330) The treatment of choice for recurrent herpes simplex II infection is:
a) topical acyclovir
b) soaks with Burrow’s solution
c) oral acyclovir
d) nonsteroidal anti-inflammatory agents
Explanation: Patients who ha
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330) The treatment of choice for recurrent herpes simplex II infection is:
a) topical acyclovir
b) soaks with Burrow’s solution
c) oral acyclovir
d) nonsteroidal anti-inflammatory agents
Explanation: Patients who have six or more recurrences of genital herpes per year can be treated with one of the following regimens: acyclovir, 400 mg PO twice daily; valacyclovir, 1 g PO daily; or famciclovir, 250 mg PO twice daily. These regimens are effective in suppressing 70 to 80 % of symptomatic recurrences.
331) A NP is examining a 2-month-old infant. What question is most important to ask:
a) Does the infant have siblings?
b) Has the umbilical cord stump fallen off yet?
c) Was the infant full-term at birth?
d) Has the baby had a PKU test?
332) Which of the following liver enzyme values indicative of alcohol-related hepatitis?
a) ALT:AST ratio >2.0
b) AST:ALT ratio > 2.0
c) ALT and AST equally elevated
d) ALT and AST equally decreased
Explanation: The normal AST/ALT ratio in healthy subjects is 0/8. In patients with alcoholic hepatitis, the usual ratio (AST:ALT) IS 2:1. When ALT is very elevated, infectious hepatitis must be considered. Normally, both AST and ALT are less than 40 IU/AL.
333) Which of the following is TRUE concerning sensitivity and specificity?
a) Assessment techniques must be highly sensitive and highly specific to be useful
b) Sensitivity relates to the reliability of a technique to give a positive result when the finding is present. Specificity relates to the reliability of a technique to successfully rule out a finding
c) Sensitivity relates to the reliability of a technique to successfully rule out a finding. Specificity relates to the reliability of a technique to give a positive result when the finding is present.
d) A test of high sensitivity will fail to determine a finding in many patients. A test of high specificity tends to produce false positive results
334) Which antibiotic is demonstrated to be the most effective treatment for community acquired pneumonia (CAP) in young adults with co-morbid conditions?
a) sulfa
b) clarithromycin (Biaxin)
c) cefuroxime (Ceftin)
d) penicillin
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