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NR 602 Final Exam with Verified Solutions
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NR 602 Final Exam with Verified Solutions
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NR 602 Final Exam with VerifiedSolutions
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.
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.
What is systems of cystic fibrosis? Correct Ans--persistent diarrhea
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