NURS 621 FINAL EXAM STUDY QUESTIONS AND ANSWERS
1. What might be the diagnosis for a patient that is expe- meniere's disease
riencing fluctuating, unilateral, hearing loss and feels
dizzy
2. Patient complains of unilateral progressive hearing Acoustic neuroma
loss and frequent headaches. What is the most likely
diagnosis?
a. acoustic neuroma
b. menieres disease
c. prebycusis
d. conductive hearing loss
3. Which of the following are causes of sensorineural b. presbycusis
hearing loss? c. acustic neuroma
a. cerumen impaction e. aminoglycoside
b. presbycusis induced hearing
c. acustic neuroma loss
d.otosclerosis
e. aminoglycoside induced hearing loss All others are
f.congential abnormalities conductive hear-
ing loss
4. Patient presents with sudden, sensorineural hearing refer to otorhino-
loss. What is the next step for the provider? laryngologist
5. What else should be included in the assessment of Mental health as-
patients with presbycusis? sessment. high
risk for suicide
6. Which type of hearing loss is considered reversible? Conductive
Sensorineural or conductive?
7. What is the best treatment for acute attack of menieres resting with the
disease? eyes closed and
protection from
falling.
8. A patient with Meniere's disease has sound lateral- Weber test
ization to the non affected ear when a tuning fork is
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, NURS 621 FINAL EXAM STUDY QUESTIONS AND ANSWERS
placed midline on the top of the head. What is the
name of this test?
9. What are two medications safe to prescribe in patients 1. ciprofloxacin
with bacterial otitis externa and perforated tympanic drops
membrane? 2. ofloxacin drops
10. A patient with otitis externa asks when they can return The ear must be
to swimming. How would you advise? kept dry without
being submerged
in water for 4-6
weeks.
11. Medications of choice for a pediatric patient with AOM clarithromycin,
and has a hx of an anaphylaxis reaction to penicillin? bactrim, or
(3) azithromycin
12. Pediatric patient recently completed course of amox- Augmentin
icillin but continues to have symptoms of AOM. What
is the next step?
13. Patient with a history of HTN on metoprolol presents patients on beta
with rhinitis. Which medication should be avoided for blockers should
this patient? avoid
pseudophedrine.
Also should be
avoided in
patients with
diabetes, BPH,
14. Patient presents with purulent gray exudate on tongue St. Vincent stom-
and excessive salivation, what is most likely diagno- atitis.
sis?
15. A patient hurt their ankle playing basketball. They pre- No.
sent with pain in the malleolar zone but they are able Ottawa ankle: A
to bear weight for 6 steps, but are limping. Are ankle series of ankle ra-
radiographs indicated? diograph films is
required only if
there is any pain
2/6
1. What might be the diagnosis for a patient that is expe- meniere's disease
riencing fluctuating, unilateral, hearing loss and feels
dizzy
2. Patient complains of unilateral progressive hearing Acoustic neuroma
loss and frequent headaches. What is the most likely
diagnosis?
a. acoustic neuroma
b. menieres disease
c. prebycusis
d. conductive hearing loss
3. Which of the following are causes of sensorineural b. presbycusis
hearing loss? c. acustic neuroma
a. cerumen impaction e. aminoglycoside
b. presbycusis induced hearing
c. acustic neuroma loss
d.otosclerosis
e. aminoglycoside induced hearing loss All others are
f.congential abnormalities conductive hear-
ing loss
4. Patient presents with sudden, sensorineural hearing refer to otorhino-
loss. What is the next step for the provider? laryngologist
5. What else should be included in the assessment of Mental health as-
patients with presbycusis? sessment. high
risk for suicide
6. Which type of hearing loss is considered reversible? Conductive
Sensorineural or conductive?
7. What is the best treatment for acute attack of menieres resting with the
disease? eyes closed and
protection from
falling.
8. A patient with Meniere's disease has sound lateral- Weber test
ization to the non affected ear when a tuning fork is
1/6
, NURS 621 FINAL EXAM STUDY QUESTIONS AND ANSWERS
placed midline on the top of the head. What is the
name of this test?
9. What are two medications safe to prescribe in patients 1. ciprofloxacin
with bacterial otitis externa and perforated tympanic drops
membrane? 2. ofloxacin drops
10. A patient with otitis externa asks when they can return The ear must be
to swimming. How would you advise? kept dry without
being submerged
in water for 4-6
weeks.
11. Medications of choice for a pediatric patient with AOM clarithromycin,
and has a hx of an anaphylaxis reaction to penicillin? bactrim, or
(3) azithromycin
12. Pediatric patient recently completed course of amox- Augmentin
icillin but continues to have symptoms of AOM. What
is the next step?
13. Patient with a history of HTN on metoprolol presents patients on beta
with rhinitis. Which medication should be avoided for blockers should
this patient? avoid
pseudophedrine.
Also should be
avoided in
patients with
diabetes, BPH,
14. Patient presents with purulent gray exudate on tongue St. Vincent stom-
and excessive salivation, what is most likely diagno- atitis.
sis?
15. A patient hurt their ankle playing basketball. They pre- No.
sent with pain in the malleolar zone but they are able Ottawa ankle: A
to bear weight for 6 steps, but are limping. Are ankle series of ankle ra-
radiographs indicated? diograph films is
required only if
there is any pain
2/6
