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NR511 Midterm Exam Questions and Answers
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Exam of 18 pages for the course NR511 at NR511 (NR511 Midterm Exam)
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NR511 Midterm ExamHigh specificity - answer high percentage of healthy individuals will show a normal result
Low specificity - answer-getting a positive result when it i not present
-a high number of false-positives- meaning that a healthy person has a disease when
they actually do not
Sensitivity - answer the proportion of true positives out of all patients with a designated
condition
If a diagnostic study has a high specificity: - answer then a high % of health individuals
will show a normal result
If a diagnostic study has a high sensitivity: - answer then a high percentage of persons
with the given condition will have an abnormal result
Part A medicare covers: - answer inpatient hospital stay; skilled nursing care; hospice;
and home care
Part B medicare covers: - answeroutpatient services; provider visits; surgery; lab tests;
medical equipment; and preventive exams
Part C medicare covers: - answervision exams, hearing exams, eye glasses, and
hearing aids
Part D medicare covers: - answerprescription drugs
Tinea vesicolor - answerflat to slightly elevated brown papules and plaques that scale
when they are rubbed along with areas of hypopigmentation;prurtis; most commonly
found on trunk and shoulders
Balantitis - answercandidiasis in the glans of the penis
Tinea corporis - answerAnnual lesions with scaly borders and central clearing on the
trunk; has ring-shaped lesions (ring worm) with scaly borders and central clearing or
scaly patches with distinct borders on exposed skin surfaces or on the trunk.
Tinea pedis - answerathletes foot-feet and between toes
Tinea cruis - answerjock-itch in groin area
,Tinea unguium - answerwhite or yellow nail discoloration, thickening of the nail and
separation of the nail from the nail bed (most common in toe nails)
Cellulitis - answerspreading infection of the epidermis and subcutaneous tissues that
usually begins after a break in the skin
Folliculitis - answerbacterial infection of the hair follicle (think papules)
Impetigo - answer-highly contagious
-symptoms may be burning and itching with lymphadenopathy
Epidermal inclusion cyst - answerhistory of cyst on the same site for months to years,
may have cheesy white discharge with strong odor when expressed
Cholinergic urticaria - answerhives or wheels that are pruritic and occur on the trunk and
arms following exercise, anxiety, elevated body temperature, or hot baths/showers
*treat with antihistamine
Atopic dermatitis - answerextremely low threshold for pruritus and the "itch" often
appears before the rash
-cardinal sign is severe pruritus
Herpes simplex - answerSymptoms include:
-blistering sores
-itching
-pain during urination (during genital outbreak)
-fever
-headache
-tiredness
-lack of appetite
Goal of treatment for herpes simplex - answersuppress virus
Herpes zoster - answer-caused by varicella-zoster and is characterized by a painful
rash with blisters
-rash is unilateral along dermatome
-begins as erythema then changes to papular lesions that rapidly form into vesicles
First line of treatment for acne - answerBenzoyl peroxide
Who would be good candidates for oral abx treatment for acne? - answer-those at risks
for pigmentation changes or scarring
-nodulocystic acne
-those who need quick relief from inflammatory acne
, Acne teaching - answer-always use sunscreen with acne treatment
-wash face gently atleast twice daily with antibacterial soap
Rosacea - answercommon skin condition that causes blushing or flushing and visible
blood vessels in the face
Treatment for rosacea - answermetronidazole cream but may take 6-8 weeks for
response
Seborrhea Keratosis, who is at risks? - answer-older white women
Seborrhea Keratosis lesions - answer-often itching and irritation with friction or clothing
-may be dark keratin plugs or cysts on surface
-differential diagnosis of seborrheic keratosis is pigmented basil cell carcinoma and
malignant melinoma
Actinic keratosis assesment - answerflesh colored, hard, sand-paper like lesion that is
found on exposed areas of the skin
Actinic keratosis treatment - answercryotherapy and dermatology referral
Lipoma - answerbenign, rubbery, smooth and round mass of compressible tissue with
soft texture (most commonly seen in neck, shoulders, armpits, and thighs)
Scabies - answer-intensely itchy rash caused by a mite
-treat with ivermectin for systemic treatment
Pediculosis - answer-hallmark sign of nits that are firmly cemented in place on hair shaft
Patient teaching pediculosis - answer-itching may continue for up to one week after
successful treatment because fo the slow resolution of inflammatory reaction by lice
infestation
Furuncle (boil) - answerpainful red bump under the skin due to infection of hair follicles
or in oil glands
Hallmark for viral conjunctivits - answeritching, red eyes, and periauricular lymphnode
swelling and tenderness
Hallmark sign of HSV-1 or HSV-2 conjunctivitis - answerskin vesicles and corneal
infection with a dendrite appearance
Bacterial conjunctivitis - answer-red eye with crusted eye lid
-normal visual acuity
Cataracts - answergradual painless and progressive loss of vision
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