NR 511 Midterm question from Dunphy book

NR 511 Midterm question from Dunphy book chapters 7,8,9,11 What is the most effective treatment for urticaria?

• An oral antihistamine
• Dietary management
• Avoidance of the offending agent
• A glucocorticosteroid

(ANS- C. Avoidance of the offending agent

Tinea unguium is also known as:

• Tinea capitis.
• Pityriasis versicolor.
• Tinea manuum.
• Onychomycosis.

(ANS- D. Onychomycosis.

Sandra, age 69, is complaining of dry skin. What do you advise her to do?

• Bathe every day.
• Use tepid water and a mild cleansing cream.
• Use a dehumidifier.
• Decrease the oral intake of fluids.

(ANS- B. Use tepid water and a mild cleansing cream.

Your client, a 75-year-old smoker of 50 years, is at the office today for a routine physical. During your inspection of the oral mucosa, you discover a lesion that you suspect to be cancerous. You document

your finding as:

• A vesicular-like lesion.
• An ulcerated lesion with indurated margins.
• A denuded patch with a removable white coating.
• A red raised lesion.

(ANS- B. An ulcerated lesion with indurated margins.

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Which type of hemangioma in a newborn occurs on the nape of the neck and is usually not noticeable when it becomes covered by hair?

• Nevus flammeus (port-wine stain)
• Stork's beak mark
• Strawberry hemangioma
• Cavernous hemangioma

(ANS- B. Stork's beak mark

Sidney, age 72, has just been diagnosed with temporal arteritis. What do you prescribe?

• Systemic corticosteroids
• Topical corticosteroids
• Antibiotics
• Antifungal preparations

(ANS- A. Systemic corticosteroids

Abe, age 57, has just been given a diagnosis of herpes zoster. He asks you about

exposure to others. You tell him that:

• Once he has been on the medication for a full 24 hours, he is no longer

contagious.

• He should stay away from children and pregnant women who have not had

chickenpox.

• He should wait until the rash is completely gone before going out in crowds.
• He should be isolated from all persons except his wife.

(ANS- B. He should stay away from children and pregnant women who have not had chickenpox.

What is the most important thing a woman can do to have youthful, attractive skin?

• Keep well hydrated.
• Use sunscreen with an SPF of at least 45.
• Avoid smoking.
• Use mild defatted or glycerin soaps.

(ANS- C. Avoid smoking. 2 / 3

Tanisha, a 24-year-old African American mother of four young children, presents in the clinic today with varicella. She states that three of her children also have it and that her eruption started less than 24 hours ago. Which of the following may shorten the course of Tanisha's disease?

• Calamine lotion
• Cool baths
• Acyclovir (Zovirax)
• Corticosteroids

(ANS- C. Acyclovir (Zovirax)

Johnny, age 12, just started taking amoxicillin for otitis media. His mother said that he woke up this morning with a rash on his trunk. What is your first action?

• Prescribe systemic antihistamines.
• Prescribe a short course of systemic steroids.
• Stop the amoxicillin.
• Continue the drug; this reaction on the first day is normal.

(ANS- C. Stop the amoxicillin.

Balanitis is associated with:

• Diabetes.
• Macular degeneration.
• Candida infection of the penis.
• Measles.

(ANS- C. Candida infection of the penis.

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