NRNP 6540 Week 3: Knowledge Check Quiz
Question 1
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The NP is seeing a 76-year-old female patient wiht 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 look like this. What is your working diagnosis?
Melanoma
Squamous Cell Carcinoma
Correct!
Basal Cell Carcinoma
Merkel Cell Cancinoma
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Question 2
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Cellulitis is most commonly caused by which pathogens?
staph epidermidis
Correct!
group A strep pyrogenes
Correct!
staph aureus
methicillin-resistant staph aureus
Question 3
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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
NRNP 6540 Week 3: Knowledge Check Quiz Question 4
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The NP has diagnosed a patient with herpes zoster ophthalmicus (HZO). What would your treatment plan for this patient be?
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
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Describe the etiology of lymphedema.
Low blood albumin
Anemia
Correct!
Pooling of fluid in the interstitial space.
Renal insufficiency
Question 6
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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
NRNP 6540 Week 3: Knowledge Check Quiz Question 7
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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?
Basal Cell Carcinoma
Squamous Cell Carcinoma
Merkel Cell Carcinoma
Correct!
Melanoma
Question 8
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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
NRNP 6540 Week 3: Knowledge Check Quiz Question 9
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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?
Psoriasis
Correct!
Tinea pedis
Yeast infection
Eczema
Question 10
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What is the best way to diagnose tinea infections?
Bacterial culture
Response to steroid cream appliation
Correct!
KOH examination of skin scrapings
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