South University NSG 6420 Week 2 Quiz / South University NSG6420 Week 2 Quiz (2020, Latest) (Already graded A)

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NSG6420 QUIZ 1 1 Question : An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to possible hearing aid malfunction, this condition is often du... e to: Student Answer: Acoustic neuroma Cerumen impaction Otitis media Ménière’s disease 2. Question : In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous discharge. This is most likely indicative of: Student Answer: Bacterial sinusitis Allergic rhinitis Drug abuse Skull fracture 3. Question: A 45 year old patient presents with ‘sore throat’ & fever for one week. After a quick strep screen you determine the patient has Strep throat. You know that streptococcal pharyngitis should be treated with antibiotics to prevent complications & to shorten the course of disease. Which of the following antibiotics should be considered when a patient is allergic to Penicillin? Student Answer: Amoxicillin EES (erythromycin) Bicillin L-A Dicloxacillin 4. Question : Presbycusis is the hearing impairment that is associated with: Student Answer: Physiologic aging Ménière’s disease Cerumen impaction Herpes zoster 5. Question : Epistaxis can be a symptom of: Student Answer: Over-anticoagulation Hematologic malignancy Cocaine abuse All of the above 6. Question : Your patient has been using chewing tobacco for 10 years. On physical examination, you observe a white ulceration surrounded by erythematous base on the side of his tongue. The clinician should recognize that very often this is: Student Answer: Malignant melanoma Squamous cell carcinoma Aphthous ulceration Behcet’s syndrome 7. Question : A 26 year old patient presents with cough & general malaise for 3 days. They note that their eyes have been watering clear fluid & a ‘runny nose’ since yesterday. They note they ‘feel miserable’ & demand something to make them feel better. What would be the best first plan of treatment? Student Answer: Saline nasal spray for congestion & acetaminophen as needed for pain. Z-pack (azithromycin) for infection & Cromolyn nasal for congestion Hydrococone/acetaminophen as needed for pain & Guaifensin for congestion Cephalexin for infection & Cromolyn ophthalmic for congestion 8. Question : Which of the following findings should trigger an urgent referral to a cardiologist or neurologist? Student Answer: History of bright flash of light followed by significantly blurred vision History of transient & painless monocular loss of vision History of monocular severe eye pain, blurred vision, & ciliary flush All of the above 9. Question : Dizziness that is described as "lightheaded" or, "like I'm going to faint," is usually caused by inadequate cerebral perfusion & is classified as? Student Answer: Presyncope Disequilibrium Vertigo Syncope 10. Question : It is important to not dilate the eye if ____ is suspected. Student Answer: Cataract Macular degeneration Acute closed-angle glaucoma Chronic open-angle glaucoma Instructor Explanation: If the patient has experienced sudden onset of eye pain, it is important not to dilate the eyes before determining whether acute closed-angle glaucoma is present because dilating the eye may increase the intraocular pressure. (Goolsby 108) Acute glaucoma, also known as angle-closure or narrow-angle glaucoma, is an obstruction to the outflow of aqueous humor from the posterior to the anterior chamber through the trabecular meshwork, canal of Schlemm, & associated structures. It results in an elevation of intraocular pressure, damaging the optic nerve & causing loss of peripheral vision, eye pain, & redness. This type of glaucoma is uncommon but may occur as a primary disease or secondary to other conditions & constitutes an ophthalmic emergency. (Kennedy-Malone 161) 11. Question : Mr. GC presents to the clinic with nausea & vomiting for 2 days, prior to that time he reports occasional ‘dizziness’ that got better with change in position. He denies a recent history of URI or any history of headaches or migraines. What would the most likely diagnosis be? Student Answer: Vestibular neruitis Benign paroxysmal positional vertigo Vestibular migraine Benign hypertensive central vertigo 12. Question : Which of the following patients with vertigo would require neurologic imaging? Student Answer: A 68-year-old woman with a history of hypertension & sudden acute onset constant vertigo. She has right nystagmus that changes direction with gaze & that does not disappear when she focuses. A 45-year-old man with recurrent episodes of brief intense vertigo every time he turns his head rapidly. He has no other neurologic signs or symptoms. He has a positive Dix-Hallpike maneuver. A 66-year-old man with recurrent episodes of vertigo associated with tinnitus & hearing loss. His head thrust test is positive. A 28-year-old otherwise well woman with new onset constant vertigo with no other neurologic symptoms. On physical exam, she has unidirectional nystagmus that disappears when her gaze is fixed. 13. Question : A patient presents with eye redness, scant discharge, & a gritty sensation. Your examination reveals the palpable preauricular nodes, which are most likely with: Student Answer: Bacterial conjunctivitis Allergic conjunctivitis Chemical conjunctivitis Viral conjunctivitis 14. Question : In assessing the eyes, which of the following is considered a “red flag” finding when associated with eye redness? Student Answer: History of prior red-eye episodes Grossly visible corneal defect Exophthalmos Photophobia 15. Question : A 64-year-old male presents with erythema of the sclera, tearing, & bilateral pruritus of the eyes. The symptoms occur intermittently throughout the year & he has associated clear nasal discharge. Which of the following is most likely because of the inflammation? Student Answer: Bacterium Allergen Virus Fungi 16. Question : Patients that have atopic disorders are mediated by the production of Immunoglobulin E (IgE) will have histamine stimulated as an immediate phase response. This release of histamine results in which of the following? Student Answer: Sinus pain, increased vascular permeability, & bronchodilation Bronchospasm, vascular permeability, & vasodilatation Contraction of smooth muscle, decreased vascular permeability, & vasoconstriction Vasodilatation, bronchodilation, & increased vascular permeability 17. Question : You have a patient complaining of vertigo & want to know what could be the cause. Knowing there are many causes for vertigo, you question the length of time the sensation lasts. She tells you several hours to days & is accompanied by tinnitus & hearing loss. You suspect which of the following conditions? Student Answer: Ménière’s disease Benign paroxysmal positional vertigo Transient ischemic attack (TIA) Migraine 18. Question : In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the most common oral precancerous lesion? Student Answer: Fictional keratosis Keratoacanthoma Lichen planus Leukoplakia 19. Question : Rheumatic heart disease is a complication that can arise from which type of infection? Student Answer: Epstein-Barr virus Diphtheria Group A beta hemolytic streptococcus Streptococcus pneumoniae 20. Question : A patient complains of fever, fatigue, & pharyngitis. On physical examination there is pronounced cervical lymphadenopathy. Which of the following diagnostic tests should be considered? Student Answer: Mono spot Strep test Throat culture All of the above [Show More]

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