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Exam (elaborations)

FNP 652 Quiz 1 Questions And Answers

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  • FNP 652

Evaluation: Fluorescein and black light. Management: Foreign body removal, topical antibiotics; usually heal within 24-72 hours. Giant Cell Arteritis ~ Presentation: Headache, scalp tenderness, jaw pain, vision problems. (Not 'zingers' like Trigeminal Neuralgia). Evaluation: Health hx, wh...

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  • August 8, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • FNP 652
  • FNP 652
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FNP 652 Quiz 1 Questions And
Answers

Hearing Loss in the elderly


✓~ Conductive- usually caused by problems in the external or middle ear that

interfere with transmitting sound and its conversion to mechanical vibrations (IE

Cerumen impaction, perforated membrane)

Sensoineural- involves problems converting mechanical vibrations to electrical

potential in the cochlea and/or in auditory nerve transmission to the brain. It is

usually caused by permanent damage in the organ of Corti. (Age related hearing

loss; noise trauma)




Hearing Loss in the elderly


✓~ Affects 60-80% of 70 yr +. Start with Whisper and Rinne tests. Refer patients for

Adiometric testing if there is no obvious occlusion.




Differential Diagnoses: Cerumen impaction, foreign object, tumors.

, Vision Screening in <1 year old


✓~ As part of each well-child visit, eye health, vision development, and alignment of

the eyes should be checked.




Findings that merit watchful waiting: Chemical conjunctivitis in neonates




Referral considering age of patient: Eye alignment, not making eye contact




Tympanogram results


✓~ Tympanometry measures the capacity of the middle ear to transfer sound energy.

What do they indicate:


Type A: Normal Tympanogram is shaped like a tent


Type B: Abnormal; needs medical attention (flat)


Type C: Almost normal but not right (may be too peaked);refers to a middle ear

with negative pressure. A child with this type of tympanogram should be

monitored and may need medical attention. Such a tympanogram may be caused

by retraction of the eardrum or blockage of the Eustachian tube.

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