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Exam (elaborations)

NR667 FinalExam-Questions with Correct Answers/ Verified/ Latest Update 2024/2025

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Mononucleosis - Presents 1. Splenomegaly, Pharyngitis, Lympadenothy, Fatigue and Fever 2. Patho Epstein Barr Virus 3. Test - Monospot - Viral Capsid Antibody GERD MANAGEMENT FOR INFANTS - 1. Continue Breastfeeding 2. Keep up for 20 minutes after feeding 3. Small Frequent meals, Thickened w...

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  • September 4, 2024
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  • 2024/2025
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MikeHarris
NR667 Final Exam-Questions with Correct Answers/
Verified/ Latest Update 2024/2025

Mononucleosis - ✔✔Presents

1. Splenomegaly, Pharyngitis, Lympadenothy, Fatigue and Fever



2. Patho

Epstein Barr Virus



3. Test

- Monospot

- Viral Capsid Antibody



GERD MANAGEMENT FOR INFANTS - ✔✔1. Continue Breastfeeding

2. Keep up for 20 minutes after feeding

3. Small Frequent meals, Thickened with rice Cereal

4. 1-2 week trial hypoallergenic

**Dont switch to Soy formula



EPIDIDYMITIS - ✔✔1. Positive Cremasteric Reflex

2. Positive Prehns sigh

3. Tenderness of Epidymis from prolong sitting



Management- Do a urinalysis and check for Gonorrhea

- Ultrasound if no improvement.



Testicular Torsion - ✔✔1. Negative Cremasteric Reflex

2. Negative Prehns Sign

3. High Riding Testicle

Its negative to have this and better High Ride to the ER

,Testicular Cancer - ✔✔- cancer of the testicle, usually occurring in men 15 to 35 years of age



CRYPTORCHIDISM - ✔✔One or both testes fail to descend from the abdomen in the scrotal sac near
the time of birth.

-Common in Preterm infants



Hand, Foot, and Mouth Disease (HFMD) - ✔✔-blistery rash disease common in toddlers (3-5 years)

-mild malaise, fever and respiratory symptoms (running nose, sore throat, etc) followed by blister
rash 1-2 days later

-most often starts with ulcerative lesions in mouth, then appears on palm and soles (buttocks, legs,
but NOT frequent on trunk)

-lesions are often painful and look like popped blisters

-complications: dehydration (unable to swallow bc mouth sores), fingers and toenail loss

CC: Coxsackievirus A16

VF: viral

Dx: rash type, is self-limiting, but spread quickly

treatments: none, but can use OTC meds like Advil or numbing mouthwashes to help with sore
throat/mouth



Measles (Rubeola) - ✔✔RNA virus is associated with cough, coryza, and conjunctivitis with
photophobia?

-KOPLIK SPOTS- 48 hours prior to rash in bucal area



CLUB FOOT - ✔✔A birth defect in which the foot is twisted out of shape or position.

1. Talipes Equinovarus

- Exess plantar flexion

- Dosiflexion

-Excess varus or lateral valgus



Rubella (German Measles) - ✔✔A highly contagious viral disease, especially affecting children, that
causes swelling of the lymph glands and a reddish pink rash;

- May be harmful to the unborn baby of a pregnant woman who contracts it

- Begins on Face and spreads to neck and body

, Dysplasia of the hip - ✔✔BIRTH- 3 MONTHS- Ortalani and Barlow Manuver

- Galeazzi Sign- Shortened Femur

- Asymmetry of the leg crease



De Quervan's Tenosynovitis - ✔✔Pain with palpation over the tendon sheath of the thumb

Swelling maybe present

Numbness of thumb and index finger

More common in women, can occur after 3-4 weeks after pregnancy

Finklestein test

Make a fist with the thumb enclosed

Flex the wrist, tenderness along the outer edge of the wrist



Generalized Anxiety Disorder (GAD) - ✔✔1. a disorder characterized by chronic excessive worry
More than 6 months

2. Accompanied by three or more of the following symptoms: restlessness, fatigue, concentration
problems, irritability, muscle tension, and sleep disturbance

3. FIRST LINE MEDS SSRI



WHEN TO REFEER FOR OTITIS MEDIA - ✔✔1. Recurrent Acute Otitis Media

- 3 or more distinct well documented episiodes in 6 MONTH Period

- 4 Episodes in 12 months with APPROPRIATE antibiotic therapy



G6PD deficiency - ✔✔1. A hereditary condition in which red blood cells break down when the body
is exposed to certain drugs.

- Fluoroquinolones

- Nitrofurantoin

- Phenazopyridine

- Sulfonylureas(Glipizides, glyperride)

2. On PERIPHERAL SMEAR- shows BITE cells and HEINZ bodies

3. Prevalent in subtropical zones in Africa, Europe, and Asia

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