Exam 2: NSG554/ NSG 554 (NEW 2023/ 2024) – Nurse Practitioners in Primary Care I Exam Review| | 100% Correct | Complete Guide with Verified Answers
Exam 2: NSG554/ NSG 554 (NEW 2023/
2024) – Nurse Practitioners in Primary Care I
Exam Review| | 100% Correct | Complete
Guide with Verified Answers
QUESTION
Aminopenicillins side effects
Answer:
a type of penicillin antibiotic, and they are commonly used to treat bacterial infections. Common
side effects of aminopenicillins include:
· Allergic Reactions: Allergic reactions, ranging from mild rashes to severe anaphy- laxis, can
occur with aminopenicillin use.
· Gastrointestinal Disturbances: Nausea, vomiting, diarrhea, and abdominal pain are common
gastrointestinal side effects.
· Skin Reactions: Skin rashes and hives can occur.
· Yeast Infections: Aminopenicillin use can sometimes lead to yeast infections, particularly in
women.
QUESTION
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): side effects
Answer:
a class of drugs commonly used to relieve pain and reduce inflammation. Some common side
effects of NSAIDs include:
· Gastrointestinal Issues: NSAIDs can irritate the stomach lining and may lead to gastrointestinal
problems such as ulcers, bleeding, heartburn, and stomach pain.
· Kidney Problems: Prolonged use of NSAIDs can affect kidney function and may cause kidney
damage.
· Cardiovascular Effects: NSAIDs have been associated with an increased risk of heart attack and
stroke, especially when used in high doses or for a long duration.
· Allergic Reactions: Some individuals may experience allergic reactions to NSAIDs, such as
skin rashes or swelling.
· Blood Clotting: NSAIDs can interfere with blood clotting, which may lead to bleeding
problems.
QUESTION
Sulfonamides
Answer:
§ Indications ( Just to name most common use in primary care office but there are other uses
also not listed)
o UTI
o MRSA
o SKIN infections
§ Should be renally dosed
§ Contraindications
o Hypersensitivity to sulfa drug
o History of drug induced thrombocytopenia
§ Adverse reactions
o Leukopenia, neutropenia, & thrombocytopenia
o RASH- ( If peeling rash can be r/t Stevens Johnson Syndrome and require emergent care)
o Tinnitus
o GI side effects- n/v/d
QUESTION
Cellulitis
Answer:
o Skin and soft tissue infections (SSTIs) are among the most frequent reasons for abx tx.
o Types
§ Purulent SSTI
· e.g., abscesses, furuncles, and carbuncles
§ Non-purulent SSTI
· Erysipelas, necrotizing fasciitis
o Cellulitis is considered a secondary infection with similar pathways to both SSTIs. o Classified
as mild, moderate, or severe
o Most prevalent organism
§ Group A hemolytic strep
§ Non-group A strep should be considered in underlying lymphatic disease (e.g., lymphedema).
§ S. aureus should be considered in deep penetrating wounds.
§ Consider other pathogens (in animal bites, Pasteurella, for instance)
QUESTION
Erysipelas
Answer:
o Nonpurulent SSTI
§ Lower legs, face, ears
§ Symptoms:
· Spreading erythema, warmth, induration and pain—may be accompanied by systemic Sx—
chills, fevers, malaise
· Possible lymphadenitis
§ Diagnostics—based on PE findings
· Labs—CBC, ESR, CRP
· Treatment—Penicillin V 500 mg po 4×/day × 10 days
QUESTION
Impetigo
Answer:
o Common Skin infection
§ Two patterns recognized:
· (1) bullous and
· (2) nonbullous (most common)
§ Cutaneous lesions with crust’s, translucent vesicle or pustules; moist erythema- tous weeping
base when the crust is removed.
§ Crust is honey colored.
o Labs—Gram stain o Treatment
§ Mupirocin, 2% ointment 3×/day × 10 days.
§ Retapamulin 1% 2×/day × 5 days
§ May also try oral abx
QUESTION
Erythrasma
Answer:
o Chronic, mild bacterial infection of skin o Well-demarcated, brown-red macular patches
o Inner thighs, inguinal area, scrotum, and toe webs which appear macerated o Diagnostic—
based on location and characteristics of lesions
o Labs—direct KOH, Wood lamp, gram stain, culture
o Treatment—benzoyl peroxide wash and 5% gel; Clindamycin 5% creams BID × 2 weeks
§ Oral therapy in combination with topical
QUESTION
Paronychia
Answer:
o Acute or chronic inflammation of the tissues surrounding the nail o If paronychial
inflammation is present >6 weeks, considered chronic paronychia
o Usually localized, throbbing pain
o Diagnostics—KOH preparation, CBC w/diff, biopsy
o Treatment—topical abx for minor infection; oral abx for more severe infections
§ Trimethoprim-sulfamethoxazole (if MRSA suspected), clindamycin, amoxi- cillin-clavulanate,
and cephalexin
QUESTION
Intertrigo
Answer:
o Superficial inflammatory bacterial or fungal skin disorder
§ Varying degrees of erythema, peripheral scaling, and macerated erythematous plaques
§ Initially mildly erythematous, moist, glistening plaques, patches, papules, and/or pustules;
borders are well defined
o Diagnosis—based on clinical appearance o Labs—KOH wet mount
o Treatment—burrow solution, drying agents (zinc oxide); if oral therapy needed, culture for
treatment
QUESTION
Herpes Simplex
Answer:
o HSV 1 or HSV 2 o Transmission by direct contact
o Three distinct phases: primary, latent, and recurrent infection o Definitive test is viral culture.
o Topical Acyclovir/hydrocortisone (Xerese, Denavir)
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