NU 674 FINAL Study Guide Questions
With Correct Answers
primary btreatment bfor bskin band bsoft btissue babscesses bwith bor bwithout badjunct babx
btx b- bcorrect banswer✔✔I&D
most bcommon bplace bfor bcutaneous babscess bto bform b- bcorrect banswer✔✔buttocks,
baxillary, bextremities
localized bcollections bof bpus bthat boccur bwithin bthe bdermis band bsubcutaneous
bspace; berythema, binduration, bTTP, band bfluctuant bare bmain bcharacteristics b-
bcorrect banswer✔✔cutaneous babscess
when bis bwound bpacking bNOT brecommended bfor babscesses b- bcorrect
banswer✔✔less bthan b5cm bin bdiameter
where bis bthe bincision bmade bwhen bperforming ban bI&D bon ban babscess b- bcorrect
banswer✔✔directly bover bthe bcenter bof bthe babscess
most bcommon bcauses bof bskin band bsoft btissues binfections b- bcorrect
banswer✔✔Staph baureus bor bMRSA
how boften bcan byou bgive bNarcan b- bcorrect banswer✔✔every b2-3min
how bshould bpatient bbe bpositioned bto breceive bnasal bNarcan b- bcorrect
banswer✔✔supine, bon btheir bback
local banesthetic bwhich brapid bonset bof baction, bbut bshorter bduration bfor bmost bskin
bprocedures b- bcorrect banswer✔✔Lidocaine b(Amides-Xylocaine)
local banesthetic bthat bhas ba bslower bonset bbut ba blong bduration b- bcorrect
banswer✔✔Bupivacaine b(Marcaine)
steps bto breduce bpain bwith blocal banesthetic binjection: b- bcorrect banswer✔✔stretch
bskin btaut, bpressure bon bskin bsurface baround bthe bsite, b30G bneeded, benter bat
,b90degrees, baspirate bplunger b(avoid bIV bplacement), bsuperficial bplacement bfirst,
ballow bto b"set"
when band bwhere bto bavoid buse bof bEpi b- bcorrect banswer✔✔hx bof btachyarrhythmia
bor bvasospastic bdisease b(Raynauds); bdistal bto bwrist, bankle, band bmale bgenitalia
ratio bwhen bmixing bLido band bEpi b- bcorrect banswer✔✔10:1
shave bbiopsy bis bused bfor... b- bcorrect banswer✔✔exophytic blesions
punch bbiopsy bis bused bfor.. b- bcorrect banswer✔✔rashes band bendophytic blesions
when bare bpre-procedure babx bindicated bfor bskin bbiopsies b- bcorrect
banswer✔✔prosthetic bheart bvalve, bjoint breplacement bin bpast b2 byrs, bhx bof
bendocarditis, bsymptomatic bvalvular bheart bdisease
pre bprocedure bantibiotic bchoice bfor bskin bbiopsy b- bcorrect banswer✔✔amoxicillin b2g
bpo b1 bhr bprior; bOR bclindamycin
cryotherapy bis bused bfor.. b- bcorrect banswer✔✔viral bwarts band bactinic bkeratosis
b(precancerous)
contraindications bto bcyrotherapy b- bcorrect banswer✔✔raynauds, bpyoderma
bgangrenosum, bcold burticaria, bcryoglobulienemia, bcold bintolerance, bconnective
btissue bdisease
skin bcondition bcharacterized bby bhives bor bwheals bthat bresults bfrom bsome btrigger b-
bcorrect banswer✔✔urticaria
acute burticaria blasts.. b- bcorrect banswer✔✔less bthan b6 bweeks
most bcommon bcause bof bacute burticaria b- bcorrect banswer✔✔viral
most bcommon bcause bof bchronic burticaria b- bcorrect banswer✔✔idiopathic
what bmedication bshould bsomeone bwith bchronic burticaria bavoid b- bcorrect
banswer✔✔Aspirin
treatment bfor bpapular burticaria b- bcorrect banswer✔✔topical bsteroid b- blow bdose
first bline btreatment bfor burticaria b- bcorrect banswer✔✔non bsedating bantihistamines
b(allegra, bclaritin, bzyrtec)
risk bfactor bfor banaphylaxis b- bcorrect banswer✔✔asthma
, "Darrier's bsign" bis ba bsymptom bof bwhat bskin bcondition b- bcorrect
banswer✔✔dermatographism
LDL bnormal brange b- bcorrect banswer✔✔<100
HDL bnormal brange b- bcorrect banswer✔✔>60
type bof bdiet bto bprevent bHLD b- bcorrect banswer✔✔mediterranean band bDASH
therapy bindicated bif bASCVD bpreventative bmeasures bfail b- bcorrect banswer✔✔statins
statins bmay bbe bstarted bas bprimary bprevention bin bthose bwith: b- bcorrect
banswer✔✔diagnosed bASCVD, bLDL b>190, bdiagnosed bwith bDM baged b40-75 band
bLDL bbetween b70-189, bages b40-75 bwith bLDL bbetween b70-189 band b>7.5% b10yr
bASCVD brisk
MOA bof bstatins b- bcorrect banswer✔✔inhibits bthe benzyme bneeded bfor bcholesterol
bsynthesis; bdecreases bLDLs
what bshould bbe bperformed bbefore bprescribing ba bstatin b- bcorrect
banswer✔✔baseline bfasting blipid bprofile, bLFTs band bpregnancy btest
side beffects byou bshould bmonitor bfor bwhile bsomeone bis btaking ba bstatin b- band bwhat
blab bto border bif bpresenting bwith bsymptoms b- bcorrect banswer✔✔myopathies band
brhabdomyolysis; bCK
LDL btarget bgoal bfor bthose bon bstatin btherapy b- bcorrect banswer✔✔<70 bfor
bsecondary bprevention; b<100 bfor bprimary bprevention
when bto breassess blipid bprofile bafter bstarting ba bstain b- bcorrect banswer✔✔4-12
bweeks
common bside beffects bof bstatins b- bcorrect banswer✔✔memory bloss, bincrease bA1C
blevels, bmyopathies
emergent bcauses bof bchest bpain b- bcorrect banswer✔✔ACS, bPE, baortic bdissection
non bemergency bcauses bof bchest bpain b- bcorrect banswer✔✔etiology bof
bmusculoskeletal, bGI, bpulmonary
EKG binterpretation bof bACS b- bcorrect banswer✔✔ST bdepression b(NSTEMI), bT bwave
binversion(NSTEMI), bor bST belevation(STEMI)
treatment bfor bSTEMI b- bcorrect banswer✔✔emergent bPCI bwithin b90min bof bED
barrival, baspirin, bnitro, bO2
With Correct Answers
primary btreatment bfor bskin band bsoft btissue babscesses bwith bor bwithout badjunct babx
btx b- bcorrect banswer✔✔I&D
most bcommon bplace bfor bcutaneous babscess bto bform b- bcorrect banswer✔✔buttocks,
baxillary, bextremities
localized bcollections bof bpus bthat boccur bwithin bthe bdermis band bsubcutaneous
bspace; berythema, binduration, bTTP, band bfluctuant bare bmain bcharacteristics b-
bcorrect banswer✔✔cutaneous babscess
when bis bwound bpacking bNOT brecommended bfor babscesses b- bcorrect
banswer✔✔less bthan b5cm bin bdiameter
where bis bthe bincision bmade bwhen bperforming ban bI&D bon ban babscess b- bcorrect
banswer✔✔directly bover bthe bcenter bof bthe babscess
most bcommon bcauses bof bskin band bsoft btissues binfections b- bcorrect
banswer✔✔Staph baureus bor bMRSA
how boften bcan byou bgive bNarcan b- bcorrect banswer✔✔every b2-3min
how bshould bpatient bbe bpositioned bto breceive bnasal bNarcan b- bcorrect
banswer✔✔supine, bon btheir bback
local banesthetic bwhich brapid bonset bof baction, bbut bshorter bduration bfor bmost bskin
bprocedures b- bcorrect banswer✔✔Lidocaine b(Amides-Xylocaine)
local banesthetic bthat bhas ba bslower bonset bbut ba blong bduration b- bcorrect
banswer✔✔Bupivacaine b(Marcaine)
steps bto breduce bpain bwith blocal banesthetic binjection: b- bcorrect banswer✔✔stretch
bskin btaut, bpressure bon bskin bsurface baround bthe bsite, b30G bneeded, benter bat
,b90degrees, baspirate bplunger b(avoid bIV bplacement), bsuperficial bplacement bfirst,
ballow bto b"set"
when band bwhere bto bavoid buse bof bEpi b- bcorrect banswer✔✔hx bof btachyarrhythmia
bor bvasospastic bdisease b(Raynauds); bdistal bto bwrist, bankle, band bmale bgenitalia
ratio bwhen bmixing bLido band bEpi b- bcorrect banswer✔✔10:1
shave bbiopsy bis bused bfor... b- bcorrect banswer✔✔exophytic blesions
punch bbiopsy bis bused bfor.. b- bcorrect banswer✔✔rashes band bendophytic blesions
when bare bpre-procedure babx bindicated bfor bskin bbiopsies b- bcorrect
banswer✔✔prosthetic bheart bvalve, bjoint breplacement bin bpast b2 byrs, bhx bof
bendocarditis, bsymptomatic bvalvular bheart bdisease
pre bprocedure bantibiotic bchoice bfor bskin bbiopsy b- bcorrect banswer✔✔amoxicillin b2g
bpo b1 bhr bprior; bOR bclindamycin
cryotherapy bis bused bfor.. b- bcorrect banswer✔✔viral bwarts band bactinic bkeratosis
b(precancerous)
contraindications bto bcyrotherapy b- bcorrect banswer✔✔raynauds, bpyoderma
bgangrenosum, bcold burticaria, bcryoglobulienemia, bcold bintolerance, bconnective
btissue bdisease
skin bcondition bcharacterized bby bhives bor bwheals bthat bresults bfrom bsome btrigger b-
bcorrect banswer✔✔urticaria
acute burticaria blasts.. b- bcorrect banswer✔✔less bthan b6 bweeks
most bcommon bcause bof bacute burticaria b- bcorrect banswer✔✔viral
most bcommon bcause bof bchronic burticaria b- bcorrect banswer✔✔idiopathic
what bmedication bshould bsomeone bwith bchronic burticaria bavoid b- bcorrect
banswer✔✔Aspirin
treatment bfor bpapular burticaria b- bcorrect banswer✔✔topical bsteroid b- blow bdose
first bline btreatment bfor burticaria b- bcorrect banswer✔✔non bsedating bantihistamines
b(allegra, bclaritin, bzyrtec)
risk bfactor bfor banaphylaxis b- bcorrect banswer✔✔asthma
, "Darrier's bsign" bis ba bsymptom bof bwhat bskin bcondition b- bcorrect
banswer✔✔dermatographism
LDL bnormal brange b- bcorrect banswer✔✔<100
HDL bnormal brange b- bcorrect banswer✔✔>60
type bof bdiet bto bprevent bHLD b- bcorrect banswer✔✔mediterranean band bDASH
therapy bindicated bif bASCVD bpreventative bmeasures bfail b- bcorrect banswer✔✔statins
statins bmay bbe bstarted bas bprimary bprevention bin bthose bwith: b- bcorrect
banswer✔✔diagnosed bASCVD, bLDL b>190, bdiagnosed bwith bDM baged b40-75 band
bLDL bbetween b70-189, bages b40-75 bwith bLDL bbetween b70-189 band b>7.5% b10yr
bASCVD brisk
MOA bof bstatins b- bcorrect banswer✔✔inhibits bthe benzyme bneeded bfor bcholesterol
bsynthesis; bdecreases bLDLs
what bshould bbe bperformed bbefore bprescribing ba bstatin b- bcorrect
banswer✔✔baseline bfasting blipid bprofile, bLFTs band bpregnancy btest
side beffects byou bshould bmonitor bfor bwhile bsomeone bis btaking ba bstatin b- band bwhat
blab bto border bif bpresenting bwith bsymptoms b- bcorrect banswer✔✔myopathies band
brhabdomyolysis; bCK
LDL btarget bgoal bfor bthose bon bstatin btherapy b- bcorrect banswer✔✔<70 bfor
bsecondary bprevention; b<100 bfor bprimary bprevention
when bto breassess blipid bprofile bafter bstarting ba bstain b- bcorrect banswer✔✔4-12
bweeks
common bside beffects bof bstatins b- bcorrect banswer✔✔memory bloss, bincrease bA1C
blevels, bmyopathies
emergent bcauses bof bchest bpain b- bcorrect banswer✔✔ACS, bPE, baortic bdissection
non bemergency bcauses bof bchest bpain b- bcorrect banswer✔✔etiology bof
bmusculoskeletal, bGI, bpulmonary
EKG binterpretation bof bACS b- bcorrect banswer✔✔ST bdepression b(NSTEMI), bT bwave
binversion(NSTEMI), bor bST belevation(STEMI)
treatment bfor bSTEMI b- bcorrect banswer✔✔emergent bPCI bwithin b90min bof bED
barrival, baspirin, bnitro, bO2
