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A series of multiple-choice questions related to dermatology and infectious diseases, covering topics such as atopic dermatitis, scabies, tinea infections, vaginal candidiasis, genital herpes, and viral infections. Each question includes a clinical scenario and multiple answer choices, with the correct answer marked as 'verified answers'. This resource can be valuable for students preparing for exams in nursing or related healthcare fields.
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The parent of a toddler asks the NP about using a topical antihistamine to treat the child's atopic dermatitis symptoms. The NP should tell the parent that:
A primary care NP is considering using a topical immunosuppressive agent for a patient who has atopic dermatitis that is refractory to treatment with topical corticosteroids. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔begin therapy with pimecrolimus (Elidel). A patient who has scabies has been treated by the primary care NP twice with permethrin (Elimite). The second application was administered 10 days after the first. The patient returns to the clinic with mild pruritus and erythema. The NP does not observe new burrows on the skin. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔prescribe triamcinolone 0.1%. A parent brings a 6-year-old child to the clinic for evaluation of a rash. The primary care NP notes three annular lesions with elevated borders and central clearing on the child's face and a similar lesion on the back of the neck that extends above the hairline. The NP should - ....🔰VERIFIED ANSWERS.... ✔✔c. oral ketoconazole. A patient has been taking griseofulvin for 4 weeks to treat a tineal capitis infection. The primary care NP notes improvement but not complete cure. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔renew the prescription after obtaining renal, liver, and hematopoietic tests. A patient is seen by a primary care NP to evaluate a rash. The NP notes three ring-shaped lesions with elevated, erythematous borders and two smaller, scaly patches on the patient's abdomen. The patient has not used any over-the-counter medications on the
A female patient has vaginal candidiasis and has taken a single dose of fluconazole without resolution of the infection. The primary care NP obtains a culture and should order: - ....🔰VERIFIED ANSWERS.... ✔✔topical miconazole (Monistat). A woman who takes oral contraceptive pills develops vaginal candidiasis. The primary care NP prescribes a single dose of fluconazole. When counseling the patient about this drug, the NP should tell her: - ....🔰VERIFIED ANSWERS.... ✔✔to use a backup contraceptive method for the next 2 months.v A patient who is currently not sexually active has an outbreak of genital herpes. The patient asks the primary care NP how this could have occurred without active infection since being treated more than 2 years ago. The NP should tell the patient that: - ....🔰 VERIFIED ANSWERS.... ✔✔successful treatment won't prevent future outbreaks of active infection. A patient who has genital herpes has frequent outbreaks. The patient asks the primary care NP why it is necessary to take oral acyclovir all the time and not just for acute outbreaks. The NP should explain that oral acyclovir may: - ....🔰VERIFIED ANSWERS.... ✔✔cause episodes to be shorter and less frequent. A 60-year-old patient comes to the clinic reporting a sudden onset of a painful rash that began the day before. The primary care NP notes a vesicular rash along a dermatome on one side of the patient's back. The patient has a low-grade fever. The NP will prescribe: - ....🔰VERIFIED ANSWERS.... ✔✔acyclovir (Zovirax).
The primary care NP performs a physical examination on an 89- year-old patient who is about to enter a skilled nursing facility. The patient reports having had chickenpox as a child. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔give the patient the Zostavax vaccine. A 23-year-old woman who is sexually active has an abnormal Pap smear. She asks the primary care NP about the human papillomavirus vaccine (HPV). The NP should recommend: - ....🔰 VERIFIED ANSWERS.... ✔✔a three-vaccine series of HPV. A patient has a sore throat with fever. The primary care NP observes erythematous 4+ tonsils with white exudate. A rapid antigen strep test is negative, and a culture is pending. The NP orders amoxicillin as empiric treatment. The patient calls the next day to report a rash. The NP should suspect: - ....🔰VERIFIED ANSWERS.... ✔✔a viral cause for the patient's symptoms. A primary care NP sees a child who has honey-crusted lesions with areas of erythema around the nose and mouth. The child's parent has been applying Polysporin ointment for 5 days and reports no improvement in the rash. The NP should prescribe:
nonerythematous conjunctivae. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔prescribe intranasal corticosteroids. A patient who has year-round allergic rhinitis uses an intranasal corticosteroid and a daily oral antihistamine. The patient reports persistent watery and itchy eyes. The primary care NP observes profuse clear, watery discharge and a cobblestone appearance inside the upper eyelids, with clear conjunctivae. The patient has tried topical azelastine (Astelin) and topical diclofenac (Voltaren) without improvement. The NP should prescribe drops. - ....🔰 VERIFIED ANSWERS.... ✔✔nedocromil (Tilade) is used to assess for corneal abrasions or tears. - ....🔰VERIFIED ANSWERS.... ✔✔Fluorescein dye are used to treat glaucoma. - ....🔰VERIFIED ANSWERS.... ✔✔Sympathomimetic drops Timolol and pilocarpine are used to treat. - ....🔰VERIFIED ANSWERS.... ✔✔glaucoma An 80-year-old patient has a diagnosis of glaucoma, and the ophthalmologist has prescribed timolol (Timoptic) and pilocarpine eye drops. The primary care NP should counsel this patient: - ....🔰VERIFIED ANSWERS.... ✔✔that systemic side effects of these medications may be severe. A patient comes to the clinic complaining of low back pain unrelieved by NSAIDs. The patient has a history of angle-closure glaucoma and renal disease. The primary care NP should
prescribe: - ....🔰VERIFIED ANSWERS.... ✔✔metaxalone (Skelaxin). A 65-year-old patient is diagnosed with Parkinson's disease. The patient has emphysema and narrow-angle glaucoma. The primary care NP should consider beginning therapy with: - ....🔰VERIFIED ANSWERS.... ✔✔a. selegiline. A 5-year-old child who has no previous history of otitis media is seen in clinic with a temperature of 100° F. The primary care NP visualizes bilateral erythematous, nonbulging, intact tympanic membranes. The child is taking fluids well and is playing with toys in the examination room. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔initiate antibiotic therapy if the child's condition worsens. A primary care nurse practitioner (NP) sees a 3-year-old child who has a history of recurrent otitis media. The child's parent tells the NP that the child is allergic to penicillin. The NP learns that the child developed an all-over rash 2 days after starting amoxicillin at age 2 years. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔use cephalosporins when treating otitis media. A patient with otitis media is treated for 10 days with amoxicillin. At the follow-up visit, the primary care NP notes bilateral erythematous, bulging tympanic membranes. The NP should prescribe: - ....🔰VERIFIED ANSWERS.... ✔✔oral amoxicillin- clavulanate (Augmentin) for 10 days.
canal. The NP should prescribe: - ....🔰VERIFIED ANSWERS.... ✔✔a. ciprofloxacin otic drops qid.
antigen strep test is negative, and a culture is pending. The NP orders amoxicillin as empiric treatment. The patient calls the next day to report a rash. The NP should suspect: - ....🔰VERIFIED ANSWERS.... ✔✔a. a viral cause for the patient's symptoms. A patient comes to the clinic several days after an outpatient surgical procedure complaining of swelling and pain at the surgical site. The primary care NP notes a small area of erythema but no abscess or induration. The NP should: - ....🔰 VERIFIED ANSWERS.... ✔✔a. prescribe TMP-SMX. A 5-year-old child who has no previous history of otitis media is seen in clinic with a temperature of 100° F. The primary care NP visualizes bilateral erythematous, nonbulging, intact tympanic membranes. The child is taking fluids well and is playing with toys in the examination room. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔a. initiate antibiotic therapy if the child's condition worsens. A primary care nurse practitioner (NP) sees a 3-year-old child who has a history of recurrent otitis media. The child's parent tells the NP that the child is allergic to penicillin. The NP learns that the child developed an all-over rash 2 days after starting amoxicillin at age 2 years. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔a. order a penicillin skin test.
rash. The NP should prescribe: - ....🔰VERIFIED ANSWERS.... ✔✔A. miconazole (Lotrimin AF).
pending, but Gram stain indicates a bacterial infection. The primary care nurse practitioner (NP) should: - ....🔰VERIFIED ANSWERS.... ✔✔A. begin empirical antibiotic therapy.