NURS5463 Exam3 (Latest Update )
Adult Gerontology Acute Care | Questions &
Answers | Grade A | 100% Correct
1. What is the treatment for primary and secondary syphilis? ANS Penicillin
G x1 or doxycycline 100 mg PO BID for 14 days.
2. What is used to diagnose osteomyelitis? ANS MRI, treatment for 4-8
weeks, monitor CRP and sedimentation rate.
3. What is the treatment for chlamydia? ANS Azithromycin 1 g PO x1 or
doxycycline 100 mg PO BID for 7 days.
4. What is the most common cause of septic joint and osteomyelitis? ANS
Staphylococcus aureus.
5. What is used to diagnose intra-abdominal abscesses? ANS Abdominal CT.
6. What are the characteristics of bacterial meningitis? ANS Altered level of
consciousness, stiff neck, Kernig and Brudzinski signs.
7. What is the treatment for gonorrhea? ANS Ceftriaxone IM x1 and
azithromycin PO x1.
8. What characterizes disseminated MAC? ANS Systemic bacterial infection
with hepatosplenomegaly and lymphadenopathy.
9. What is used to treat septic joint? ANS Broad-spectrum antibiotics after
arthrocentesis, then tailor antibiotics; ceftriaxone IV every 24 hours for
gonococcal infection.
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, 10. What is used for prevention in disseminated MAC when CD4 <50? ANS
Clarithromycin or azithromycin.
11. What characterizes viral infection with droplets and maculopapular rash?
ANS Measles, prevented by MMR vaccine.
12. What is the treatment for fungal pneumonia when CD4 <200 with gradual
onset? ANS Pneumocystis jiroveci pneumonia (PCP).
13. What is used to diagnose chlamydia and gonorrhea? ANS NAAT swab.
14. What is the treatment for prostatitis? ANS 3-4 weeks of Bactrim or
fluoroquinolone.
15. What is used to diagnose pyelonephritis? ANS Urinalysis, urine culture,
blood cultures; treat with ceftriaxone for 14 days.
16. What is used to diagnose abdominal pain from abdominal infection? ANS
Abdominal X-ray and chest X-ray (free air), abdominal CT if needed.
17. What characterizes parotitis, droplets, fever, and myalgia? ANS Mumps,
prevented by MMR vaccine.
18. What is the treatment for Pneumocystis jiroveci pneumonia (PCP)? ANS
Bactrim PO for 21 days for treatment; PO daily for prevention when CD4
<200 or Toxoplasma encephalitis when CD4 <100.
19. What is used to diagnose UTI in delirium in the elderly? ANS Positive
local urinary symptoms and positive urine culture; treat when combined with
fever and delirium.
20. What is used for right upper quadrant and pelvic pain diagnosis? ANS
Ultrasound.
21. What herpes virus most commonly affects retinitis? ANS
Cytomegalovirus (CMV).
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Adult Gerontology Acute Care | Questions &
Answers | Grade A | 100% Correct
1. What is the treatment for primary and secondary syphilis? ANS Penicillin
G x1 or doxycycline 100 mg PO BID for 14 days.
2. What is used to diagnose osteomyelitis? ANS MRI, treatment for 4-8
weeks, monitor CRP and sedimentation rate.
3. What is the treatment for chlamydia? ANS Azithromycin 1 g PO x1 or
doxycycline 100 mg PO BID for 7 days.
4. What is the most common cause of septic joint and osteomyelitis? ANS
Staphylococcus aureus.
5. What is used to diagnose intra-abdominal abscesses? ANS Abdominal CT.
6. What are the characteristics of bacterial meningitis? ANS Altered level of
consciousness, stiff neck, Kernig and Brudzinski signs.
7. What is the treatment for gonorrhea? ANS Ceftriaxone IM x1 and
azithromycin PO x1.
8. What characterizes disseminated MAC? ANS Systemic bacterial infection
with hepatosplenomegaly and lymphadenopathy.
9. What is used to treat septic joint? ANS Broad-spectrum antibiotics after
arthrocentesis, then tailor antibiotics; ceftriaxone IV every 24 hours for
gonococcal infection.
1
, 10. What is used for prevention in disseminated MAC when CD4 <50? ANS
Clarithromycin or azithromycin.
11. What characterizes viral infection with droplets and maculopapular rash?
ANS Measles, prevented by MMR vaccine.
12. What is the treatment for fungal pneumonia when CD4 <200 with gradual
onset? ANS Pneumocystis jiroveci pneumonia (PCP).
13. What is used to diagnose chlamydia and gonorrhea? ANS NAAT swab.
14. What is the treatment for prostatitis? ANS 3-4 weeks of Bactrim or
fluoroquinolone.
15. What is used to diagnose pyelonephritis? ANS Urinalysis, urine culture,
blood cultures; treat with ceftriaxone for 14 days.
16. What is used to diagnose abdominal pain from abdominal infection? ANS
Abdominal X-ray and chest X-ray (free air), abdominal CT if needed.
17. What characterizes parotitis, droplets, fever, and myalgia? ANS Mumps,
prevented by MMR vaccine.
18. What is the treatment for Pneumocystis jiroveci pneumonia (PCP)? ANS
Bactrim PO for 21 days for treatment; PO daily for prevention when CD4
<200 or Toxoplasma encephalitis when CD4 <100.
19. What is used to diagnose UTI in delirium in the elderly? ANS Positive
local urinary symptoms and positive urine culture; treat when combined with
fever and delirium.
20. What is used for right upper quadrant and pelvic pain diagnosis? ANS
Ultrasound.
21. What herpes virus most commonly affects retinitis? ANS
Cytomegalovirus (CMV).
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