NR 602 Final Exam Questions & Answers 100% Correct!!
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Course
NR 602
Institution
NR 602
A mother presents with her 3 month old child and complains of goopy eye that is sometimes matted shut after naps. Upon exam the conjunctiva is clear with some mild crusting to eye lashes. What is the diagnosis and patient teaching? - ANSWERProbable lacrimal duct obstruction.
-The baby will like...
NR 602 Final Exam Questions &
Answers 100% Correct!!
A mother presents with her 3 month old child and complains of goopy eye that is sometimes matted
shut after naps. Upon exam the conjunctiva is clear with some mild crusting to eye lashes. What is
the diagnosis and patient teaching? - ANSWERProbable lacrimal duct obstruction.
-The baby will likely grow out if it somewhere between six and 12 months.
-You can do a daily lacrimal duct massage and warm compresses to help open up the duct.
-Watch for Periorbital cellulitis or bacterial conjunctivitis.
Nine-year-old patient presents with tender, swollen, erythemic bump to eyelid. What is the diagnosis
and patient education? - ANSWERHordeolum (stye)
-warm moist compress
- scrub eye lashes with baby shampoo BID
- eye will feel better when stye pops, if doesn't will refer to optho.
What is blepharitis? - ANSWERinflammation of the eyelid
- caused by blocked oil gland, allergies, or excessive bacteria
What is the treatment for blepharitis? - ANSWERCleanse with baby shampoo TID
- Warm, moist compress
- resistant can prescribe Doxy or Tertracycline but not to pediatrics who don't have adult teeth, can
cause discoloration. Pediatrics can have Bactrim.
A 9 year old patient presents with acute swelling and erythema to eyelid with flaky, scaly debris to
eyelid margins. Patient reports gritty, burning feeling to eyes. She has already attempted warm
compresses and washing eyelids with baby soap with minimal relief. What is the diagnosis and
treatment? - ANSWERPatient has anterior blepharitis
Treat with erythromycin ointment, ointment has longer contact with eye.
Can use azithromycin ointment x 4 weeks for long term treatment
,Can use doxycycline or tetracycline for chronic in kids >8 years or Azithromycin oral for kids <8
What organism is likely to cause viral conjunctivitis? - ANSWER-Adenovirus
-HSV
-Herpes
What organism is likely to cause bacterial conjunctivitis? - ANSWER-Staph aureus
-strep pneumoniae
-H. Influenza
A 10-year-old patient presents with unilateral conjunctivitis with watery discharge x 2 days along
with itching of the eye. Mother denies any other associated symptoms. What is the diagnosis and
treatment? - ANSWERViral Conjunctivitis
Patient should apply cold compresses for comfort
*Bacterial conjunctivitis has purulent discharge.
What is herpes keratitis? - ANSWERHerpes viral infection to the eye caused by HSV.
A 19-year-old male presents with blurred vision, watery discharge, photophobia, and eye redness.
Upon exam you note fern-like lines under the woods lamp. What is the diagnosis and tx? -
ANSWERHerpes Keratitis
Tx: Antivirals
A 16-year-old female presents with complaints of sudden onset of red, watery, and painful left eye.
She reports possible foreign body to eye. Upon inspection you visualize a n erythemic lesion to the
eye. When using woods lamp you note a small superficial laceration. What is the dx and tx? -
ANSWERCorneal abrasion, refer to optho emergently or send to ER.
A mother brings her nine-year-old overweight son to the clinic with complaints of pain to the groin,
knee, and right hip. She reports patient has been walking with a limp for the last couple days but
unable to ambulate today. Mother denies any recent trauma. Upon inspection there is external
rotation of the right foot. What is the dx and tx? - ANSWERSlipped capital femoral epiphysis
Refer to ER, will need surgery.
-most common in adolescent, obese males.
Father presents with his four-year-old son and states that patient has been limping since this
morning and was crying all night complaining of left hip pain. Upon exam you appreciate decreased
, range of motion of left hip but no external rotation or signs of trauma. What is the probable
diagnostics, and treatment? - ANSWERToxic transient syndrome- most common cause of limp in
peds.
Order: CBC, ESR, and X-ray. WBC and ESR will be elevated. X-RAY will be normal.
-advise father that will resolve in 2-6 weeks.
- patient needs bed rest, NWB to left leg, and NSAIDS.
- return if develops fever, swelling, pain that is unrelieved by rest or medication
What degree is scoliosis is considered functional? - ANSWER5-10 degrees, continue to monitor.
What degree of scoliosis is considered mild? - ANSWER<20 degrees, monitor every 3-4 months
A 13-year-old female presents to the office after having an x-ray order by you for her scoliosis. The
reading on the x-ray reports a 30° curvature. What is the treatment plan? - ANSWERMilwaukee brace
for 23 hours per day
Back exercises
At what point does scoliosis become a surgical case? - ANSWERCurves greater than 45°
A 16-year-old female presents to the office with complaint of right knee pain with intermittent
swelling. Upon questioning patient endorses pain is worse when walking up or down stairs, kneeling,
squatting, or sitting cross legged. Patient denies any trauma but reports being active in cheer. What is
the dx and tx? - ANSWERChondromalacia petella "runners knee"
RICE and PT consult to strengthen quadriceps.
A five-year-old boy presents with his father for a complaint of pain in the right knee that radiates to
right groin. Father endorses that patient has been ambulating with a intermittent limp, especially
after exertion, and is refusing to play baseball due to pain. Father denies any trauma. Upon
inspection you notice that patient is small for his age. There is no signs of infection or trauma and no
external rotation but pain when rolling the leg internally. What is the dx and tx? - ANSWERLegg-Calve
Perthes disease- hip joint slips out of socket. Affects boys 4-10
Dx: X-ray (AP pelvis and frog-leg lateral views)
Tx: refer to ortho, NWB, Rest, NSAIDs, PT
LAST RESORT: surgery <6 years old or casting
A newborn presents to the office for a well-check, you are concerned about Cystic Fibrosis, what test
should be ordered? - ANSWER1st- IRT
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