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Mid Term NR 511 Questions With Complete Solutions
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Mid Term NR 511 Questions With Complete Solutions
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Mid Term NR 511 Questions With Complete Solutions(exogen) Correct Answer Hair is shed during the fourth phase
Abcess treatment Correct Answer Ruptured=keep clean and
apply warm compresses TID
I & D=for fluctuation abcess only (able to move of compress
substance of mass). Lidocaine, and incision. C&S culture.
Broad spectrum ATB
Bactroban and nonstick bandage
Warm compresses TID
Accutane (Isotrentinanin) (Management for Severe Acne)
Correct Answer Vitamin A derivative, orally. consider if
nothing else works.
*requires a referral to a dermatologist.
Monitor: Lipids and LFT's
Chapped lips, and dry skin
acne and birthcontrol Correct Answer Norgestimate/ethinyl
estradiol (Ortho Tri-Cyclen) uses estrogen combined with a
progestin (norgestimate). It is available with different doses of
progestin. Estrostep uses estrogen combined with a progestin
(norethindrone). It is available with different doses of estrogen.
Drospirenone/ethinyl estradiol (YAZ) uses estrogen combined
with an artificial form of progestin (drospirenone).
,Acne vulgaris Correct Answer sebaceous gland and its
accompanying hair follicle (or a pilosebaceous unit), with the
highest incidence seen in teens and younger adults.
acral melanoma Correct Answer "furrows are fine" you should
not see pigment overlying follicular ostia as this would indicate
a parallel ridge pattern whcih is more concerning
actinic keratosis Correct Answer Sun exposure and aging.
Precancerous lesion about 25% become squamous cell. Treat all
lesions.
Rough, textured skin, pink or flesh colored. Thick and scaly
plaque with stringy sensation when rubbed.
May want a shaved biopsy
Acute Choleystitis Correct Answer Stone stuck in cystic duct
or common bile duct.
Caused by: Ecoli, Eterocci, Bacteroides fragilis, or clostridium.
Symptoms: n/v, epigastric pain or RUQ pain radiates to right
scapula.
+murphy sign. If in common bile duct can lead to increased
serum conjugated bilirubin. Alkolin phosphate.
Dx: US, ERCP, MRCP
Tx: Iv fluids, pain control, removal.
,Acute Gastritis Correct Answer Inflammation of the stomach
and intestine. N/V and cramping are common symptoms.
Tenesmus (cramping or rectal cramping) and Borborygmus
(rumbling or gurgling).
Bacterial, Viral, and Parasitic are the cause. Viral being the most
common.
acute pancreatitis Correct Answer Destruction of own digesting
enzymes auto digestion.
Acute sinusitis treatment Correct Answer NSAIDs for pain
Saline washes/steam
Oral/nasal decongestants
Intranasal corticosteroids
Antibiotics used if 10-14 days of symptoms present, or more
significant symptoms such as fever, facial pain, or swelling
AGE Stool Studies Correct Answer Severe Diarrhea
Fever > 38.5
Blood stools or stool that test positive for leukocytes or occult
blood.
alcohol pancreatitis Correct Answer ETOH increased zymogen
secretion and decreases fluid and bicarbonate in the ducts,
causing a plug to block the duct. Autodigestion begins.
Allergic conjunctivitis Correct Answer Hallmark itching and
follicles. May have disfuse milky watery.
, Mast Cell Stabilizers Drugs Block a calcium channel essential
for mast cell degranulation, stabilizing the cell and thereby
preventing the release of histamine and related mediators.
lodaxamide 0.1% (Alomide) nedocromil 2% (Alocril)
pemirolast 0.1% (Alamas
Antihistamines Combat the histamine released during an allergic
reaction by blocking the action of the histamine on the tissue.
emedastine 0.05% (Emadine) levocabastine 0.05% (Livostin)
Combination Mast-Cell Stabilizers and Antihistamines
olopatadine 0.1% (Patanol) azelastine 0.05% (Optivar) ketotifen
fumarate 0.025% (Zaditor) epinastine 0.05% (Elestat)
Allergic Rhinitis Correct Answer complain of itching in the
nasal passages, conjunctivae, and roof of the mouth, as well as
epiphora (stringy, watery ocular discharge).
the mucosa are pale, are boggy (edematous), and may take on a
bluish hue. Yellowish, gray, or erythematous mucosa may also
be seen
alopecia Correct Answer Can occur anywhere on the body
where hair is present, although it is commonly associated with
absence of hair on the scalp area. The most important hair
growth factors are the androgens, testosterone, and its active
metabolite, dihydrotestosterone.
alopecia (cicatricial alopecia) Correct Answer Scarring causes
permanent hair loss and is not reversible
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