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Exam (elaborations)

#511 WEEK 3 QUIZ

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A 22-year-old college student presents to your urgent care clinic complaining of a rash. She was recently on spring break and spent every night in the hot tub at her hotel. On physical exam, she has multiple small areas of 1- to 2-mm erythematous pustules that are present mostly where her bathing ...

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  • January 16, 2022
  • 11
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nr 511 week 3 quiz – 2021
  • a 22 year old college student presents to your urgent care clinic complaining of a rash she was recently on spring break and spent every night in the hot tub at her hotel o

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  • NR 511
  • NR 511

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NR 511 WEEK 3 QUIZ – 2021
Attempt Time Score

LATEST Attempt 1 10 minutes 15 out of 15
Score for this quiz: 15 out
of 15 Submitted May 23 at
9:37am This attempt took
10 minutes.

Question 1
pts
A 22-year-old college student presents to your urgent care clinic complaining
of a rash.
She was recently on spring break and spent every night in the hot tub at her
hotel. On physical exam, she has multiple small areas of 1- to 2-mm
erythematous pustules that are present mostly where her bathing suit
covered her buttocks. What is the most likely pathogen causing these
lesions?


Streptococcus.



Staphylococcus aureus.



Klebsiella.




Pseudomonas aeruginosa.

This is a common cause of hot tub folliculitis. Staph and Strep can cause
folliculitis but it is not the most common pathogens in hot tubs. Klebsiella
can cause folliculitis in the immunocompromised patient.


Question 2
pts
A 10-year-old male presents to the office with his mother with complaints of
itchy and
red eyes for 1 day. He reports watery drainage in both eyes, associated with
repetitive itching. He has no fever or constitutional symptoms. The patient
has a sibling that just

, started day care recently. Upon examination, vision is 20/20 OU with glasses.
He has mild to moderate conjunctival hyperemia with bilateral preauricular
lymph nodes that are inflamed. What is the patient’s diagnosis?


Bacterial conjunctivitis.



Allergic conjunctivitis.



Blepharitis.




Viral conjunctivitis.

This is the classic presentation of viral conjunctivitis. The patient also has
exposure to kids at school and a sibling with day care exposure.


Question 3
pts
A 25-year-old male presents with “bleeding in my eye” for 1 day. He awoke
this morning with a dark area of redness in his eye. He has no visual loss or
changes. He denies constitutional symptoms, pruritus, drainage, or recent
trauma. The redness presents on physical exam as a dark red area in the
patient’s sclera of the right eye only and takes up less than 50% of the eye.
The patient’s remaining sclera is clear and white. He also notes he was
drinking alcohol last night and vomited afterward. What is the best
treatment?



Reassurance that this lesion will resolve without any treatment in 2 to 4
weeks.



Cold compresses and frequent handwashing.



Sending the patient to the emergency department for immediate
ophthalmology consult.

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