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MSN 620 Stat pearls quiz study guide with complete solutions

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  • MSN 620

MSN 620 Stat pearls quiz study guide with complete solutions A 17-year-old boy presents with a sore throat that started yesterday afternoon. He denies any congestion or cough but reports a temperature of 102° F (38.8° C) and generalized fatigue. He has pain with swallowing but can speak norma...

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  • September 25, 2024
  • 50
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MSN 620
  • MSN 620
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EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS
RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

MSN 620 Stat pearls quiz study guide
with complete solutions


A 17-year-old boy presents with a sore throat that started yesterday afternoon. He

denies any congestion or cough but reports a temperature of 102° F (38.8° C) and

generalized fatigue. He has pain with swallowing but can speak normally and manage

his saliva. On physical examination, the clinician sees yellow-white plaques on his

tonsils and anterior cervical lymphadenopathy that is tender to palpation. What is the

most appropriate next step in care? - Correct Answer✔️✔️-Point-of-care streptococcal

antigen testing

A 17-year-old boy presents to the hospital with a severe sore throat and fatigue that has

been ongoing for 3 days. He has a high-grade fever for which he has been taking

ibuprofen at home. The pain in his throat has been making it difficult for him to swallow,

though he can take cold drinks with care, which helps with the pain. He does not feel

throat congestion and does not have a cough. On physical examination, the clinician

notes exudates and tender cervical lymphadenopathy. The clinician treats him

empirically for strep throat with amoxicillin 500 mg twice daily for 10 days. The patient

returns two 2 days later, reporting a full-body, blotchy, bumpy rash and no change in his

symptoms. He stopped taking the antibiotics after the rash began. What is the most


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,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS
RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
appropriate next step in care? - Correct Answer✔️✔️-Send a throat swab for culture and

order a complete blood count and heterophile antibodies

An 8-year-old girl presents with a 4-day history of fever and sore throat. A review of

systems is negative for cough. Her past medical and family history is insignificant. She

is allergic to penicillin. Vital signs are temperature 101 °F (38.3 °C), heart rate 88 bpm,

and blood pressure 110/70 mm Hg. On physical examination, some exudates are seen

on the posterior pharyngeal wall, and tender anterior cervical nodes are palpated.

Findings on heart and lung examination are normal. Which of the following is the

recommended treatment - Correct Answer✔️✔️-Clindamycin

A 17-year-old boy presents with a sore throat. Associated symptoms include fever and

chills, difficulty in swallowing, referred ear pain, headache, and muscle aches. The vital

signs are temperature 39 °C (102.2 °F), heart rate 105 bpm, and respiratory rate 22

breaths/min. The physical examination reveals a dry tongue, erythematous enlarged

tonsils, pharyngeal exudate, and tender cervical lymphadenopathy. Which of the

following is the diagnostic test of choice? - Correct Answer✔️✔️-Rapid antigen detection

test (RADT)

A 17-year-old girl presents with a thick discharge from her eyes that started 5 days ago.

Associated symptoms include redness and a feeling of dirt in her eyes. Her eyes are

usually matted in the morning. Her medical history is significant for multiple similar

episodes. She has been using contact lenses for the past 2 years. Her vital signs are


2/50

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS
RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
blood pressure 120/80 mm Hg, heart rate 88 bpm, respiratory rate 14 breaths/min, and

temperature 37 °C (98.6 °F). An ocular examination reveals hyperemia and elevated

yellow-white lesions at the lower cul-de-sac. What is the most appropriate next step in

management? - Correct Answer✔️✔️-Topical ciprofloxacin

A 6-year-old girl is brought in with a 5-day history of sore throat and fever. Other

children at school have had similar symptoms. She has not had any cough during this

time. Her medical and family history is insignificant. Her vitals are currently within

normal limits. On physical examination, her anterior cervical nodes are palpable and

tender. There are no exudates seen on the posterior pharyngeal wall. What is the next

best step in the management of this patient? - Correct Answer✔️✔️-Rapid antigen testing

A 46-year-old man presents with symptoms consistent with allergic rhinitis. He has a

history of depression and is treated with a selective serotonin reuptake inhibitor. He

works as a school bus driver. Which of the following should be used to treat his

symptoms? - Correct Answer✔️✔️-Fexofenadine

A 5-year-old boy is brought for evaluation of a sore throat for the past 5 days. His

parents report no cough during this period. His medical and family history is

insignificant. Vitals show blood pressure 120/80 mm Hg, temperature of 100.4 °F (38

°C), and heart rate 78 bpm. On physical examination, anterior cervical nodes are

palpable and tender. Exudates are seen on the posterior pharyngeal wall. A rapid




3/50

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS
RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
antigen test was performed, which came back negative. Which of the following is the

next best step in management? - Correct Answer✔️✔️-Perform a throat culture

A 16-year-old male presents with a 2 day history of sore throat, fever, and cough. He

has been experiencing difficulty swallowing food for the last two days. He has otherwise

been in good health and is up to date with his immunizations. On examinations, he has

a temperature of 100.6 F, pulse rate of 100 bpm, blood pressure of 110/80 mmHg. Oral

exam reveals bilateral tonsillar exudates and diffuse pharyngeal erythema. Which of the

following would be the next best step in the management of this patient? - Correct

Answer✔️✔️-Order a rapid strep test

A 27-year-old man presents with fever, sore throat, and a generalized maculopapular

erythematous rash. He reports having sexual relations with other men. His rapid antigen

test for Group A beta hemolytic streptococcus is negative. What is the next best step in

the management of this patient? - Correct Answer✔️✔️-Obtain testing for human

immunodeficiency virus (HIV), syphilis, chlamydia, and gonorrhea

A 2-year-old boy presents with a fever of 102 °F (38.9 °C). His physical examination

reveals bilateral otitis media with effusion with noted erythema on the right side. His

parents state that this is his sixth diagnosis of otitis media in the past 12 months. His

parents also note that he only has 2 words that are intelligible to them. Following the

treatment of this p - Correct Answer✔️✔️-Tympanostomy tube placement




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