NR 602
NR 602 Final Exam Questions and
Already Verified Answers Graded A+
2025
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? - Correct Ans-
Probable 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? - Correct Ans-Hordeolum (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? - Correct Ans-inflammation of the eyelid
- caused by blocked oil gland, allergies, or excessive bacteria
What is the treatment for blepharitis? - Correct Ans-Cleanse 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? - Correct Ans-Patient 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
,NR 602
What organism is likely to cause viral conjunctivitis? - Correct Ans--Adenovirus
-HSV
-Herpes
What organism is likely to cause bacterial conjunctivitis? - Correct Ans--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? - Correct Ans-Viral Conjunctivitis
Patient should apply cold compresses for comfort
*Bacterial conjunctivitis has purulent discharge.
What is herpes keratitis? - Correct Ans-Herpes 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? - Correct Ans-Herpes 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? - Correct Ans-Corneal 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? - Correct
Ans-Slipped 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? - Correct Ans-Toxic transient
syndrome- most common cause of limp in peds.
, NR 602
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? - Correct Ans-5-10 degrees, continue
to monitor.
What degree of scoliosis is considered mild? - Correct Ans-<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?
- Correct Ans-Milwaukee brace for 23 hours per day
Back exercises
At what point does scoliosis become a surgical case? - Correct Ans-Curves 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? - Correct Ans-Chondromalacia
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? - Correct Ans-Legg-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? - Correct Ans-1st- IRT
2nd- if IRT positive then sweat test or gene analysis.
NR 602 Final Exam Questions and
Already Verified Answers Graded A+
2025
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? - Correct Ans-
Probable 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? - Correct Ans-Hordeolum (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? - Correct Ans-inflammation of the eyelid
- caused by blocked oil gland, allergies, or excessive bacteria
What is the treatment for blepharitis? - Correct Ans-Cleanse 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? - Correct Ans-Patient 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
,NR 602
What organism is likely to cause viral conjunctivitis? - Correct Ans--Adenovirus
-HSV
-Herpes
What organism is likely to cause bacterial conjunctivitis? - Correct Ans--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? - Correct Ans-Viral Conjunctivitis
Patient should apply cold compresses for comfort
*Bacterial conjunctivitis has purulent discharge.
What is herpes keratitis? - Correct Ans-Herpes 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? - Correct Ans-Herpes 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? - Correct Ans-Corneal 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? - Correct
Ans-Slipped 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? - Correct Ans-Toxic transient
syndrome- most common cause of limp in peds.
, NR 602
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? - Correct Ans-5-10 degrees, continue
to monitor.
What degree of scoliosis is considered mild? - Correct Ans-<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?
- Correct Ans-Milwaukee brace for 23 hours per day
Back exercises
At what point does scoliosis become a surgical case? - Correct Ans-Curves 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? - Correct Ans-Chondromalacia
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? - Correct Ans-Legg-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? - Correct Ans-1st- IRT
2nd- if IRT positive then sweat test or gene analysis.
