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NR 511 Week 3 Quiz - Correct Answers

Chamberlain University Nursing NR 511 Differential Diagnosis and Primary Care Practicum Pete Flaherty 3 pages
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D. Streptococcus. This is a common cause of hot tub folliculi琀椀s. Staph and Strep can cause folliculi琀椀s but it is not the most common pathogens in hot tubs. Klebsiella can cause folliculi琀椀s in the immunocompromised pa琀椀ent. 6. A 10-year-old male presents to the o昀케ce with his mother with complaints of itchy and red eyes for 1 day. He reports watery drainage in both eyes, associated with repe琀椀琀椀ve itching. He has no fever or cons琀椀tu琀椀onal symptoms. The pa琀椀ent has a sibling that just started day care recently. Upon examina琀椀on, vision is 20/20 OU with glasses. He has mild to moderate conjunc琀椀val hyperemia with bilateral preauricular lymph nodes that are in昀氀amed. What is the pa琀椀ent’s diagnosis? A. Viral conjunctivitis. B. Blepharitis. C. Allergic conjunctivitis. D.Bacterial conjunctivitis. This is the classic presenta琀椀on of viral conjunc琀椀vi琀椀s. The pa琀椀ent also has exposure to kids at school and a sibling with day care exposure. This is the classic presenta琀椀on of viral conjunc琀椀vi琀椀s. The pa琀椀ent also has exposure to kids at school and a sibling with day care exposure. 7. A rash that looks like the pa琀椀ent was slapped on the cheeks of the face is the hallmark characteris琀椀c for which disease? A. Rubeola. B. Rubella. C. Rocky Mountain spo琀琀ed fever. D. Erythema infec琀椀osum (昀椀昀琀h disease). Erythema infec琀椀osum (昀椀昀琀h disease) usually starts on the cheeks and spreads to the arms and trunk. 8. A 25-year-old male presents to your urgent care clinic complaining of genital pruritus. On physical exam, the pa琀椀ent has small, erythematous, excoriated papules in his pubic hair. No mites are iden琀椀昀椀ed. There is no penile discharge, and the pa琀椀ent has no cons琀椀tu琀椀onal symptoms. He is sexually ac琀椀ve but wears condoms during all sexual experiences. What is the most likely diagnosis? A. Pediculosis. B. Scabies. C. Gonorrhea. D. Chlamydia. This is a common presenta琀椀on of genital lice. 9. Henry, 64 years old, is having di昀케culty ge琀��ng rid of a corneal infec琀椀on. He asks why. How do you respond? A. “Systemic an琀椀bio琀椀cs have di昀케culty ge琀��ng to that area of the eye.” B. “Because the infec琀椀on was painless, it was not treated early enough.” C. “Because the cornea doesn’t have a blood supply, an infec琀椀on can’t be fought off as usual.” D. “We can’t determine the causa琀椀ve agent.” Because the cornea is an avascular organ, immune defenses have di昀케culty 昀椀gh琀椀ng o昀昀 infec琀椀ons. 10. A 4-year-old male presents to your pediatric clinic with his mother complaining of an itchy rash, mostly between his 昀椀ngers. This has been going on for mul琀椀ple days and has been ge琀��ng worse. The pa琀椀ent recently started at a new day care. On physical exam, the pa琀椀ent is afebrile and has mul琀椀ple small (1- 2 mm) red papules in sets of 3 located in the web spaces between his 昀椀ngers. He also has signs of excoria琀椀on. What is the treatment for this problem? A. Permethrin lo琀椀on for the pa琀椀ent and also his family members. B. Cold compresses and hydrocor琀椀sone cream 1% twice a day.

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