WGU D115 OA Study Guide Unit 3
Exam with Verified Rationalized Answers
2024/2025 A+ Graded
1. Conductive hearing loss involves what part of the ear?: Middle ear
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2. A potential complication of streptococcal pharyngitis that leads to con-
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tralateral uvular deviation, asymmetric tonsillar hypertrophy, muffled voice on ex
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am but no stridor, drooling, or dyspnea or dysphagia is recognized as what?: Perito
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nsillar abscess w
3. A 64 year old woman presents to the office with complains of vision loss. Fundu
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scopic examination reveals cupping of the optic nerve. Which action should you ta
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ke?: Send the pt to the ER
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4. A 39 year old female presents with complaints of sudden onset of blurry vision.
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She states that she sees flashing lights and it sensation that she is "looking throug
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h a curtain." Which dx finding would the NP expect to find in this patient?: Hemoglo
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bin A1C of 12
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Retinal detachment is a potential outcome of retinopathy of diabetes
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5. A 16 year old presents to the urgent care clinic after a hard hit in football practic
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e. During the physical exam, the NP observes "battle's sign" and imme-
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diately refers the patient to the ED. Which dx is the NP concerned about?: Basal skull f
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x
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,6. A 4 year old male is brought into a clinic with complaints of fever and sore throat
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for 2 days. the NP suspects a peritonsilar abscess and refers the pt
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to the ED. Which finding is most consistent with this dx?: Fever, sore throat, dysphagia
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w drooling, "hot potato" voice w w w
7. A 40 year old female presents with complaints of soreness when eating spicy fo
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ods. The NP observes that the patient has a "geographic tongue." What would be t
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he most appropriate for the patient's plan of care?: Tell pt to rinse with salt water an
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d avoid spicy food until s/s resolve
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8. A 2 year old boy presents to the clinic with a fever. During the physical exam the NP
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observes Koplik's spots inside of his buccal mucosa. Which would be the most impo
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rtant to assess on the pt to aid in an appropriate dx?: Vaccination status
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Koplik spots are seen with measles: small white spots on a reddened background that oc
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cur on the inside of the cheeks
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9. A 26 year old presents to a clinic with complaints of left eye pain. the NP perfor
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ms fluorescent dye staining which reveals fern-
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like lines in the corneal surface. Which would be the most appropriate hx question to
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ask the pt?: have you ever had a cold sore?
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10. A 17 year old female was dx with angular cheilitis. She had tx failure after a c
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ourse of topical abx, topical steroids, moisture barrier creams, and
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, antifungals were rxed. What would be the most appropriate next step in the pt's plan
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of care?: Check vitamin B12 levels
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Most common cause is a fungal infection but can be from vitamin B12 deficiency and bacte
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ial infections w
11. Which finding is most consistent with acute otitis externa?: Pruritis and hx of rece
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nt swimming w
Otitis externa is referred to as "swimmers ear"
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12. A 15 year old male pt presents to the clinic with abd pain and fatigue, and is dx
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with mono. Which is the most important part of this patient's plan of care?: Avoid co
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ntact sports for up to 4 weeks
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Splenomegaly is a complication of mono. Contact sports increase risk of spleen rupturing
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13. A 20 year old female reports a hx of "cold symptoms" for 12 days. Her physi
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cal exam reveals unilateral facial pain and purulent nasal discharge. Which dx ar
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e these findings consistent with?: Acute bacterial rhinosinusitis
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S/S are facial pain or pressure, postnasal drip, nasal congestion, upper jaw or tooth pain, n
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asal discharge, fever, cough
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14. Inflammation and swelling of the 7th cranial nerve with resultant unilateral facial
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muscle paralysis is called?: Bell's Palsy
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Caused by virus, sudden onset of facial paralysis usually resolves within 2 weeks
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15. The NP caring for a pt with a recent TIA understands that?: Long-
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term antiplatelet therapy is likely indicated-aspirin or clopidrogrel (plavix)
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