NR511 / NR 511 Midterm Exam
Differential Diagnosis & Primary Care Practicum
Questions and Answers (Verified Answers)
1. What is the most common bacterial pathogen associated with acute
otitis media
ANS Streptococcus pneumoniae.
2. When the Weber test is performed with a tuning fork to assess hearing
and there is no lateralization, the nurse practitioner should document this
finding as
ANS a normal finding
3. You are assessing a first grader and find that the tonsils are touching
the uvula. How would you grade this finding
ANS Grade 3
4. Which of the following is not a cause of conductive hearing loss
ANS presby- cusis
,5. Jill, a 34-year-old bank teller, presents with symptoms of hay fever. She
complains of nasal congestion, runny nose with clear mucus, and itchy
nose and eyes. On physical assessment, you observe that she has pale
nasal turbinates. What is your diagnosis
ANS allergic rhinitis
6. Mrs. Johnson, a 54-year-old accountant, presents to the office with
a painful red eye without discharge. You should suspect
ANS Iritis.
7. April, age 50, presents with soft, raised, yellow plaques on her eyelids
at the inner canthi. She is concerned that they may be cancerous skin
lesions. You tell her that they are probably
ANS Xanthelasmas.
8. A 62-year-old woman presents to your clinic with a sudden right-sided
headache that is worse in her right eye. She states that her vision seems
blurred, and her right pupil is dilated and slow to react. The right conjunctiva
is
, markedly injected, and the eyeball is firm. You screen her vision and find that
she is 20/30 OS and 20/30 OD. She most likely has
ANS angle-closure glaucoma
9. A 25-year-old male presents with "bleeding in my eye" for 1 day. He
awoke this morning with a dark area of redness in his eye. He has no visual
loss
or changes. He denies constitutional symptoms, pruritus, drainage, or
recent trauma. The redness presents on physical exam as a dark red area in
the patient's sclera of the right eye only and takes up less than 50% of the
eye. The patient's remaining sclera is clear and white. He also notes he was
drinking alcohol last night and vomited afterward. What is the best treatment
ANS Reas- surance that this lesion will resolve without any treatment in
2 to 4 weeks.
10.A 20-year-old male presents to your primary care clinic. This patient is a
college student. He complains of fatigue, sore throat, and low-grade fever
for 3 days. On physical exam, he has a temperature of 100.7°F. His ear exam
is normal. His nose and throat exam shows mild erythema of the nasal
mucosa and edematous, enlarged tonsils bilaterally, with erythema of the
pharyngeal wall and tonsillar exudates. He has inflamed posterior cervical
lymph nodes. He has a mild nonproductive cough and clear lung exam.
What is his most likely diagnosis
ANS Mononucleosis.
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