NSG 6440 Practice Test / Random 2-
Questions with Answers Rated A
A patient presents to the clinician complaining of ear pain. On examination, the clinician
finds that the patient has tenderness on traction of the pinna as well as when applying
pressure over the tragus. These findings are classic signs of which condition? a. Otitis media
c. Tinnitus
b. Meniere's disease d. Otitis externa
d. Otitis externa
Otitis media is considered chronic when:
a. Inflammation persists more than 3 months with intermittent or persistent otic discharge.
b. There are more than six occurrences of otitis media in a 1-year period.
c. Otitis media does not resolve after two courses of antibiotics.
d. All of the above
a. Inflammation persists more than 3 months with intermittent or persistent otic discharge.
The most significant precipitating event leading to otitis media with effusion is:
a. Pharyngitis.
b. Allergies.
c. Viral upper respiratory infection (URI).
d. Perforation of the eardrum.
c. Viral upper respiratory infection (URI).
,Patients with acute otitis media should be referred to a specialist in which of the following
situations?
a. Concurrent vertigo or ataxia
b. Failed closure of a ruptured tympanic membrane
c. If symptoms worsen after 3 or 4 days of
treatment d. All of the above
d. All of the above
Which immunoglobulin mediates the type 1 hypersensitivity reaction involved in allergic
rhinitis?
a. IgA c. IgG
b. IgE d. IgM
b. IgE
Fluctuations and reductions in estrogen may be a contributing factor in which type of
rhinitis? a. Vasomotor rhinitis c. Atrophic rhinitis
b. Rhinitis medicamentosum d. Viral rhinitis
a. Vasomotor rhinitis
Sinusitis is considered chronic when there are episodes of prolonged inflammation
with repeated or inadequately treated acute infection lasting greater than: a. 4 weeks.
c. 12 weeks.
b. 8 weeks. d. 16 weeks.
c. 12 weeks.
Which of the following antibiotics provides the best coverage in acute or chronic
sinusitis when gram-negative organisms are suspected? a. Penicillin V c. Levofloxacin
b. Amoxicillin d. Clindamycin
c. Levofloxacin
, In which of the following situations would referral to a specialist be needed for sinusitis?
a. Recurrent sinusitis
b. Allergic sinusitis
c. Sinusitis that is refractory to antibiotic therapy
d. All of the above
d. All of the above
Which type of stomatitis results in necrotic ulceration of the oral mucous
membranes? a. Vincent's stomatitis c. Apthous stomatitis b. Allergic stomatitis d.
Herpetic stomatitis
a. Vincent's stomatitis
The presence of hairy leukoplakia in a person with no other symptoms of immune
suppression is strongly suggestive of which type of infection? a. HSV Type 2 c.
Pneumonia
b. HIV d. Syphilis
b. HIV
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting
from infection with which of the following pathogens? a. Coxsackievirus c. Francisella
tularensis
b. Cytomegalovirus d. Group A streptococcus
d. Group A streptococcus
A patient presents with the following signs and symptoms: gradual onset of low-grade fever,
marked fatigue, severe sore throat, and posterior cervical lymphadenopathy. Based on the
signs and symptoms alone, which of the following conditions is most likely the cause? a.
Gonorrhea c. Influenza
b. Mononucleosis d. Herpes zoster
b. Mononucleosis
Questions with Answers Rated A
A patient presents to the clinician complaining of ear pain. On examination, the clinician
finds that the patient has tenderness on traction of the pinna as well as when applying
pressure over the tragus. These findings are classic signs of which condition? a. Otitis media
c. Tinnitus
b. Meniere's disease d. Otitis externa
d. Otitis externa
Otitis media is considered chronic when:
a. Inflammation persists more than 3 months with intermittent or persistent otic discharge.
b. There are more than six occurrences of otitis media in a 1-year period.
c. Otitis media does not resolve after two courses of antibiotics.
d. All of the above
a. Inflammation persists more than 3 months with intermittent or persistent otic discharge.
The most significant precipitating event leading to otitis media with effusion is:
a. Pharyngitis.
b. Allergies.
c. Viral upper respiratory infection (URI).
d. Perforation of the eardrum.
c. Viral upper respiratory infection (URI).
,Patients with acute otitis media should be referred to a specialist in which of the following
situations?
a. Concurrent vertigo or ataxia
b. Failed closure of a ruptured tympanic membrane
c. If symptoms worsen after 3 or 4 days of
treatment d. All of the above
d. All of the above
Which immunoglobulin mediates the type 1 hypersensitivity reaction involved in allergic
rhinitis?
a. IgA c. IgG
b. IgE d. IgM
b. IgE
Fluctuations and reductions in estrogen may be a contributing factor in which type of
rhinitis? a. Vasomotor rhinitis c. Atrophic rhinitis
b. Rhinitis medicamentosum d. Viral rhinitis
a. Vasomotor rhinitis
Sinusitis is considered chronic when there are episodes of prolonged inflammation
with repeated or inadequately treated acute infection lasting greater than: a. 4 weeks.
c. 12 weeks.
b. 8 weeks. d. 16 weeks.
c. 12 weeks.
Which of the following antibiotics provides the best coverage in acute or chronic
sinusitis when gram-negative organisms are suspected? a. Penicillin V c. Levofloxacin
b. Amoxicillin d. Clindamycin
c. Levofloxacin
, In which of the following situations would referral to a specialist be needed for sinusitis?
a. Recurrent sinusitis
b. Allergic sinusitis
c. Sinusitis that is refractory to antibiotic therapy
d. All of the above
d. All of the above
Which type of stomatitis results in necrotic ulceration of the oral mucous
membranes? a. Vincent's stomatitis c. Apthous stomatitis b. Allergic stomatitis d.
Herpetic stomatitis
a. Vincent's stomatitis
The presence of hairy leukoplakia in a person with no other symptoms of immune
suppression is strongly suggestive of which type of infection? a. HSV Type 2 c.
Pneumonia
b. HIV d. Syphilis
b. HIV
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting
from infection with which of the following pathogens? a. Coxsackievirus c. Francisella
tularensis
b. Cytomegalovirus d. Group A streptococcus
d. Group A streptococcus
A patient presents with the following signs and symptoms: gradual onset of low-grade fever,
marked fatigue, severe sore throat, and posterior cervical lymphadenopathy. Based on the
signs and symptoms alone, which of the following conditions is most likely the cause? a.
Gonorrhea c. Influenza
b. Mononucleosis d. Herpes zoster
b. Mononucleosis
