NR 602 Final Exam| ACCURATE AND
VERIFIED FOR GUARANTEED PASS |
GUARANTEED PASS| LATEST UPDATE|2024-
2025 WITH 150 QUESTIONS
A 9 year old patient presents with acute swelling and erythema to eyelid with flaky, scaly debris to eyelid
margins. Patient reports gritty, burning feeling to eyes. She has already attempted warm compresses and
washing eyelids with baby soap with minimal relief. What is the diagnosis and treatment?
- ANSWERS-Patient has anterior blepharitis
Treat with erythromycin ointment, ointment has longer contact with eye.
Can use azithromycin ointment x 4 weeks for long term treatment
Can use doxycycline or tetracycline for chronic in kids >8 years or Azithromycin oral for kids <8
What organism is likely to cause viral conjunctivitis?
- ANSWERS--Adenovirus
-HSV
-Herpes
What organism is likely to cause bacterial conjunctivitis?
- ANSWERS--Staph aureus
-strep pneumoniae
-H. Influenza
A 10-year-old patient presents with unilateral conjunctivitis with watery discharge x 2 days along with
itching of the eye. Mother denies any other associated symptoms. What is the diagnosis and treatment?
- ANSWERS-Viral Conjunctivitis
,Patient should apply cold compresses for comfort
*Bacterial conjunctivitis has purulent discharge.
What is herpes keratitis?
- ANSWERS-Herpes viral infection to the eye caused by HSV.
A 19-year-old male presents with blurred vision, watery discharge, photophobia, and eye redness. Upon
exam you note fern-like lines under the woods lamp. What is the diagnosis and tx?
- ANSWERS-Herpes Keratitis
Tx: Antivirals
A 16-year-old female presents with complaints of sudden onset of red, watery, and painful left eye. She
reports possible foreign body to eye. Upon inspection you visualize a n erythemic lesion to the eye.
When using woods lamp you note a small superficial laceration. What is the dx and tx?
- ANSWERS-Corneal abrasion, refer to optho emergently or send to ER.
A mother brings her nine-year-old overweight son to the clinic with complaints of pain to the groin,
knee, and right hip. She reports patient has been walking with a limp for the last couple days but unable
to ambulate today. Mother denies any recent trauma. Upon inspection there is external rotation of the
right foot. What is the dx and tx?
- ANSWERS-Slipped capital femoral epiphysis
Refer to ER, will need surgery.
-most common in adolescent, obese males.
Father presents with his four-year-old son and states that patient has been limping since this morning
and was crying all night complaining of left hip pain. Upon exam you appreciate decreased range of
, motion of left hip but no external rotation or signs of trauma. What is the probable diagnostics, and
treatment?
- ANSWERS-Toxic transient syndrome- most common cause of limp in peds.
Order: CBC, ESR, and X-ray. WBC and ESR will be elevated. X-RAY will be normal.
-advise father that will resolve in 2-6 weeks.
- patient needs bed rest, NWB to left leg, and NSAIDS.
- return if develops fever, swelling, pain that is unrelieved by rest or medication
What degree is scoliosis is considered functional?
- ANSWERS-5-10 degrees, continue to monitor.
What degree of scoliosis is considered mild?
- ANSWERS-<20 degrees, monitor every 3-4 months
A 13-year-old female presents to the office after having an x-ray order by you for her scoliosis. The
reading on the x-ray reports a 30° curvature. What is the treatment plan
? - ANSWERS-Milwaukee brace for 23 hours per day
Back exercises
At what point does scoliosis become a surgical case?
- ANSWERS-Curves greater than 45°
A 16-year-old female presents to the office with complaint of right knee pain with intermittent swelling.
Upon questioning patient endorses pain is worse when walking up or down stairs, kneeling, squatting, or
sitting cross legged. Patient denies any trauma but reports being active in cheer. What is the dx and tx? -
ANSWERS-Chondromalacia petella "runners knee"
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