2024 NR511 DIFF DIAGNOSIS
MIDTERM EXAM WITH ANSWERS
The ability of a test to correctly identify those who do not have the disease
# of true negatives divided by total # of people who do not have the disease
- CORRECT-ANSWERSspecificity
ability of a test to correctly identify pt has disease
true positives divided by # of people who have disease - CORRECT-
ANSWERSsensitivity
7 categories of third party payer for reimbursements - CORRECT-
ANSWERSmedicare, medicaid, indemnity insurance companies, managed
care organization, workers compensation, veterans administration, auto
libility
flat to slightly elevated brown papules and plaques that scale when rubbed
against hypopimentation, puritic, commonly on shoulders and trunk -
CORRECT-ANSWERStinea versicolor
annual lesions with scaly borders and central clearing, ring shaped, on trunk
- CORRECT-ANSWERStinea corporis
Jock itch-groin - CORRECT-ANSWERStinea cruris
in both bollous and nonbollous types of impetigo, ________________________ is
involved. - CORRECT-ANSWERSregional lymphadenopathy, whereever the
lesions are the adjacent lymph nodes will be enlarged
what to administer when urticaria is on the neck and around the face? -
CORRECT-ANSWERSepinephrine
What is cholinergic urticaria?
treatment? - CORRECT-ANSWERShives on trunk and arms from stress,
exercise, anxiety, high body temp, hot showers
antihistamines
_____________ should be used with all acne medication
wash face _________ daily with antibacterial soap - CORRECT-
ANSWERSsunscreen
twice
, Actinic keratosis: refer or treat?
what can it develop into? - CORRECT-ANSWERSrefer to prevent progression
precancerous can develop into squamous cell carcinoma
The __________ of the lesion of malignant melanoma impacts prognosis. -
CORRECT-ANSWERSthickness
filiform/digitate warts are easily treatable but _________ - CORRECT-
ANSWERSrecur
hallmark sign of HSV-1 or HSV-2 conjunctivitis? - CORRECT-ANSWERScorneal
infection with dendrite appearance
Patients with bacterial conjunctivitis should refrain from work/school until.... -
CORRECT-ANSWERS24h after abx tx or clinical improvement : decrease in
redness and discharge
Treatment of bacterial conjunctivitis - CORRECT-ANSWERS-mycin ointments,
or ciprofloxacin drops
treatment for viral conjunctivitis
ophthalmic solution and PO antivirals - CORRECT-ANSWERSpyrimidine
acyclovir
chalazion lasts >4 weeks without any improve... what should you do? -
CORRECT-ANSWERSrefer to ophth for I/D, bx and glucocorticoid injections
What is the slit-lamp exam + a Schirmer test used to diagnose? - CORRECT-
ANSWERSdry eye
Schirmer test quantifies lacrimal secretions
Corticosteroid eye drops and anesthetic drops should or should not be used
for epiphoria? - CORRECT-ANSWERSshould not
bright red blood in sharply defined area of eye surrounded by normal
appearing conjunctiva indicates? - CORRECT-ANSWERSsubconjunctival
hemorrhage
rash on forehead with eye swelling, redness, pain, fever, tingling of skin,
allodynia, cloudy or clear cornea, tx with antiviral acyclovir - CORRECT-
ANSWERSHerpes Zoster ophthalmicus
criteria for sinusitis diagnosis - CORRECT-ANSWERSupper resp infection for at
least 7d, presence of 2 or more symptoms ; colored nasal discharge, poor
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