NR 511 WEEK 3 QUIZ Differential Diagnosis and Primary Care Practicum
Question 1
1 / 1 pts
A 4-year-old male presents to your pediatric clinic with
... [Show More] his mother complaining of an
itchy rash, mostly between his fingers. This has been going on for multiple days and has
been getting worse. The patient recently started at a new day care. On physical exam,
the patient is afebrile and has multiple small (1-2 mm) red papules in sets of 3 located in
the web spaces between his fingers. He also has signs of excoriation. What is the
treatment for this problem?
Cold compresses and hydrocortisone cream 1% twice a day.
Over-the-counter Benadryl cream.
Correct!
Permethrin lotion for the patient and also his family members.
Ketoconazole cream.
This is the treatment for scabies.
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Question 2
1 / 1 pts
A 22-year-old college student presents to your urgent care clinic complaining of a rash.
She was recently on spring break and spent every night in the hot tub at her hotel. On
physical exam, she has multiple small areas of 1- to 2-mm erythematous pustules that
are present mostly where her bathing suit covered her buttocks. What is the most likely
pathogen causing these lesions?
Staphylococcus aureus.
Klebsiella.
Streptococcus.
Correct!
Pseudomonas aeruginosa.
This is a common cause of hot tub folliculitis. Staph and Strep can cause
folliculitis but it is not the most common pathogens in hot tubs. Klebsiella can
cause folliculitis in the immunocompromised patient.
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Question 3
1 / 1 pts
You diagnose 46-year-old Mabel with viral conjunctivitis. Your treatment should include:
Correct!
Supportive measures and lubricating drops (artificial tears).
Oral erythromycin for 14 days.
Gentamicin ophthalmic ointment.
Ciprofloxacin ophthalmic drops.
Viral conjunctivitis is treated with supportive measures, including cold
compresses and lubricating eye drops. Preventive measures, such as frequent
handwashing, are important, as viral conjunctivitis is highly contagious.
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Question 4
1 / 1 pts
A 3-year-old patient presents to your pediatric office with her mother. She has recently
started in day care. Her mother noted slight perioral erythema on the right side of the
patient’s mouth last night before bed. The patient awoke today with 3 small, superficial,
honey-colored vesicles where the erythema was last night. The patient has no
surrounding erythema presently. She had no difficulty eating this morning and is active
and energetic and doesn’t appear lethargic or fatigued. She is also afebrile. How would
you treat this child? [Show Less]