Exam (elaborations)
End of chapter questions NR 511 Wks 1-4 Questions With Complete Solutions
- Course
- Institution
End of chapter questions NR 511 Wks 1-4 Questions With Complete Solutions
[Show more]
Content preview
End of chapter questions NR 511 Wks 1-4 Questions WithComplete Solutions
A 10-year-old male in 5th grade presents to the pediatric office
with his mother complaining of itchy and red eyes for 1 day.
The patient complains of watery drainage in both eyes,
associated with repetitive itching. On physical exam, he has no
fever or constitutional symptoms. His vision is normal, with no
decrease in extraocular movements. The patient has a sibling
that just started daycare recently. He also has bilateral
preauricular lymph nodes that are inflamed. What is the patient's
diagnosis? Correct Answer Viral Conjunctivitis
A 16-year-old male presents to your office. He was sent by an
orthopedist. He has recently had surgical fixation of a humerus
fracture. The patient has been going to physical therapy and has
been developing a rash on his arm after therapy that disappears
shortly after returning home. He does not have the rash prior to
therapy. The patient denies fevers and chills, and his incision is
well healed, with no signs of infection. Of note, the patient has
been experiencing more hand edema than the average patient
and has had edema wraps used at the end of therapy to help with
his swelling. The wraps are made of a synthetic plastic material.
The rash the patient gets is erythematous and blotchy, not raised;
it is on the operative upper extremity. What is the most likely
diagnosis? 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 Mononuecleosis
A 22-year-old African American female presents to your family
practice office complaining of progressive skin discoloration.
She is adopted and has no known family history of skin
problems. The patient notes nonpalpable patches of skin loss and
blanching of her forehead and both hands and feet. It has
developed over a period of 6 months and appears to have
stopped. It is not pruritic, and other is no erythema or sign of
infectious etiology. What is the most likely diagnosis? Correct
Answer Vitiligo
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 1-2 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 client who plays in a band complains that he finds
it difficult to understand his fellow musicians at the end of a
night of performing, a problem that is compounded by the noisy
environment of the club. These symptoms are most
characteristic of which of the following? Correct Answer
Sensorineural loss
,A 25-year-old male presents with "bleeding in my eye" for 1
day. He awoke this morning with a dark area of redness in his
eye. He has no visual loss or changes. He denies constitutional
symptoms, pruritus, drainage, or recent trauma. The redness
presents on physical exam as a dark red area in the patient's
sclera of the right eye only and takes up less than 50% of the
eye. The patient's remaining sclera is clear and white. He also
notes he was drinking alcohol last night and vomited afterward.
What is the best treatment? Correct Answer Reassurance that
this lesion will resolve without any treatment in 2 to 4 weeks
A 25-yer-old male presents complaining of hematochezia. The
patient states he has noticed this for 2 days. He states there is a
streak of bright blood along his stool every time he has a bowel
movement. The patient has no pain with his bowel movements.
He admits to eating a poor diet. The patient has no abdominal
pain, nausea, or vomiting. On physical exam, the patient has a
positive fecal occult blood test but has no noticeable rectal
bleeding or lesions. What is the likely diagnosis? Correct
Answer Internal hemorrhoid
A 27-year-old female comes into your primary care office
complaining of a perioral rash. The patient noticed burning
around her lips a couple days ago that quickly went away. She
awoke from sleep yesterday and noticed a group of vesicles with
erythematous bases where the burning had been before. There is
no burning today. She is afebrile and has no difficulty eating or
swallowing. What test would confirm her diagnosis? Correct
Answer Tzanck smear
, A 3-year-old patient presents to your pediatric office with her
mother. She has recently been started in daycare. Her mother
noted slight perioral erythema on the right side of the patient's
mouth prior to bed last night. The patient awoke today with 3
small, superficial, honey-colored vesicles where the erythema
was last night. The patient has no surrounding erythema. She
had no difficulty eating this morning and is active and energetic
and doesn't' appear lethargic or fatigued. She is also afebrile.
How would you treat this child? Correct Answer Local
debridement and mupirocin for 5 days
A 4-year-old male presents to your pediatric clinic with his
mother complaining of an itchy rash, mostly between his
fingers. This has been going on for multiple days and has been
getting worse. The patient recently started at a new day care. On
physical exam, the patient is afebrile and has multiple small (1-2
mm) red papules in sets of 3 located in the web spaces between
his fingers. He also has signs of excoriation. What is the
treatment for this problem? Correct Answer Permethrin lotion
for the patient and also his family members
A 44-year-old banker comes to your office for evaluation of a
pulsating headache over the left temporal region, and he rates
the pain as an 8 on a scale of 1-10. The pain has been constant
for the past several hours and is accompanied by nausea and
sensitivity to light. He has had frequent, though less severe,
headaches for many years, and they are usually relieved by OTC
medications. he is unclear as to a precipitating event but notes
that he has had visual disturbances before each headache, and he
has been under a lot of stress in his job. Based on this
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now