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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 / 1 pts

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
1 / 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 / 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
 

NRNP 6540 Week 3: Knowledge Check Quiz Question 4
1 / 1 pts

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
1 / 1 pts

Describe the etiology of lymphedema.

Low blood albumin
 

Anemia
 

Correct!
 
Pooling of fluid in the interstitial space.
 

Renal insufficiency
 

Question 6
1 / 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
 

NRNP 6540 Week 3: Knowledge Check Quiz Question 7
1 / 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?

 

Basal Cell Carcinoma
 

Squamous Cell Carcinoma
 

Merkel Cell Carcinoma
 

Correct!

Melanoma
 

Question 8
1 / 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
 

NRNP 6540 Week 3: Knowledge Check Quiz Question 9
1 / 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?

 
 

Psoriasis
 

Correct!

Tinea pedis
 

Yeast infection
 

Eczema
 

Question 10
1 / 1 pts

What is the best way to diagnose tinea infections?

Bacterial culture
 

Response to steroid cream appliation
 

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