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NRNP 6540 Week 3: Knowledge Check Quiz

NRNP 6540 Week 3: Knowledge Check Quiz

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NRNP 6540 Week 3: Knowledge Check Quiz – SKIN AND LYMPHATIC DISORDERS

NRNP 6540 Week 3: Knowledge Check Quiz Question 1
/ 1 pts

The NP is seeing a 76-year-old female patient with a lesion on her right arm that has been there for three years.   She states it alternately crusts and heals, and it began as a shiny papule but now looks like this.  What is your working diagnosis?

 

Wk 3 KC-2.jpg

 

Melanoma

Squamous Cell Carcinoma

Correct!

Basal Cell Carcinoma

Merkel Cell Cancinoma

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Question 2

 

/ 1 pts
Cellulitis is most commonly caused by which pathogens?

 

staph epidermidis

Correct!

group A strep pyrogenes

Correct!

staph aureus

methicillin-resistant staph aureus

Question 3

/ 1 pts

The NP is treating an immunocompetent  patient recovering from herpes zoster ophthalmicus.  The patient has asked if she should get a vaccine to prevent another herpes zoster outbreak.  What would you advise?

No need to get the vaccine since she has had herpese zoster and has immunity to it now

Correct!

   

Recommend recombinant herpes zoster vaccine to reduce the chance of recurrence.

  

Only one dose of recombinant vaccine is indicated following a herpes zoster outbreak

Question 4

/ 1 pts

The NP has diagnosed a patient with herpes zoster ophthalmicus (HZO). What would your treatment plan for this patient be?

Wk 3 KC 5.png

Correct!

valacyclovir 1 g po tid for 7 days

Correct!

referral to ophthalmologist

Correct!

topical corticosteroids

 

atropine 1% 1 drop to left eye tid

Question 5

/ 1 pts
Describe the etiology of lymphedema.

 

Low blood albumin

 

Anemia

Correct!

  

Pooling of fluid in the interstitial space.

 

Renal insufficiency

 

Question 6

/ 1 pts

The NP is seeing a 71 year patient with a red and swollen area that measures 7 cm x 2 cm on his left lower leg.   The lestion is tender and warm to the touch.  He thinks his cat may have scratched him a few days ago.   The right lower leg appears normal.  What is your working diagnosis?

 

Insect bite

 

Thrombophlebitis

 

Drug reaction

Correct!

Cellulitis

Question 7

/ 1 pts

The NP is seeing an 82 year old male patient  who is a retired farmer.    He has multiple freckles over his face, arms, and back.   One of the freckles seems to be getting larger.  What is your working diagnosis?

Wk 3 kc 4.jpg

 

Basal Cell Carcinoma

 

Squamous Cell Carcinoma

 

Merkel Cell Carcinoma

Correct!

Melanoma

Question 8

/ 1 pts

The NP has diagnosed a 67 year old female patient with psoriasis.   What initial treatment would you prescribe?

Correct!

Hydrocortisone topical 2.5% apply to affected area 2 to 4 times daily

Correct!

Topical Vitamin D

 

Prednisone 10 mg one tab po qid

 

Methotrexate 25 mg po one a week

Question 9

/ 1 pts

The NP is seeing a 76 year old male patient.   He complains of peeling skin and itching mainly between his toes.   What is your working diagnosis?

WK 3 KC 3.jpg

 

Psoriasis

Correct!

Tinea pedis

Yeast infection

Eczema

Question 10

 

/ 1 pts
What is the best way to diagnose tinea infections?

 

Bacterial culture

 

Response to steroid cream application

Correct!

KOH examination of skin scrapings
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