Midterm Exam: NR569 / NR 569
(Latest ) Differential
Diagnosis in Acute Care Practicum |
Questions & Answers | 100%
Correct | Grade A - Chamberlain
Question:
Patient presents in the hospital with fever and rash must be divided into what
two categories?
Answer:
Those who are critically ill and those who are not. Critically ill patients with
rash often have a fulminant onset of both fever and rash.
Question:
Leukopenia and rash
Answer:
Usually indicates viral illnesses including arboviral infections, Chikungunya
virus, CMV, measles, dengue
,Question:
Causes of critically ill patients with fever and rash
Answer:
Hemorrhagic fever
Meningococcemia
Rocky mountain spotted fever
Toxic shock syndrome
Steven Johnson syndrome
Toxic epidermal necrolysis
Acute vasculitis
Question:
Obtaining history for someone with a rash
Answer:
-Age of patient
-season of the year
-Location of onset of rash, and time sequence of progression
-Secondary changes to the rash, possibly due to self treatments, such as
lotions and over-the-counter ointments, or from excoriation or picking
-If there are multiple lesions present, ask the patient to show you an area that
looks like how the rash started or where there are any new lesions
-systemic symptoms like fever, weight loss, lymphadenopathy, sore throat
-Medication changes
-Allergies
,-Personal and family history of rheumatological diseases
-Social, travel, and exposure histories
-Sexual history
Question:
Eosinophilia and rash
Answer:
Suggests an allergic reaction or cholesterol emboli syndrome
Question:
Herpes Zoster Treatment
Answer:
Prevention:
-Vaccination for adults over 50
Antiviral therapy:
-Oral famciclovir (Famvir)
-Oral valacyclovir (Valtrex)
-Oral acyclovir (Zovirax)
Pain management:
-Oral gabapentin
, -Oral pregabalin
-Tricyclic antidepressant (doxepin, amitriptyline)
-Topical capsaicin cream
Question:
Characteristics of chronic vomiting
Answer:
Results in weight loss
Sustained vomiting results in water, loss and electrolytes, leading to
dehydration and hypokalemic metabolic alkalosis
Question:
Metabolic and endocrine causes of nausea and vomiting
Answer:
Addison's
Diabetes
Hypercalcemia
Hyperparathyroidism
Hyperthyroidism
Hyponatremia
Hypoparathyroidism
Pregnancy
Uremia
(Latest ) Differential
Diagnosis in Acute Care Practicum |
Questions & Answers | 100%
Correct | Grade A - Chamberlain
Question:
Patient presents in the hospital with fever and rash must be divided into what
two categories?
Answer:
Those who are critically ill and those who are not. Critically ill patients with
rash often have a fulminant onset of both fever and rash.
Question:
Leukopenia and rash
Answer:
Usually indicates viral illnesses including arboviral infections, Chikungunya
virus, CMV, measles, dengue
,Question:
Causes of critically ill patients with fever and rash
Answer:
Hemorrhagic fever
Meningococcemia
Rocky mountain spotted fever
Toxic shock syndrome
Steven Johnson syndrome
Toxic epidermal necrolysis
Acute vasculitis
Question:
Obtaining history for someone with a rash
Answer:
-Age of patient
-season of the year
-Location of onset of rash, and time sequence of progression
-Secondary changes to the rash, possibly due to self treatments, such as
lotions and over-the-counter ointments, or from excoriation or picking
-If there are multiple lesions present, ask the patient to show you an area that
looks like how the rash started or where there are any new lesions
-systemic symptoms like fever, weight loss, lymphadenopathy, sore throat
-Medication changes
-Allergies
,-Personal and family history of rheumatological diseases
-Social, travel, and exposure histories
-Sexual history
Question:
Eosinophilia and rash
Answer:
Suggests an allergic reaction or cholesterol emboli syndrome
Question:
Herpes Zoster Treatment
Answer:
Prevention:
-Vaccination for adults over 50
Antiviral therapy:
-Oral famciclovir (Famvir)
-Oral valacyclovir (Valtrex)
-Oral acyclovir (Zovirax)
Pain management:
-Oral gabapentin
, -Oral pregabalin
-Tricyclic antidepressant (doxepin, amitriptyline)
-Topical capsaicin cream
Question:
Characteristics of chronic vomiting
Answer:
Results in weight loss
Sustained vomiting results in water, loss and electrolytes, leading to
dehydration and hypokalemic metabolic alkalosis
Question:
Metabolic and endocrine causes of nausea and vomiting
Answer:
Addison's
Diabetes
Hypercalcemia
Hyperparathyroidism
Hyperthyroidism
Hyponatremia
Hypoparathyroidism
Pregnancy
Uremia
