER asymmetry, border, color, diameter >6 mm, mi mi mi mi mi mi mi mi mi mi
evolving
31. seborrheic keratosis: do lesions need to be removed - ANSWER No- they are mi mi mi mi mi mi mi mi mi mi mi mi
benign
32. most common type of skin cancer - ANSWER basal cell carcinoma
mi mi mi mi mi mi mi mi mi mi
33. basal cell carcinoma presentation - ANSWER Shiny, waxy, pearly
mi mi mi mi mi mi mi mi
34. May see telangiectasia with this
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,35. basal cell carcinoma : what should we do if we see this - ANSWER Refer to derm
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
36. Another name for atopic dermatitis - ANSWER Eczema
mi mi mi mi mi mi mi
37. eczema (atopic dermatitis) presentation - ANSWER Pruitic, itch scratch cycle.
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Located on flexor surfaces (like back of knees, axilla, elbows) .
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38. Eczema, atopic dermatitis - treatment - ANSWER Topical corticosteroids
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39. 3A's - ANSWER Asthma, allergies, atopic dermatitis
mi mi mi mi mi mi
40. Plaque Psoriasis presentation - ANSWER Silvery scales, itches
mi mi mi mi mi mi mi
41. auspitz sign, psoriasis - ANSWER pinpoint bleeding after a scale is removed or
mi mi mi mi mi mi mi mi mi mi mi mi
after
42. Koebner phenomenon - ANSWER new psoriatic plaques form over areas of skin
mi mi mi mi mi mi mi mi mi mi mi
trauma. Trauma to skin leads to having plaque in that spot
mi mi mi mi mi mi mi mi mi mi
43. Plaque psoriasis treatment - ANSWER Topical steroids
mi mi mi mi mi mi
44. Contact dermatitis treatment - ANSWER avoid offending agents, corticosteroids
mi mi mi mi mi mi mi mi
45. Shingles presentation - ANSWER Severe, piercing, burning, stabbing nerve pain
mi mi mi mi mi mi mi mi mi
along a dermatome mi mi
46. Vesicular rash in same area appears a few days after pain mi mi mi mi mi mi mi mi mi mi
47. Typically unilateral mi
48. Lesions last 3-5 days mi mi mi
49. Can spread to visceral organs or ocular region
mi mi mi mi mi mi mi
50. shingles (herpes zoster) treatment - ANSWER Antivirals with 48 hours of onset of
mi mi mi mi mi mi mi mi mi mi mi mi
symptoms
51. Acyclovir ( cheapest) or mi mi mi
52. Valcyclovir
, 53. Shingles prevention - ANSWER Shingrix (50 years and older). Most effective and
mi mi mi mi mi mi mi mi mi mi mi
preferred because it's inactivated. We can give out no matter when the last
mi mi mi mi mi mi mi mi mi mi mi mi
outbreak was. mi
54. Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak
mi mi mi mi mi mi mi mi mi mi mi mi
55. Which type of shingles must be referred out? - ANSWER Shingles close to the
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eyes. Refer to ophthalmology. It may lead to vision loss
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56. Scabies presentation - ANSWER - itching because it burrows into skin and lays
mi mi mi mi mi mi mi mi mi mi mi mi
eggs.
57. Contagious
- most intense time of itching is often at night. mi mi mi mi mi mi mi mi
- Wrists, elbows, fingers, and toes are among the common distribution sites mi mi mi mi mi mi mi mi mi mi
for scabies. mi
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion- mi mi mi mi mi mi mi mi mi mi mi
-the burrow; but infants often do not have burrows on presentation.
mi mi mi mi mi mi mi mi mi mi
58. Scabies treatment - ANSWER Permethrin 5% cream (Remember you have 5
mi mi mi mi mi mi mi mi mi mi
fingers)
59. Starve mites by sealing them in a bag for about 10 days.
mi mi mi mi mi mi mi mi mi mi mi
60. Wash everything in house with hot water. Usually have to repeat treatment
mi mi mi mi mi mi mi mi mi mi mi
61. chicken pox prevention - ANSWER Live attenuated vaccine
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62. Only to be given after 12 months old
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63. When can children return to school after chickenpox - ANSWERWhen all the
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lesions are crushed over mi mi mi