Hidradenitis Suppurativa Treatment Overview

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

A middle-age female patient presents to the clinic with a recurrence of mild hidradenitis suppurativa after topical therapies failed. Which first-line treatment is recommended?

  • Minocycline
  • Clindamycin
  • Doxycycline
  • Tetracycline (correct)

An otherwise healthy adult patient presents to the clinic with a diagnosis of community-acquired pneumonia and no recent antibiotic therapy. Which is the best option for treatment?

  • Azithromycin
  • Doxycycline
  • Amoxicillin (correct)
  • Amoxicillin/clavulanate

You have a 35-year-old female patient who is complaining of wrist pain. She is an administrative assistant who does a great deal of computer work in her job. You will test her for carpal tunnel syndrome. When you tap at the volar surface of the wrist you are performing which of the following tests?

  • Finkelstein's test
  • Allen's test
  • Tinel's sign (correct)
  • Phalen's sign

In addition to being overweight, the American Diabetes Association recommends type 2 diabetes mellitus testing in adults who:

<p>have an HDL level of &lt; 35 mg/dL (A)</p> Signup and view all the answers

Which of the following found on an ECG would confirm atrial fibrillation?

<p>both A and C (C)</p> Signup and view all the answers

As an FNP you understand that all of the following statements about chronic heart failure are accurate EXCEPT:

<p>The preponderance is in females until the age of 75, then there is equal occurrence in males and females. (D)</p> Signup and view all the answers

Charles Darwin wrote On the Origin of Species about human evolution. He also is known for which of the following?

<p>developing the &quot;baby journal&quot; as a systematic method to document observed behavioral development (D)</p> Signup and view all the answers

A patient with sensitive skin had a TB skin test but has no symptoms. He returns with redness and swelling that appears positive. What is the next step?

<p>Schedule a CXR (D)</p> Signup and view all the answers

The nurse practitioner should not cross certain boundaries with patients. Which of the following would not be considered crossing one of these boundaries?

<p>True (A)</p> Signup and view all the answers

The United States Preventive Services Task Force recommends screening older patients for depression:

<p>at each primary care visit (C)</p> Signup and view all the answers

Which of the following is a normal physiologic change during pregnancy?

<p>All of the above (D)</p> Signup and view all the answers

When counseling patients who smoke cigarettes, which of the following is NOT good management advice?

<p>For asymptomatic adults, instruct the patient on how it is easier to stop now than when symptomatic. (B)</p> Signup and view all the answers

According to Prochaska and DiClemente, the 5 stages of preparation for patient change would include which of the following?

<p>All of the above (F)</p> Signup and view all the answers

Which of the following would be considered one of the stages of Pertussis?

<p>All of the above (D)</p> Signup and view all the answers

You are testing a 35-year-old male patient for Addison's disease. You perform the test for ACTH stimulation. If this patient has primary adrenal insufficiency he will have which of the following responses to this test?

<p>No response (C)</p> Signup and view all the answers

A patient with stable angina would exhibit which of the following?

<p>no change in duration of symptoms during the preceding 6 weeks (B)</p> Signup and view all the answers

Flashcards

What is the first-line treatment for hidradenitis suppurativa?

Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line treatment for hidradenitis suppurativa.

What is the "Medicine Wheel" used for?

The "Medicine Wheel" is traditionally used and contains four directions; north, south, east, and west. Traditionally each tribe has different meanings for each direction and they may represent the season of the year or stage of life. It is aimed at providing a holistic view of life.

What can cause conductive hearing loss?

Cerumen, commonly called earwax, is a combination of secretions and sloughed epithelial cells that protects the ears from infection, water, and insects. It is normally expelled from the ear canal through natural jaw movement. When this self-cleaning process fails, cerumen can become impacted. Cerumen impaction occludes the ear canal and can press against the tympanic membrane, resulting in conductive hearing loss.

What is the best option for treatment of community-acquired pneumonia in an adult with no recent antibiotic therapy?

High-dose amoxicillin (Amoxil) or doxycycline are recommended as first-line therapy for adults without comorbidities.

Signup and view all the flashcards

What test is performed by tapping on the volar surface of the wrist?

Tinel's sign is a test for carpal tunnel syndrome. It is performed by tapping at the volar surface of the wrist.

Signup and view all the flashcards

What syndrome is characterized by a gastrinoma secreting gastrin and high stomach acid production?

Zollinger-Ellison syndrome is a gastrinoma located on the pancreas or the stomach that secretes gastrin, stimulating high levels of acid production in the stomach.

Signup and view all the flashcards

What is the initial medical management for a suspected brown recluse spider bite?

For a brown recluse spider bite, the medical management includes ice pack and elevation of the area.

Signup and view all the flashcards

What is a risk factor for type 2 diabetes mellitus besides being overweight?

The American Diabetes Association recommends type 2 diabetes mellitus testing in adults who have an HDL level of < 35 mg/dL, in addition to being overweight.

Signup and view all the flashcards

What ECG findings confirm atrial fibrillation?

Atrial fibrillation is confirmed on an ECG by the absence of P waves and an irregular ventricular rate.

Signup and view all the flashcards

Which statement about chronic heart failure is NOT accurate?

Patients who are underweight have a greater risk of CHF.

Signup and view all the flashcards

What is a possible adverse effect of Benadryl in a patient with BPH?

Benadryl can cause urinary retention, which can be problematic for a patient with benign prostatic hyperplasia (BPH).

Signup and view all the flashcards

What is the term for rigid resistance to passive movement with a jerky, ratchet-like quality?

Cogwheeling is a type of rigidity seen in Parkinson's disease, where there is resistance to passive movement with a jerky, ratchet-like quality.

Signup and view all the flashcards

What nervous system innervates the organs within the abdomen?

The enteric nervous system is a complex network of nerve fibers that innervate the organs within the abdomen like the gastrointestinal tract, pancreas, and gall bladder.

Signup and view all the flashcards

How is aplastic anemia classified in terms of cell size?

Aplastic anemia is classified as normocytic anemia.

Signup and view all the flashcards

What is Charles Darwin known for besides On the Origin of Species?

Charles Darwin is also known for developing the "baby journal" as a systematic method to document observed behavioral development.

Signup and view all the flashcards

What opportunistic infection in AIDS patients presents with severe watery diarrhea, abdominal cramps, nausea, malaise, and electrolyte imbalance?

Cryptosporidiosis presents with severe watery diarrhea - sometimes as many as 30-40 stools per day. The patient also has abdominal cramps, nausea, malaise and tests will show an electrolyte balance.

Signup and view all the flashcards

What is the next step for a patient with a positive TB skin test and no symptoms?

A CXR should be scheduled for a patient with a positive TB skin test and no symptoms to rule out active TB.

Signup and view all the flashcards

How often does the United States Preventive Services Task Force recommend screening older patients for depression?

The United States Preventive Services Task Force recommends screening older patients for depression at each primary care visit.

Signup and view all the flashcards

Which type of hepatitis is transmitted by the fecal-oral route from contaminated food?

Hep A is transmitted by the fecal-oral route from contaminated food.

Signup and view all the flashcards

What is a normal physiological change during pregnancy?

Cardiac output increases by 1/3 by the last two trimesters of pregnancy.

Signup and view all the flashcards

What medication is commonly used to treat left-heart failure?

Lasix is a diuretic that is commonly used to treat left-heart failure by reducing fluid overload.

Signup and view all the flashcards

What is NOT good management advice when counseling patients who smoke cigarettes?

For asymptomatic adults, instructing the patient on how it is easier to stop now than when symptomatic is NOT good management advice for smokers.

Signup and view all the flashcards

What is one of the stages of preparation for patient change according to Prochaska and DiClemente?

Action is one of the stages of preparation for patient change according to Prochaska and DiClemente.

Signup and view all the flashcards

What lab test should be done every 3-6 months for a patient with type 2 diabetes?

The A1c test is a measure of average blood glucose over the past 2-3 months and should be done every 3-6 months for patients with type 2 diabetes.

Signup and view all the flashcards

What is one of the stages of Pertussis?

Convalescent is one of the stages of Pertussis.

Signup and view all the flashcards

What is the response to an ACTH stimulation test in a patient with primary adrenal insufficiency?

A patient with primary adrenal insufficiency will have no response to an ACTH stimulation test.

Signup and view all the flashcards

Which drug for treating anxiety has the most rapid onset of action?

Diazepam has a rapid onset of action and a relatively sustained effect.

Signup and view all the flashcards

What syndrome can be indicated by a large "port wine" stain on half of the facial area?

Sturge-Weber Syndrome is a neurological disorder that can be indicated by a large "port wine" stain located on half of the facial area, suggesting trigeminal nerve involvement.

Signup and view all the flashcards

What is a characteristic of stable angina?

Stable angina is characterized by no change in the duration of symptoms during the preceding 6 weeks.

Signup and view all the flashcards

What condition is most likely indicated by the absence of a p wave on an ECG?

The absence of a p wave on an electrocardiogram is most likely indicative of atrial fibrillation.

Signup and view all the flashcards

What is the onset of action for Lispro insulin?

Lispro insulin has an onset of action starting at 15 minutes.

Signup and view all the flashcards

What is a common fungal skin infection that presents as a ring-shaped rash?

Ringworm is a common fungal skin infection that typically presents as a ring-shaped rash on the extremities, trunk, or face.

Signup and view all the flashcards

What is a treatment option for swimmer's ear?

Application of local heat to the outer ear for pain relief is a treatment option for swimmer's ear.

Signup and view all the flashcards

What is not recommended for a child with Fifth disease?

Isolation is not recommended for a child with Fifth disease, as it is spread through respiratory droplets.

Signup and view all the flashcards

How often should electrolytes be monitored in a patient with Addison's disease?

Electrolytes should be monitored every 3-4 months for the first year of therapy in a patient with Addison's disease.

Signup and view all the flashcards

What gynecologic specimen should be collected last during a gynecologic examination?

Papanicolaou testing should be collected last during a gynecological examination.

Signup and view all the flashcards

What should be given the highest priority in a patient who is dehydrated, anxious, and isolated?

Dehydration should be given the highest priority in a patient who is dehydrated, anxious, and isolated.

Signup and view all the flashcards

What is FALSE according to the structural functional theory of assessment and intervention?

Suprasystems form within the family to reflect functional needs is FALSE according to the structural functional theory of assessment and intervention.

Signup and view all the flashcards

What is the diagnosis for a ring-shaped rash with central clearing on the arms and legs in a 5-year-old child?

Tinea corporis is a fungal infection that presents as a ring-shaped rash with central clearing on the arms and legs.

Signup and view all the flashcards

Who should not be prescribed Bactrim?

Bactrim should not be prescribed to a 1-month old child due to the risk of kernicterus.

Signup and view all the flashcards

What can be used for acute, weeping lesions in patients with eczema?

Burow's solution is a topical astringent that can be used for acute, weeping lesions in patients with eczema.

Signup and view all the flashcards

What are the finger-shaped growths that help anchor the embryo to the uterine lining during implantation?

Chorionic villi are finger-shaped growths that help anchor the embryo to the uterine lining during implantation.

Signup and view all the flashcards

At what stage of pregnancy is a patient likely to be if their uterus is the size of a grapefruit?

A patient is most likely to be 12 weeks pregnant when the uterus is the size of a grapefruit.

Signup and view all the flashcards

What is the most common cause of secondary hypertension?

Renal conditions are the most common cause of secondary hypertension.

Signup and view all the flashcards

What is the effect of a goitrogen?

A goitrogen can lead to hyperthyroidism.

Signup and view all the flashcards

What is the term for an injury to one of the ligamentous structures of the body?

A sprain is an injury to one of the ligamentous structures of the body.

Signup and view all the flashcards

What is NOT a part of the management plan for a patient with multiple sclerosis?

Corticosteroids are often used for acute exacerbations in patients with MS, not for maintenance.

Signup and view all the flashcards

What statement about endometriosis is least accurate?

The FNP can manage the patient with endometriosis independently is LEAST accurate.

Signup and view all the flashcards

In what circumstances can a healthcare provider obtain blood at the request of law enforcement officials without a patient's consent?

All of the above - The suspect must be under arrest, a delay in drawing blood would lead to destruction of evidence, and the test is performed in a reasonable manner.

Signup and view all the flashcards

How does a CT scan allow for better diagnosis?

A CT scanner forms a three-dimensional model of the inside of the patient using narrow 'slices'.

Signup and view all the flashcards

What is the Romberg test used to evaluate?

The Romberg test is used to evaluate the cerebellar system.

Signup and view all the flashcards

What is the term for a superficial skin lesion that is elevated, less than 1 cm in diameter, and filled with serous fluid?

A vesicle is a superficial skin lesion that is elevated, less than 1 cm in diameter, and filled with serous fluid.

Signup and view all the flashcards

What is important to remember about infectious disease recognition and management?

Be alert to endemic diseases, be alert to diseases that may be the result of bioterrorism, and know the local health department guidelines for reporting communicable diseases.

Signup and view all the flashcards

In what quadrant of the abdomen is the body of the pancreas located?

The body of the pancreas lies in the Left Upper Quadrant of the abdomen.

Signup and view all the flashcards

What is the term for the absence of menstruation for more than 3 months in a woman who previously had regular periods?

Secondary amenorrhea is the absence of menstruation for more than 3 months in a woman who previously had regular periods.

Signup and view all the flashcards

Use Quizgecko on...
Browser
Browser