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NSG 6420 Week 2 Quiz

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John Marsh
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NSG6420 Week 2 Quiz Week Latest All Correct Answers

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 due to:
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:
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?
Amoxicillin
EES (erythromycin)
Bicillin L-A
Dicloxacillin

4. Question : Presbycusis is the hearing impairment that is associated with:
Physiologic aging
Ménière’s disease
Cerumen impaction
Herpes zoster

5. Question : Epistaxis can be a symptom of:
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:
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?
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?
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?
Presyncope
Disequilibrium
Vertigo
Syncope

10. Question : It is important to not dilate the eye if ____ is suspected.
Cataract
Macular degeneration
Acute closed-angle glaucoma
Chronic open-angle glaucoma

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?
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?
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 intenseo 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:
Bacterial conjunctivitis
Allergic conjunctivitis
Chemical conjunctivitis
Viral conjunctivitis

NSG6420 Week 2 Quiz

14. Question : In assessing the eyes, which of the following is considered a “red flag” finding when associated with eye redness?
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?
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?
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?
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?
Fictional keratosis
Keratoacanthoma
Lichen planus
Leukoplakia

19. Question : Rheumatic heart disease is a complication that can arise from which type of infection?
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?
Mono spot
Strep test
Throat culture
All of the above

 

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NSG 6420 Week 2 Quiz

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