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NR 511 Differential Diagnosis and Primary Care- Mid Term Review
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NR 511 Differential Diagnosis and Primary Care- Mid Term Review
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NR 511 Differential Diagnosis and Primary Care- Mid TermReview
-Which of the following statements does not belong in the past
medical history portion of your chart note? Correct Answer
Your patient had lab work done at their last appointment; CBC
was normal
•Impact of AOM on speech and language Correct Answer -A
change in hearing threshold greater than 25 dB and has speech
and language delays would indicate more aggressive treatment is
needed. Referral may be necessary
47 year old male patient with diabetes presents with a rash on
his penis. Based on hx alone, the clinician knows the patient is at
risk for? Correct Answer Candida
A 10-year-old client was prescribed amoxicillin for otitis media.
The FNP receives a call. From the parents
that the client has developed a rash on the trunk. What is the
most appropriate next activity by the FNP? Correct Answer
Stop the medication.
A 10-year-old male presents to the office with his mother with
complaints of itchy and red eyes for 1 day. He reports watery
drainage in both eyes, associated with repetitive itching. He has
no fever or constitutional symptoms. The patient has a sibling
that just started day care recently. Upon examination, vision is
20/20 OU with glasses. He has mild to moderate conjunctival
hyperemia with bilateral preauricular lymph nodes that are
,inflamed. What is the patient's diagnosis? Correct Answer
Viral conjunctivitis.
a 12-year-old male presents to your pediatric clinic with
swimmers ear (Otitis Externa). what is the causative agent?
Correct Answer Pseudomonas
a 13 year old presents to the clinic complaining of severe left
side sore throat and pain with swallowing for 1
day. upon exam, the patient appears uncomfortable and febrile.
Cervical adenopathy is present on left side,
difficulty opening and closing mouth. What should you do?
Correct Answer Refer to the ER
A 14 year old child is brought to the office by the parent with a
complaint of sore throat., difficulty swallowing, copious oral
secretions, respiratory difficulty, stridor, in a temperature of 102.
No pharyngeal edema or
cough is noted. What is the most likely diagnosis? Correct
Answer Epiglottitis
It is commonly caused by bacterial infection with Haemophilus
influenzae type B (Hib) but can also be caused by other bacteria
or viruses. Prompt medical attention is necessary in suspected
cases of epiglottitis to ensure airway management
A 16-year-old client presents to the clinic with right ear pain for
two days following participating in high
school swim meet. The eardrum demonstrates tenderness with
traction of the pinna and tragus pain, when pressure is
,applied. The ear canal is red and swollen to the point that the
tympanic membrane cannot be visualized. Which of the
following is the most likely diagnosis? Correct Answer Otitis
externa. (swimmers ear)
A 16-year-old client presents to the office with redness of the
right eye. After diagnosing bacterial conjunctivitis. The NP
should prescribe: Correct Answer Gentamicin. Sulfate.0.03%
ophthalmic
A 19-year-old with a rash recently underwent surgery of
humoral head fraction and develops rash after PT/OT. What can
it be? Correct Answer contact dermatitis
A 20-year-old male presents to your primary care clinic. This
patient is a college student. He complains of fatigue, sore throat,
and low-grade fever for 3 days. On physical exam, he has a
temperature of 100.7°F. His ear exam is normal. His nose and
throat exam shows mild erythema of the nasal mucosa and
edematous, enlarged tonsils bilaterally, with erythema of the
pharyngeal wall and tonsillar exudates. He has inflamed
posterior cervical lymph nodes. He has a mild nonproductive
cough and clear lung exam. What is his most
likely diagnosis? Correct Answer Mononucleosis (This
presentation could be a viral pharyngitis; however, with
posterior cervical
lymphadenitis, you would suspect mononucleosis
A 20-year-old presents to the office in the summer complaining
of chest discoloration. He is a lifeguard and has been out in the
sun without a shirt on for extended periods of time. His physical
, exam shows small, flat, circular, hypopigmented macules on his
chest that he states are mildly pruritic. What is the treatment of
choice for this diagnosis? Correct Answer selenium sulfide
shampoo
a 21 year old male presents to the clinic with pruritic and
emacerated skin in the groin area. Which is this? Correct
Answer tinea cruris
A 22-year-old college student presents to the urgent care clinic
complaining of a rash. She was recently on spring break and
spent every night in the hot tub at her hotel. On physical exam,
she has multiple small areas of 1- to 2-mm erythematous
pustules that are present mostly where her bathing suit covered
her buttocks. What is the most likely pathogen causing these
lesions? Correct Answer Pseudomonas aeruginosa
A 22-year-old college student presents to your urgent care clinic
complaining of a rash. She was recently on spring break and
spent every night in the hot tub at her hotel. On physical exam,
she has multiple small areas of 1- to 2-mm erythematous
pustules that are present mostly where her bathing suit covered
her buttocks. What is the most likely pathogen causing these
lesions? Correct Answer Pseudomonas aeruginosa
A 25-year-old male presents to urgent care complaining of
genital pruritus. On physical exam, the patient has small,
erythematous, excoriated papules in his pubic hair. No mites are
identified. There is no penile discharge, and the patient has no
constitutional symptoms. He is sexually active but wears
condoms during all sexual experiences. What is the most likely
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