NR 661 Ears, Eyes, Nose, and Throat (EENT) Exam (GRADED A+) Questions and Answer elaborations | 100% Guaranteed Pass
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NR 661
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Chamberlain College Of Nursing
NR 661 Ears, Eyes, Nose, and Throat (EENT) Exam 1. A 30 year old male has been diagnosed with non-allergic rhinitis. What finding is more likely in non-allergic rhinitis than allergic rhinitis? Older age of symptom onset Male gender Post nasal drip Sneezing Older age of symptom onset Explanation: N...
and throat eent exam graded a questions and answer elaborations | 100 guaranteed pass
1 a 30 year old male has been diagnosed with non allergic rhinitis what finding i
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NR 661 Ears, Eyes, Nose, and Throat (EENT) Exam
1. A 30 year old male has been diagnosed with non-allergic rhinitis. What finding is more likely in
non-allergic rhinitis than allergic rhinitis?
Older age of symptom onset
Male gender
Post nasal drip
Sneezing
Older age of symptom onset
Explanation:
Non-allergic rhinitis, often called vasomotor rhinitis, is very common in the US. It is typically diagnosed
and differentiated from allergic rhinitis by history. Although both conditions may co-exist in patients,
non-allergic rhinitis typically has onset after age 20 years. Allergic rhinitis typically presents prior to age
20 years. The most common symptoms associated with non-allergenic rhinitis are nasal congestion and
post-nasal drip. It is predominantly reported in females. Common precipitants of non-allergic rhinitis
symptoms can occur with exposure to spicy foods, cigarette smoke, strong odors, perfumes, and alcohol
consumption. This is frequently treated with topical azelastine.
2. The throat swab done to identify Streptococcal infection was negative in a 12 year-old female
with tonsillar exudate, fever, and sore throat. What statement is true regarding this?
A second swab should be done to repeat the test.
The patient does not have Strept throat.
The patient probably has mononucleosis.
A second swab should be collected and sent to microbiology.
A second swab should be collected and sent to microbiology.
Explanation:
,A second swab is collected, but it is not used to repeat the test. The second swab is sent to microbiology
for culture. The sensitivity varies in office Strept tests. Some are as low as 50% and a second swab
should be collected. If beta-hemolytic Strept organisms are grown out, then the patient can be
diagnosed with Streptococcal infection
3. What is the usual age for vision screening in young children?
2 years
3 years
4 years
5 years
3 years
Explanation:
Initial vision screening should take place at 3 years of age. If the child is not cooperative, screening
should be attempted 6 months later. If the child is still not cooperative at 3.5 years, it should be
attempted at 4 years. Generally, children are cooperative at 4 years of age. The usual vision of a 3 year-
old is 20/50
4. Epstein-Barr virus is responsible for:
mononucleosis.
the most common cause of pharyngitis.
most teenage cases of pharyngitis.
viral pharyngitis in young children.
mononucleosis.
Explanation:
Infectious mononucleosis is caused by Epstein-Barr virus (EBV). This commonly affects adolescents but
can affect various age groups. The most prominent feature of mononucleosis is fever, fatigue and
pharyngitis.
, 5. A patient with environmental allergies presents to your clinic. She takes an oral antihistamine
every 24 hours. What is the most effective single maintenance medication for allergic rhinitis?
Antihistamine
Decongestant
Intranasal glucocorticoids
Leukotriene blockers
Intranasal glucocorticoids
Explanation:
These agents are particularly effective in the treatment of nasal congestion and would be a good choice
for the patient in this scenario. Intranasal glucocorticoids are effective in relieving nasal congestion,
discharge, itching, and sneezing. A trial of stopping the oral antihistamine could be tried in this patient.
Symptoms would determine whether the antihistamine should be resumed.
6. Conjunctivitis:
produces blurred vision in the affected eye.
usually begins as a viral infection.
produces anterior cervical lymphadenopathy.
is common in patients who are nearsighted.
usually begins as a viral infection.
Explanation:
Conjunctivitis or "pink eye" usually begins as a viral infection. As the conjunctiva becomes irritated, the
eye is rubbed and fingers introduce bacteria. A secondary bacterial infection develops. Conjunctivitis
produces a red (or pink) eye, but should never produce blurred vision. A patient with a red eye and
blurred vision should be referred to ophthalmology. The pre-auricular nodes may be palpable when a
patient has conjunctivitis, not the anterior cervical ones.
, 7. At what age would it be unusual to see thrush?
At birth
2 months
6 months
8 months
At birth
Explanation:
Thrush is an infection in the oral cavity caused by yeast. Yeast grow in a warm, dark, moist environment.
It is not unusual to see thrush in young infants who are breast or bottle fed. It would be unusual to see
thrush in a newborn. In fact, this should cause concern regarding an immunocompromised state in the
infant or hyperglycemia in the mother.
8. A patient presents with severe toothache. She reports sensitivity to heat and cold. There is
visible pus around the painful area. What is this termed?
Pulpitis
Caries
Gingivitis
Periodontitis
Pulpitis
Explanation:
The predominant symptom of patients who exhibit pulpitis is pain especially elicited by thermal
changes, cold and hot. The pain can become severe and patients are ill appearing. Pus may be seen
around the gum area or may be restricted to the pulp cavity. Caries and gingivitis do not produce pus.
Periodontitis is characterized by gingival inflammation and pain. Pus is not present in this disease. A
periodontal abscess produces pain and pus, but the pus is usually only expressed after probing.
9. How long should a 6 year old with acute otitis media be treated with an antibiotic?
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