PNCB Prep: Ear, Nose and Throat (Latest 2022/2023) Correct Answers Shown by
34 views 0 purchase
Course
Nursing
Institution
Nursing
PNCB Prep: Ear, Nose and Throat (Latest 2022/2023) Correct Answers Shown by
Which period of gestation does a cleft palate usually occur?
6 to 12 weeks
When taking the prenatal history of a baby with a cleft palate, it would be important to ask about:
Medications or substance use during pre...
nose and throat latest 20222023 correct answers shown by
pncb prep ear
nose and throat latest 20222023 correct answers shown by which period of gestation does a cleft palate
Written for
Nursing
All documents for this subject (40909)
Seller
Follow
Stuviaexpert
Reviews received
Content preview
PNCB Prep: Ear, Nose and Throat
4yo is brought to urgent care clinic with report of acute onset of 104 fever and difficulty
swallowing. She appears anxious and is drooling. You suspect epiglottitis. What is the immediate
management plan? - ✅Medical transportation (with skilled professionals who can perform an
emergency intubation or tracheostomy) to an emergency facility with anesthesiology notified.
13yo presents with sore throat for a couple of weeks. He now has severe pharyngeal pain for 2
days, has been sweating and with fever. PE reveals a temperature of 102F and erythematous and
edematous pharynx and soft palate. The right tonsil is swollen and uvula is displaced to the left.
Right cervical nodes are tender. Lungs are clear to auscultation. These signs and symptoms are
suggestive of: - ✅Peritonsillar abscess
A 1 week old infant has been diagnosed with nasolacrimal duct obstruction. A typical initial
therapy includes: - ✅Nasolacrimal sac massage
A 9-month-old with a bifed uvula is likely to have increased risk of developing which disorder? -
✅Otitis media
A child brought to the clinic for a suspected cold. PE reveals greenish, blood-tinged mucus with
a strong, foul odor, draining from the right nostril. This clinical picture is consistent with a
diagnosis of: - ✅Nasal foreign body
A child presents to the clinic with irritation to their eye because they got bathroom cleanser in
the eye. What is the initial treatment? - ✅Irrigating the eye with copious amounts of normal
saline and THEN referral to ophthalmologist
A child presents to the office with left ear drainage. On exam you see that the external canal has
an orange-colored runny substance in it but the tympanic membrane appears normal. The ear
canal is not inflamed. This is consistent with: - ✅Excessive cerumen
A child previously seen/treated for streptococcal pharyngitis infection 1 month ago, presents to
the clinic with a swollen cervical lymph node. What is the appropriate management plan? -
✅Document size and characteristics of node and have child return in 2 weeks for reevaluation.
Lymphadenopathy post infection is an expected finding and may last for 4-6 weeks.
If the node does not resolve, further evaluation is necessary.
A child with cystic fibrosis is likely to experience which nasal disorder? - ✅Nasal polyps
A flat philtrum and thin upper lip are signs of: - ✅Fetal alcohol syndrome
, A patient with a history of chronic serous otitis media is noted to have a pearly white opacity in
the upper outer quadrant of his TM. He currently has no symptoms and appears to hear
adequately. What is the most likely diagnosis and appropriate management? - ✅Dx -
Cholesteatoma
Tx - Refer to otolaryngology
Anticipatory guidance for the patient with otitis externa should include: - ✅Instructing the
patient to keep ear dry until symptoms improve
Appropriate management of suspected epiglottitis would be: - ✅Medical transportation to an
emergency facility with anesthesiology notified
Assessment of the red reflex is used to rule out: - ✅- Opacities (e.g. glaucoma)
- Intraocular tumor (e.g. Retinoblastoma)
- Coloboma
At what age is the anterior fontanelle no longer palpable? - ✅24 to 26 months
Chalazions are caused by: - ✅obstruction of the meibomian glands of the upper and lower
eyelids, causing a painless nodule
Clinical guidelines for referrals to ENT/otolaryngologist in the patient with otitis media include:
- ✅- Persistent AOM resistant to treatment over 1 to 2 months
- Frequent recurrent OM; 3 infections in 6 months; 4 to 5 episodes of OM in 1 year
- Persistent/chronic OME longer than 3 months
- Evidence of hearing deficit or language delay
Common findings in nasal polyps include: - ✅- Nasal obstruction
- Mouth breathing
- Mucoid/mucopurulent rhinorrea
- Shiny gray, grape-like mass(es) between nasal turbinates and septum
Common organisms found to cause otitis externa include: - ✅Organisms that thrive in warm,
moist environments:
- Pseudomonas aeruginosa
- Staphylococcus aureus
- Candida albicans
Common pathogenic organisms causing otitis media include: - ✅- S. pneumoniae
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Stuviaexpert. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
