NSG 554 - Nurse Practitioners in Primary Care I
Exam 2
Question:
herpes simplex
Answer:
-transmission is by direct contact
-there are three phases: primary, latent, and recurrent
-definitive test is a viral culture
Question:
treatment of genital HSV infection
Answer:
-acyclovir 400 mg TID x7-10 days -acyclovir 200 mg 5x/day x7-10 days -famciclovir 250 mg TID x 7 days -valacyclovir 1g BID x 7-10 days
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Question:
treatment of primary herpes labialis
Answer:
acyclovir 400 mg 5x/day x 5 days -valacyclovir 2000 mg BID day 1, repeated with 1000 mg BID on day 2
Question:
herpes zoster
Answer:
this is shingles; dermatologic eruption caused by reactivation of the varicella-zoster virus
prodrome of pain, lesions last 7-10 days with unilateral eruption within one dermatome
Question:
labs for shingles
Answer:
PCR analysis, Tzanck preparation
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Question:
Treatment of shingles
Answer:
antiviral therapy within 72 hours of rash -valacyclovir 1000 mg TID x 7 days -famciclovir 500 mg TID x 7 days -acyclovir 800 mg 5x/day x 7-10 days
Question:
molluscum contagiosum
Answer:
benign viral infection of the poxvirus family with localized lesions consisting of painless, slightly itchy, flesh-colored, shiny, pearly white or waxy dome- shaped papules with a central dimple
Question:
labs for molluscum contagiosum
Answer:
needle aspiration
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Question:
curettage or liquid nitrogen
Answer:
A patient comes in with painless, localized lesions on his abdomen that are pearly white with a central dimple. What treatment would you tell this patient is the only way to destroy these lesions?
Question:
verruca
Answer:
medical term for warts; benign epidermal neoplasms caused by various types of HPV; transmission is direct skin contact and patients are generally asymptomatic
there are over the counter treatments for warts that patients can apply themselves without doctors assistance
Question:
Herpetic whitlow
Answer:
-self-limited viral infection of the area between the fascial planes of the distal finger, usually surrounding the nail -herpetiform vesicles or blisters erupt on the distal phalanx; throbbing, tingling, numbness, or pruritis in area of eruption are common
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