{"id":118065,"date":"2023-09-02T08:21:26","date_gmt":"2023-09-02T08:21:26","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118065"},"modified":"2023-09-02T08:21:28","modified_gmt":"2023-09-02T08:21:28","slug":"final-exam-nr-577-nr577-latest-2023-2024-primary-care-management-of-adolescents-and-adults-final-exam-review-guide-with-verified-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/02\/final-exam-nr-577-nr577-latest-2023-2024-primary-care-management-of-adolescents-and-adults-final-exam-review-guide-with-verified-answers\/","title":{"rendered":"Final Exam: NR 577 (NR577) |Latest 2023\/ 2024| Primary Care Management of Adolescents and Adults Final Exam Review| Guide with Verified Answers"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p>Final Exam: NR 577 (NR577) |Latest 2023\/<br>2024| Primary Care Management of<br>Adolescents and Adults Final Exam Review|<br>Guide with Verified Answers<br>Q: Signs and symptoms of concussion<br>Answer:<br>headache drowsiness<br>dizziness sensitivity to light memory difficulties difficulty concentrating feeling slowed down<br>Q: When is a CT scan warranted for concussions<br>Answer:<br>CT scan to evaluate for hemorrhage is recommended for patients who are over 60, patients who<br>are on anticoagulants, or patients with:<br>vomiting<br>persistent short-term memory loss drug\/alcohol intoxication<br>post-injury seizure persistent headache<br>Q: What should you observe patients for who have a concussion<br>Answer:<br>loss of consciousness<br>increasing headache repeated vomiting slurred speech confusion<br>unusual behaviors seizures<br>limb weakness or numbness<br>The presence of any worsening symptoms requires emergency care.<br>Q: Immediately after injury (for concussions)<\/p>\n\n\n\n<p>Answer:<br>Conduct serial assessments since signs and symptoms may not appear for minutes to hours after<br>the injury or may evolve over time.<br>Apply guidelines for assessment and management that support the use of a multi- disciplinary<br>approach including qualified sports medicine specialists.<br>Use the Balance Error Scoring System (BESS) assessment tool at the sideline to objectively<br>assess balance after a concussion.<br>Q: How do you grade a TBI<br>Answer:<br>Glasgow coma scale (GCS)<br>Q: Mild injury on GCS<br>Answer:<br>Mild injury: GCS 13-15<br>Q: Moderate injury on GCS<br>Answer:<br>Moderate injury: GCS 9-12<br>Q: Severe injury on GCS<br>Answer:<br>Severe injury: 3-9<br>Q: Chronic Traumatic Encephalopathy (CTE)<br>Answer:<br>a degenerative brain disease caused by repeated head trauma. CTE is seen in athletes, such as<br>boxers and football players, and veterans<\/p>\n\n\n\n<p>Q: s\/s of Chronic traumatic encephalopathy<br>Answer:<br>depression confusion<br>irritability impulsivity aggression memory problems attention problems<br>poor decision-making<br>Q: Impetigo<br>Answer:<br>begins as a small, erythematous macule (commonly the face) that evolves into a vesicle beneath<br>the stratum corneum. The thin-roofed collection of fluid ruptures easily, leaving denuded, oozing<br>areas. A honey-colored crust forms as the fluid dries and collects. Intense erythema at the base of<br>the pustule. New lesions appear in the same location, and they coalesce. When the honey-colored<br>crusts are removed, the skin appears raw and glistening. Individual lesions usually do not exceed<br>2 cm in size. Impetigo is seen most frequently in children, but it also occurs in adults, especially<br>those with poor hygiene.<br>Q: Tx of imeptigo<br>Answer:<br>The crusts of impetigo should be debrided to expose the skin surface where bacteria are present.<br>The use of a washcloth for this purpose is rec- ommended. Furuncles and carbuncles are treated<br>with hot compresses to enhance drainage. Fluctuant lesions with abscess formation usually<br>require incision and drainage. Sometimes, packing of the wound is necessary. With exudative<br>lesions, drying compresses are required to remove detritus and desiccate the lesion. Saline<br>solution, tap water, or Burow solution (aluminum acetate) may be applied for 10 to<br>20 minutes three to four times a day.<br>Q: Scabies<br>Answer:<br>Transmission is through close personal contact, either sexual or non- sexual. Patients usually<br>present with intense pruritus, which is often more severe during the night. Eighty-five percent of<\/p>\n\n\n\n<p>infested persons have burrows on the fingers, interdigital areas, and wrists; these appear as linear<br>marks a few millimeters in length.<br>Q: Dx of scabies<br>Answer:<br>A skin scraping is performed by placing a drop of mineral oil on a suspicious lesion, shaving off<br>the roof of the burrow with a scalpel, scraping the base to remove the contents, and placing the<br>material on a microscope slide with cover slip.<br>Q: tx of scabies<br>Answer:<br>Permethrin 5% cream, which is synthetically derived from the chrysanthemum flower, is the<br>FDA-approved and first-line treatment for scabies for patients aged 2 months and older.<br>Q: Head lice<br>Answer:<br>The diagnosis is made by direct examination of the involved areas. Few adult lice are found at<br>the bases of the hairs, but many nits are typically seen. Both are usually visible to the naked eye,<br>but a hand lens and bright light may help. Nits appear as gray or white specks attached to the hair<br>shafts.<br>Q: Lice tx<br>Answer:<br>Permethrin 1% cream rinse shampoo is the first-line treatment for pedicu- losis and can be<br>obtained over the counter. Only permethrin has activity against eggs because it retains residual<br>activity for 2 weeks and remains on the hair for 14 days after treatment, thereby killing hatched<br>eggs. Some physicians still recommend that a second permethrin treatment be given 1 week after<br>the first, for maximum cure rate.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Final Exam: NR 577 (NR577) |Latest 2023\/2024| Primary Care Management ofAdolescents and Adults Final Exam Review|Guide with Verified AnswersQ: Signs and symptoms of concussionAnswer:headache drowsinessdizziness sensitivity to light memory difficulties difficulty concentrating feeling slowed downQ: When is a CT scan warranted for concussionsAnswer:CT scan to evaluate for hemorrhage is recommended for patients who are over [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118065","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118065","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118065"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118065\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118065"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118065"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}