From NCSN App quizes

Question 1

What season Pertussis most likely to occur (peak season for Pertussis)?

Answer 1

Summer: June - September

Question 2

What’s Pertussis?

Answer 2

Symptoms include whooping cough (continual, productive, choking cough/ high-pitch), cyanosis, vomiting and fatigue

Question 3

A patient with Strep A pharyngitis (strep throat) can later develop which of the following?

Answer 3

Acute rheumatic fever weeks following initial infection

Question 4

Types of seizure medications

Answer 4

1. Carbamazepine, Oxcarbazepine - for focal/partial onset seizures
2. Phenytoin - may make petit mal worse
3. Oxcarbazepine - may worsen generalized epilepsy

Question 5

Abusive Incest?

Answer 5

Sexual abuse by a relative before the age of 18

Question 6

The relationship between cortisol excess and wound healing?

Answer 6

Cortisol interferes with collagen matrix formation, thus cortisol excess will delay wound healing.

Question 7

Symptoms of meningococcal meningitis?

Answer 7

Headache, fever, nausea, lethargy, NUCHAL RIGIDITY (impaired neck flexion), petechial rash (tiny purple, red, or brown spots on the skin).

Question 8

The first step if meningococcal meningitis is suspected

Answer 8

Emergent CT of the brain and lumbar puncture should be done and then intravenous antibiotics started. The patient should be started on cerftriaxone (antibiotics) with or without vancomycin.

Question 9

Where aspirated foreign bodies most typically become lodged in lung?

Answer 9

Right lower lobe
: The right bronchus is shorter and straighter than the left (right three lobes, left two), and it makes it more likely for foreign bodies to travel down the right side.

Question 10

When the confidentiality should be provided for minor?

Answer 10

Sexually Transmitted Diseases, Substance Abuse, Mental Health

Question 11

If someone reports suicidal ideation, what should you ask?

Answer 11

How would you do that? - directly asking about method

Question 12

Justice in treatment?

Answer 12

Justice in treatment = equitable treatment of all

Question 13

Varicella Vaccine?

Answer 13

A LIVE attenuated vaccine that is able to confer resistance to varicella infection. Varicella vaccine is given in childhood as most primary infections occur during this time.

Question 14

DPT vaccine?

Answer 14

It’s an example of a killed whole cell vaccine (It’s not live).

Question 15

A few exceptions that confidentiality can be breached?

Answer 15

• If the patient is a danger to others or themselves. (e.g., when a person refuses to let STI infection to a spouse. )

Question 16

What does warm compression for muscle pain do?

Answer 16

It reduces muscle tone and alleviate muscle spasm. It may increase muscle blood flow.

Question 17

Abdominal pain location

• Pelvic Inflammatory Disease?
• Appendicitis
• Choleithiasis
• Diverticulitis

Answer 17

• Pelvic Inflammatory Disease: Diffuse lower abdominal pain
• Appendicitis: RLQ abdominal pain
• Chleithiasis (gallbladder stone): RUQ abdominal pain
• Diverticulitis (inflammation/infection in colon): LLQ

Question 18

What’s sound documentation?

Answer 18

Sound documentation is current, complete with all appropriate care and activity, and organized and flows with emphasizing the intended goal of communication.
-Absolutely NO personal projections or speculations.

Question 19

Complications of allergic rhinitis?

Answer 19

Acute sinusitis (sinus infection), Eustachian tube dysfunction, nasal polyps, allergic conjunctivitis, asthma exacerbation

*Rhinitis = Stuffy nose