Final Exam: NR569/ NR 569 (New 2023/ 2024
Update) Differential Diagnosis in Acute Care
Practicum Exam Review| Week 5-8|
Questions and Verified
... [Show More] Answers| 100% Correct - Chamberlain
RADT
Answer:
Rapid screening tests (rapid antigen detection testing [RADT]) for strep- tococcal antigens are
useful in patients with signs and symptoms of a
gitis.
Because of improvement in RADT, a throat culture is not necessary unl result is negative (in
children), symptoms do not improve, or the pati response to appropriate antibiotics.
QUESTION
Allergic Pharyngitis
Answer:
Often associated with an intermittent postnasal drip that leads to minor irritation and
inflammation of the posterior pharynx. Some patients with recurrent or chronic low-grade
sinusitis may present with a sore throat induced by a postnasal drip from the affected sinuses.
QUESTION
thyroiditis
Answer:
When a patient complains of a sore throat that becomes worse with swallowing and the physical
findings of the oropharynx are normal, the physician should suspect thyroiditis and palpate the
thyroid for swelling or pain.
This presentation is common for the uncommon illness thyroiditis.
QUESTION
Fusospirochetal infection (Vincent's angina)
Answer:
people with poor oral hygiene
Painful ulcers Bleeding gums Foul breath
No vesicles
Ulcerative gingivitis
Gray, necrotic ulcers 2- to 30-mm ulcers
Pseudomembrane
QUESTION
mononucleosis (mono)
Answer:
acute, infectious illness, usually caused by the Ep- stein-Barr virus, and marked by an increased
number of atypical lymphocytes and monocytes
antibiotics are unnecessary
QUESTION
Viral Pharyngitis Differential
Answer:
Viral infection is the most common cause of pharyngitis and, unlike streptococcal pharyngitis,
has no particular distribution with regard to age or time of year, although it is slightly more
frequent in the winter months.
Patients usually have less severe pharyngeal symptoms and more severe systemic symptoms.
Less likely to have an exudate or marked erythema of the pharynx, which is usually slightly
injected but may also appear swollen, boggy, or pale.
Exudate or follicular tonsillitis is not usually present, but systemic symptoms (malaise, fever,
cough, headache, fatigue) are more prominent than they are with streptococcal pharyngitis.
QUESTION
Blepharitis
Answer:
Blepharitis, or inflammation of the eyelids, is characterized by red- ness at the margins of
eyelids. Symptoms of blepharitis include dry, red, itchy eyelids that may be crusted. This
diagnosis is a less likely potential diagnosis.
QUESTION
Corneal Abrasion
Answer:
Corneal abrasion is characterized by an alteration in the epithelial layer of the cornea due to
trauma, foreign bodies, or chemical exposure. This condition is characterized by redness;
however, pain, tearing, and sensitivity to light are the more typical symptoms. Corneal abrasion
is typically unilateral given the etiology. This diagnosis is a less likely potential diagnosis.
QUESTION
Subconjunctival Hemorrhage
Answer:
Subconjunctival hemorrhage is bleeding below the conjunctiva and is characterized by a red
patch on the sclera of the eye, rather than generalized redness and/or itching. This diagnosis is a
less likely potential diagnosis.
QUESTION
Uveitis
Answer:
Uveitis involves inflammation of the middle layer of the eye. The most common type of uveitis
is iritis. Symptoms include redness, pain, light sensitivity, and blurred vision. This diagnosis is a
less likely potential diagnosis. [Show Less]