FNP EXAM 1
A 27-year-old woman presents with otitis externa. Likely causative pathogens include all of the following
except:
A. Pseudomonas spp.
B. S epidermidis.
C. S aureus.
D. Moraxella catarrhalis. correct answersD. Moraxella catarrhalis.
During a clinical visit with an NP where malignant OE is being considered, the next best steps in care
include all of the following except:
A. prompt otolaryngology consultation.
B. oral or parenteral antimicrobial therapy.
C. imaging to determine degree of bony erosion or other complications.
D. use of analgesic otic drops. correct answersD. use of analgesic otic drops.
Treatment of OME usually includes:
A. advising that this condition self-resolves.
B. antimicrobial therapy.
C. an antihistamine.
D. a mucolytic. correct answersA. advising that this condition self-resolves.
A 45-year-old man who works as a landscaper has seasonal AR. He asks you when the pollen count is
likely to be the lowest. You respond:
A. "Early in the morning."
,B. "During breezy times of the day."
C. "After a rain shower."
D. "When the sky is overcast." correct answersC. "After a rain shower."
You prescribe a nasal corticosteroid for a 28-year-old woman with perennial AR. When advising her
about the onset of symptom relief, the NP states that she will notice improvement:
A. immediately with the first spray.
B. in 1 to 2 days.
C. in a few days to a week.
D. in 2 or more weeks. correct answersC. in a few days to a week.
What is the first-line treatment for allergic rhinitis?
Saline nasal spray
Oral antihistamine
Topical nasal decongestant spray
Topical nasal steroid spray correct answersTopical nasal steroid spray
A 14-year-old presents with external pain, swelling, and decreased hearing in the left ear. The adolescent
is on a swimming team and practices daily. Upon physical examination, the adolescent flinches when the
affected ear is touched. There are no other abnormal findings. Which diagnosis is most likely?
Otitis media
Rhinosinusitis
Otitis externa
Bullous myringitis correct answersOtitis externa
All of the following therapies could be effective for the common cold EXCEPT:
Decongestants
Antibiotics
Analgesics
,Intranasal ipratropium bromide correct answersAntibiotics
All of the following are common assessment findings in a patient with allergic rhinitis EXCEPT:
Pink, moist nasal mucosa
Allergic shiners
Transverse nasal crease
Clear nasal discharge correct answersPink, moist nasal mucosa
Acute otitis media can be diagnosed by identifying which otic characteristic(s)?
Decreased mobility of the tympanic membrane
Cloudy, bulging TM with impaired mobility
Opacity and erythema of the tympanic membrane
Marked redness of the tympanic membrane correct answersCloudy, bulging TM with impaired mobility
A 13-year-old complains of itching in his right ear and pain when the pinna is pulled or the tragus is
pushed. Examination reveals slight redness in the ear canal with clear odorless fluid. This could be
suggestive of:
Right otitis media
Otitis externa
Mastoiditis
A ruptured tympanic membrane correct answersOtitis externa
A 17-year-old complains of ear pain. If he has otitis externa, which complaint is most likely?
Tragal pain
Difficulty hearing the TV
Fever
Concurrent upper respiratory infection correct answersTragal pain
, After receiving the inactivated influenza injection, how much time does it take for antibodies to develop
in the body?
One week
Two weeks
Three weeks
Four weeks correct answersTwo weeks
The single most effective maintenance therapy for allergic rhinitis is:
An antihistamine
A decongestant
A topical nasal steroid
A topical antihistamine correct answersA topical nasal steroid
A 14-year-old child presents with external ear pain, swelling, and decreased hearing in the left ear. The
child is on the swim team and practices daily. Upon physical examination, the child does not want the
ear touched. There are no other abnormal findings. The nurse practitioner will advise the patient to do
all of the following, EXCEPT:
Use aluminum acetate solution PRN
Keep water out of the ear during treatment
Apply polymyxin B-neomycin-hydrocortisone suspension drops QID x7 days
Apply steroid nasal spray BID x1 week correct answersApply steroid nasal spray BID x1 week
A 16 year old female presents to the urgent care with 3 days of severe pharyngitis. Although the patient
reports 8/10 pain in their throat, she does not appear to be in any respiratory distress. Vital signs are as
follows: RR 15m HR 98, O2 99%, temp 101.6F, BP 128/78. Upon examination, the nurse practitioner
notes a unilateral collection of pus between the tonsillar capsule, the superior constrictor, and the
palatopharyngeus muscle. The patient is experiencing trisumus, and has a "hot potato voice." What is
the most likely diagnosis?
Peritonsillar cellulitis- Peritonsillar cellulitis is an inflammatory reaction of the tissue between the
capsule of the palatine tonsil and the pharyngeal muscles that is caused by infection, but not associated
with a discrete collection of pus
A 27-year-old woman presents with otitis externa. Likely causative pathogens include all of the following
except:
A. Pseudomonas spp.
B. S epidermidis.
C. S aureus.
D. Moraxella catarrhalis. correct answersD. Moraxella catarrhalis.
During a clinical visit with an NP where malignant OE is being considered, the next best steps in care
include all of the following except:
A. prompt otolaryngology consultation.
B. oral or parenteral antimicrobial therapy.
C. imaging to determine degree of bony erosion or other complications.
D. use of analgesic otic drops. correct answersD. use of analgesic otic drops.
Treatment of OME usually includes:
A. advising that this condition self-resolves.
B. antimicrobial therapy.
C. an antihistamine.
D. a mucolytic. correct answersA. advising that this condition self-resolves.
A 45-year-old man who works as a landscaper has seasonal AR. He asks you when the pollen count is
likely to be the lowest. You respond:
A. "Early in the morning."
,B. "During breezy times of the day."
C. "After a rain shower."
D. "When the sky is overcast." correct answersC. "After a rain shower."
You prescribe a nasal corticosteroid for a 28-year-old woman with perennial AR. When advising her
about the onset of symptom relief, the NP states that she will notice improvement:
A. immediately with the first spray.
B. in 1 to 2 days.
C. in a few days to a week.
D. in 2 or more weeks. correct answersC. in a few days to a week.
What is the first-line treatment for allergic rhinitis?
Saline nasal spray
Oral antihistamine
Topical nasal decongestant spray
Topical nasal steroid spray correct answersTopical nasal steroid spray
A 14-year-old presents with external pain, swelling, and decreased hearing in the left ear. The adolescent
is on a swimming team and practices daily. Upon physical examination, the adolescent flinches when the
affected ear is touched. There are no other abnormal findings. Which diagnosis is most likely?
Otitis media
Rhinosinusitis
Otitis externa
Bullous myringitis correct answersOtitis externa
All of the following therapies could be effective for the common cold EXCEPT:
Decongestants
Antibiotics
Analgesics
,Intranasal ipratropium bromide correct answersAntibiotics
All of the following are common assessment findings in a patient with allergic rhinitis EXCEPT:
Pink, moist nasal mucosa
Allergic shiners
Transverse nasal crease
Clear nasal discharge correct answersPink, moist nasal mucosa
Acute otitis media can be diagnosed by identifying which otic characteristic(s)?
Decreased mobility of the tympanic membrane
Cloudy, bulging TM with impaired mobility
Opacity and erythema of the tympanic membrane
Marked redness of the tympanic membrane correct answersCloudy, bulging TM with impaired mobility
A 13-year-old complains of itching in his right ear and pain when the pinna is pulled or the tragus is
pushed. Examination reveals slight redness in the ear canal with clear odorless fluid. This could be
suggestive of:
Right otitis media
Otitis externa
Mastoiditis
A ruptured tympanic membrane correct answersOtitis externa
A 17-year-old complains of ear pain. If he has otitis externa, which complaint is most likely?
Tragal pain
Difficulty hearing the TV
Fever
Concurrent upper respiratory infection correct answersTragal pain
, After receiving the inactivated influenza injection, how much time does it take for antibodies to develop
in the body?
One week
Two weeks
Three weeks
Four weeks correct answersTwo weeks
The single most effective maintenance therapy for allergic rhinitis is:
An antihistamine
A decongestant
A topical nasal steroid
A topical antihistamine correct answersA topical nasal steroid
A 14-year-old child presents with external ear pain, swelling, and decreased hearing in the left ear. The
child is on the swim team and practices daily. Upon physical examination, the child does not want the
ear touched. There are no other abnormal findings. The nurse practitioner will advise the patient to do
all of the following, EXCEPT:
Use aluminum acetate solution PRN
Keep water out of the ear during treatment
Apply polymyxin B-neomycin-hydrocortisone suspension drops QID x7 days
Apply steroid nasal spray BID x1 week correct answersApply steroid nasal spray BID x1 week
A 16 year old female presents to the urgent care with 3 days of severe pharyngitis. Although the patient
reports 8/10 pain in their throat, she does not appear to be in any respiratory distress. Vital signs are as
follows: RR 15m HR 98, O2 99%, temp 101.6F, BP 128/78. Upon examination, the nurse practitioner
notes a unilateral collection of pus between the tonsillar capsule, the superior constrictor, and the
palatopharyngeus muscle. The patient is experiencing trisumus, and has a "hot potato voice." What is
the most likely diagnosis?
Peritonsillar cellulitis- Peritonsillar cellulitis is an inflammatory reaction of the tissue between the
capsule of the palatine tonsil and the pharyngeal muscles that is caused by infection, but not associated
with a discrete collection of pus
