NURSE 623 EXAM 1
1. What are the Stages of Lyme Disease?:
Early localized Early disseminated
Late Lyme
2. Early Localized Lyme Disease: -
occurs days to months after exposure
-Symptoms nonspecific: malaise, fever, cervical stiffness, myalgias,
arthralgias
-Can have a " bulls eye rash aka "erythema migrans"which is > 5cm
3. Early diseminated Lyme Disease: -
occurs days to 10 months after infection
-Systemic manifestations ie: meningitis, cranial nerve palsies (esp. VII)
and radicu- loneuritis
Swelling of joints, numbness in extremities, palpatations adn difficulty
concentrating.
-NO RASH
4. Late Lyme Disease: -
occurs months to years after exposure
1/
,-May have intermittent arthritis
-May also experience neurological manifestations ie: encephalopathy,
peripheral neuropathy or neurocognitive impairment.
5. S/S of HIV: -
Majority of acute HIV asymptomatics
-Flu like symptoms the firststages 6 days to 6 weeks
-Fever, sore throat myalgias, headache, cervival lymphadenopathy and
nightsweats
6. Risk Factors for HIV:
Sexual history, sexually transmitted disease, substance abuse,
transfusion history, infection history and occupation history
7. Hypersensitivity Reactions:
8. Type 1 Hypersensitivity RX:
9. Type II Hypersensitivity Rx:
10. Type III Hypersensitivity RX:
11. Type IV Hypersensitivity Rx:
12.MCV:
" Small light incompetant" MCV<80 (small )
MCH 20-25 (pale)
MCHC 27
EX: iron deficiency anemia , Thalassemia
3/
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