ExamI1:INURSI623/INURS623I(New
Update)IAdult/IGerontologyIHealthI
CareIIIIGuideIwithIQsI&IAs|I100%I
Correct|IGradeIAI(VerifiedIAnswers)-
IMaryville
QUESTION
herpesIsimplex
Answer:
OralIorIgenital,IcanIbeIasymptomatic.ITenderness,Ipain,ImildIparesthesia's,IorIburningIbeforeIo
nset.IProdromeIcanIincludeIheadache,Ifever,ImuscleIache,Ilymphadenopathy,IlocalIpain.IGroup
edIvesiclesIonIerythematousIbase.
NoIcure.
Oral:IlipIointmentIBlistex.IOTCIAbreva.IDenavirIforIextensiveIlesions.
Genital:IValacyclovirIandIfamciclovirIbetterIchoices
QUESTION
acneIvulgaris
Answer:
LocatedIonIface,Ichest,Iback,IandIupperIouterIarms.
·IMildI=ItotalIlesionsI<30,Inoninflammatory.IComedonesIwithIsmallIpapules.
·IModerateI=ItotalIlesionsI30-125,Iinflammation.IPapulesI&IpustulesIwithIyellow/greenItops.
·ISevereI=IlesionsI>I125,InodulocysticIacne.
Treatments:
Tretinoin,ItopicalIvs.IsystemicIantibiotics,IIsotretinoin
,QUESTION
Rosacea
Answer:
Chronic,IcentralIface,IpersistentIerythemaItelangiectasia,IerythematousIpapules.
TreatmentI:
AvoidItriggers,ItopicalIflagylI(mayItakeI6-
8Iwks),IPOItetracycline,Iminocycline,IorIdoxycycline
QUESTION
AtopicIDermatitisI(eczema)
Answer:
oIAIchronicIinflammatoryIskinIdisorderIwithIaIcomplexIpathogenesisIinvolvingIgeneticIsuscep
tibility,IimmunologicIandIepidermalIbarrierIdysfunction,IandIenvironmentalIfactors.
oIPruritusIisItheIprimaryIsymptom;IskinIlesionsIrangeIfromImildIerythemaItoIsevereIlichenific
ation.
oIPresentsIasIredIpatchesIwithIwhiteIscalesIonItop
oIChronicIandIrecurring.
QUESTION
AtopicIdermatitisItreatment
Answer:
oIMoisturizers
oIAvoidanceIofIallergicIandIirritantItriggers-IavoidIfrequentIbathingIwithIhotIwater
•Burrow'sIsolution,IsilverInitrateIsolutionsI(toIdryIoutIlesions)
•TopicalIsteroidsIforIinflammation
•Petrolatum/emollientsItoImaintainIhydration
QUESTION
,ContactIDermatitis
Answer:
oIaIrashIthatIoccursIatItheIsiteIofIexposureItoIaIsubstanceIcapableIofIproducingIanIallergicIorIi
rritantIskinIresponse.
Cause:
oINoxious,IirritatingIsubstancesIorIsubstancesItoIwhichItheIpatientIhasIdevelopedIaIskinIallerg
y.
oIDirectIexposureItoIsubstanceIthatItriggersIanIimmuneIresponseI(T-cellImediatedIresponse)
oIMayIbeIallergicIorIirritantIinduced
Ex:IpoisonIivy
QUESTION
ContactIdermatitisItreatment
Answer:
oITreatedItopicallyIwithIevaporativeImeasures.
·ItheIapplicationIofIrepeatedIcyclesIofIcoolIwaterIcompressesIfollowedIbyIdrying.
oIOnceItheIweepingIandIoozingIhaveIstopped,IapplicationIof:
·-potentItopicalIsteroidsItwoItimesIaIdayItoItheIaffectedIareasIforItwoItoIthreeIweeks.
oIItImayIbeInecessaryItoItreatIwithIoralIsteroidsIforItwoItoIthreeIweeks-
IifImoreIthanI10%IofItheIbody
ItIwillIusuallyItakeIoneItoIthreeIweeksIforItheIallergenItoIbeIentirelyIremovedIfromItheIskinIs
oIthatItheIrashIresolvesIentirely.
QUESTION
SeborrheicIDermatitis
Answer:
oICommonIinIParkinson'sIpatientsIandIpatientsIwithIHIV.ISevereIcasesIshouldIpromptIyouItoIl
ookIforIriskIfactorsIofIHIV
oICausedIbyIIncreasedIproductionIofIsebum
, oIScaly,IgreasyIrash-
IaffectedIskinIisIpink,Iedematous,IandIcoverIwithIyellowItoIbrownIscalesIandIcrusts.
oIUsuallyIseenIonIscalp,Iforehead,Ieyebrows,IandIareaIsurroundingItheInose/ears.
oICommonIinIinfancyIandIcalledI"cradleIcap"
Subjective-IpinkIscalingIrashIlocatedIonIfaceIandIscalp,ItypicallyImaleI.IMayIitch
Objective-
IscalyIpatchesIthatImayIbeIslightlyIpapular.IEachIpatchIisIsurroundedIbyIerythema.IGreasyIand
IappearIyellow.
QUESTION
SeborrheicIDermatitisItreatment
Answer:
OTCIdandruffIshampoo,IleaveIonI5-7IminsItoIbeIeffective.
ResistantIseborrheaIdermatitisImayIrequireIaIprescriptionIshampooI2.5IseleniumIsulfideIshamp
oo,IaIketoconazoleIshampooI(NizoralIshampoo)IandIaIdetoconazoleIshampooIareIavailable.IKe
ratolyticIorIoilIbasedIlotionsIareIusedItoIsoftenIheavyIcrust.
IfIsignificantIerythemaIisIpresentImayIneedItopicalIcorticosteroidIHydrocortisoneIcream.
ForIaIsuperinfectionIofIgramIpositiveIskinIinfectionICephalexinI7-10IdaysIisIrequired.
QUESTION
AsteatoticIDermatitis
Answer:
CommonIinIelderly
•SecondaryItoIaging,IdehydratedIskin,IandImalnutrition
Pruritus,Icracked,IerythematousIpatches
•usuallyIshinsIorIextensorIsurfaceIofIarms
•SeasonalIpotentially
•MenI>Iwomen
