NR511 / NR 511 Midterm Exam
Differential Diagnosis & Primary Care Practicum
Questions and Answers (Verified Answers)
1. A 32 year old male patient presents to the clinic with a 2 day history of
hoarseness, sore throat and dry cough. The NP diagnoses him with
laryngi- titis. Which is the best treatment?
a. bactrim
b. supportive care
c. amoxicillin
d. levo
: b. supportive care
2. Medicare part a covers which of the following services:
a. outpt provider visits
b. eye glasses and routine dental
c. hospital services
: C. Hospital Services
,3. A 35 year old male uses high potency corticosteroid cream for
dermatosis, he also currently has tinea corporis. Which should the clinician
advise regard- ing the cream.
a. "You must use this for an extended period of time for it to be effective."
b. "It will work better if you occlude the area."
c. "It may exacerbate your concurrent tinea corporis."
d. "Be sure to use it daily."
: c. "It may exacerbate your concurrent tinea corporis." If a client uses a
high-potency corticosteroid cream for a dermatosis, tell the client that it
may exacerbate concurrent conditions such as tinea corporis and acne.
Topical corticosteroids should not be used indiscriminately on all
cutaneous eruptions.
Topical corticosteroids should not be used for an extended period of
time. The area should not be occluded. If a client uses a high-potency
corticosteroid cream for a dermatosis, tell the client that it may
exacerbate concurrent conditions such as tinea corporis and acne.
Topical corticosteroids should not be used indiscriminately on all
cutaneous eruptions.Intermittent therapy with high-potency agents,
such as every other day, or 3 to 4 consecutive days per week, may be
more effective and cause fewer adverse effects than continuous
regimens. This is also true of lower potency corticosteroids.
4. a 21 year old male presents to the clinic with pruritic and emacerated
,skin in the groin area. Which is this
?: tinea cruris
5. Marcia, age 4, is brought in to the office by her mother. She has a sore
throat, difficulty swallowing, copious oral secretions, respiratory difficulty,
stridor, and a temperature of 102°F but no pharyngeal erythema or cough.
What do you suspect?
• Epiglottitis
• Group A beta-hemolytic streptococcal pharyngitis
• Tonsillitis
, • Diphtheria
: • Epiglottitis (A symptom cluster of severe throat pain with difficulty
swallowing, copious oral secretions, respiratory difficulty, stridor, and
fever but without pharyngeal erythema or cough is indicative of
epiglottitis)
(Streptococcal pharyngitis presents with cervical adenitis, petechiae, a
beefy-red uvula, and a tonsillar exudate) (A mild case of tonsillitis may
appear to be only a slight sore throat. A more severe case would involve
inflamed, swollen tonsils; a very sore throat; and a high fever)
(Diphtheria starts with a sore throat, fever, headache, and nausea, and
then progresses to patches of grayish or dirty-yellowish membranes in
the throat that eventually grow into 1 membrane)
6. Peptic ulcer disease symptom
: Burning/nawing
7. you are assessing a first grader, and find that the tonsils are touching
the uvula:
:3
(Grade 1 indicates the tonsils are visible)
(Grade 2 indicates the tonsils are halfway between the tonsillar pillars
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