A primary care provider notes painless, hard lesions on a patient’s external ears that expel
a white crystalline substance when pressed. What diagnostic test is indicated?
Rheumatoid factor
Endocrine studies
Biopsy of the lesions
Uric acid chemical profile
A patient has painful oral lesions and the provider notes several white, verrucous lesions in
clusters throughout the mouth. What is the recommended treatment for this patient?
Oral hygiene measures
Nystatin oral suspension
Surgical excision
Oral acyclovir
A patient has sore throat, a temperature of 38.5° C, tonsillar exudates, and cervical
lymphadenopathy. What will the provider do next to manage this patient’s symptoms?
Prescribe empiric penicillin
Perform a rapid antigen detection test
Refer to an otolaryngologist
Order an antistreptolysin O titer
A 61 year old male presents with a 12 hour history of extremely painful left red eye. The patient
complains of blurred vision, haloes around lights, and vomiting. It began yesterday evening. On
exam, the eye is red, tender and inflamed. The cornea is hazy and pupil reacts poorly to light.
,Answerdone.com
The most likely diagnosis in this patient is:
Macular
degeneration
Acute angle glaucoma
Increased intracranial pressure
Detached cornea
A patient has recurrent epistaxis without localized signs of irritation. Which laboratory tests
may be performed to evaluate this condition? (Select all that apply.)
CBC with platelets
BUN and creatinine
PT and PTT
Liver function tests
PT/INR
A patient reports a feeling of fullness and pain in both ears and the practitioner elicits
exquisite pain when manipulating the external ear structures. What is the likely diagnosis?
Chronic otitis externa
Acute otitis externa
Otitis media with effusion
Acute otitis media
Patient has been diagnosed with acute rhinosinusitis. Symptoms began 3 days ago. Based on the
most likely etiology, how should this patient be managed?
Azithromycin and decongestant
Decongestant and analgesic
Levofloxacin
Amoxicillin with clavulanate
The vast majority of rhinosinusitis is of viral etiology, antibiotics would not be helpful
and would only lead to continued antibacterial resistance. If symptoms persist for
longer than 10 days, reevaluation is necessary with possible antibiotics at that time
A 20-year-old male of Hispanic descent who reports a history of a cold that resolved 2 weeks
ago except for a dry cough and pain over his right cheek that worsens when he bends down. The
patient denies fever. The patient tells you that he is very allergic to Keflex and erythromycin.
Vital signs are stable except temperature is 99.2°F. Which showed the following conditions is
most likely?
Fever secondary to previous viral
URI Acute sinusitis
Acute bronchitis
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Hay fever
Patient's symptoms match most closely to acute sinusitis which includes cough, facial
pain, low- grade fever
An adult patient has epiglottitis secondary to a chemical burn. Which medication will be given
initially to prevent complications?
Chloramphenicol biopsyrecu
Dexamethasone
Metronidazole
Clindamycin
What are factors associated with acute suppurative parotitis? (Select all that apply.)
Anticholinergic medications
Diabetes mellitus
Radiotherapy
Hypervolemia
Allergies
A 39 year old has a sudden onset of painful right red eye. He reports sensitivity to light and the
sensation of a foreign body, though his history for a foreign body is negative. He does not wear
contact lenses. How should the NP manage this?
Observe for 24 hours if visual acuity is
normal Treat for bacterial conjunctivitis
Treat for viral conjunctivitis
Refer to ophthalmology
No clear diagnosis can be made from signs/symptoms, but there are several red flags.
collectively the red flags necessitate a referral. There is no mention of eye discharge
necessary for conjunctivitis. Red flags present point more towards active corneal
process although glaucoma should also be a differential.
A 17-year-old has a complaint of ear pain. If he has otitis externa, which complaint is most
likely/most common?
Concurrent URI
Fever
Difficulty hearing TV
Tragal pain
A patient has an initial episode otitis external associated with swimming. The patient’s ear canal
is mildly inflamed and the tympanic membrane is not involved. Which medication will be
, Answerdone.com
ordered?
Cipro HC
Neomycin
Fluconazole
Vinegar and alcohol
A patient has gingival inflammation with several areas of separate ulceration and a small
amount of purulent discharge. What is required to diagnose this condition?
Culture and
sensitivity Tzank
smear
Physical examination
Microscopic exam of oral scrapings
A patient reports tooth pain in a lower molar and the provider notes a mobile tooth with
erythema and edema of the surrounding tissues without discharge. Which is the initial course of
action by the provider?
Recommend oral antiseptic rinses and follow up in one
week Perform an incision and drainage of the edematous
tissue
Prescribe amoxicillin and refer to a dentist in 2 to 3
days Refer to an oral surgeon for emergency
surgery
A patient presents to your clinic with a painless red eye. Her vision is normal, but her sclera has
a blood red area. What is this termed?
Conjunctivitis
Glaucoma
Acute iritis
Subconjunctival hemorrhage
Which physical examination finding suggests viral rather than bacterial
parotitis? Unilateral edema of parotid glands
Enlargement and pain of affected glands
Gradual reduction in saliva production
Clear discharge from Stensen’s duct
A child is hit with a baseball bat during a game and sustains an injury to the nose, along with a
transient loss of consciousness. A health care provider at the game notes bleeding from the child’s
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