6531 Final Deck 2 Exam Questions with Correct Answers Sharon, age 29, is pregnant for the first time. She complains of nasal stuffiness and occasional epistaxis. What do you do?
A. Order lab tests, such as a CBC with differential, hemoglobin and hematocrit
B. Prescribe an antihistamine
C. You do nothing except for client teaching
D. Refer the client to an ear, nose and throat specialist Correct Answer C. You do nothing except for client teaching
- Can occur with pregnancy because of increased vascularization in the upper respiratory tract
David, age 32, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action?
A. Prescribe nasal steroids and oral decongestants
B. Prescribe antibiotic eardrops
C. Prescribe systemic eardrops
D. Refer David to an ear, nose, and throat specialist Correct Answer A. Prescribe nasal steroids and oral decongestants
A sexual history of oral-genital contact in a client presenting with pharyngitis is significant when which of the following organisms is suspected?
A. Escherichia coli
B. Haemophilus influenzae
C. Neisseria gonorrhoeae
D. Streptococcus pneumoniae Correct Answer C. Neisseria gonorrhoeae
- Neisseria gonorrhoeae pharyngitis is a common sexually transmitted disease
The most common cause of sensoineural hearing loss is A. Trauma
B. Tympanic membrane sclerosis and scarring
C. Otosclerosis
D. Presbycusis Correct Answer D. Presbycusis
How do you describe the cervical lymphadenopathy associated with asymptomatic HIV infection?
A. Movable, discrete, soft, and nontender lymph nodes
B. Enlarged, warm, tender, firm, but freely movable lymph nodes
C. Hard, unilateral, nontender, and fixed lymph nodes
D. Firm but not hard, nontender, and mobile lymph nodes Correct Answer D. Firm but not hard, nontender, and mobile lymph nodes You diagnose acute epiglottitis in Sally, age 5, and immediately send her to the local emergeny room. Which of the following symptoms would indicate that an airway obstruction is imminent?
A. Reddened face
B. Screaming
C. Grabbing her throat
D. Stridor Correct Answer D. Stridor
Purulent matter in the anterior chamber of the eye is called
A. Hyphema
B. Hypopyon
C. Anisocoria
D. Pterygium Correct Answer B. Hypopyon
A 42 year old stockbroker comes to your office for evaluation of a pulsating headache over the left temporal region and he rates the pain as an 8 on a scale of 1-10. The pain has been constant for the past several hours and is accompanied by nausea and sensitivity to light. He has had frequent headaches for many years but not as severe and they are usually relieved by over the counter medicines. He is unclear as to a precipitating event but notes that he has had visual disturbances before each headache and has been under a lot of stress in his job. Based on this description, what is the most
likely diagnosis of this type of headaache?
A. Tension
B. Migraine
C. Cluster
D. Temporal arteritis Correct Answer B. Migraine
The trachea deviates toward the affected side in all of the following except
A. Aortic aneurysm
B. Unilateral thyroid lobe enlargement
C. Large atelectasis
D. Pneumothorax Correct Answer C. Large atelectasis
Matthew, age 52, has allergic rhinitis and would like some medicine to relieve his symptoms. He is taking cimetidine (Tagamet) for gastroesophageal reflux disease. Which medication would you not order?
A. A first-generation antihistamine
B. A second-generation antihistamine
C. A decongestant
D. A topical nasal corticosteroid Correct Answer B. A second-generation antihistamine
Jessica, an 8 year old third grader is broght to the office by her grandmother, who is the child's babysitter. She has complained of fever and sore throat for the past 2 days. Five other children in her class have been sick with sore throats. She denies difficulty swallowing and has been drinking fluids but has no appetite. ROS reveals that she has clear nasal drainage, hoarseness, and nonproductive cough. She denies vomiting but has had mild diarrhea. On examination she has a temperature of 101.5 F, 3+ erythematous tonsils, and palpable, tender cervical lymph nodes. Based on these findings, what is the most likely diagnosis?
A. Mono
B. Sinusitis
C. Strep pharyingitis
D. Viral pharyngitis Correct Answer D. Viral pharyngitis
Marcia, age 4, is brought into the office by her mother. She has a sore throat, difficulty swallowing, copious oral secretions, respiratory difficulty, stridor, and a temperature of 102 F but no pharyngeal erythema or cough. What do you suspect?
A. Epiglottitis
B. Group A beta-hemolytic streptococcal infection pharyngitis
C. Tonsillitis
D. Diphtheria Correct Answer A. Epiglottitis
You note a completely split uvula in Noi, a 42 year old Asian. What is your next course of action?
A. Do nothing
B. Refer Noi to a specialist
C. Perform a throat culture
D. Order a CBC Correct Answer A. Do nothing
Claude, age 78, is being treated with timolol maleate (Timoptic) drops for his chronic open-angle glaucoma. While performing a new client history and physical, you note that he is taking other medications. Which medication would you be most concerned about?
A. Apsirin therapy as prophylaxis for heart attack
B. Ranitidine (Zantac) for gastroesophageal reflux disease
C. Alprazolam (Xanax), an anxiolytic for anxiety
D. Atenolol (Tenormin), a beta blocker for high blood pressure Correct Answer D. Atenolol (Tenormin), a beta blocker for high blood pressure
Harry, age 69, has had Meniere's disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo?
A. A labyrinthectomy
B. Pharmacological therapy
C. A vestibular neurectomy
D. Wearing an earplug in the ear with the most hearing loss Correct Answer C. A vestibular neurectomy
A 65 year old man presents complaining of left sided deep, throbbing headache along with mild fatigue. On examination the client has a tender, tortuous temporal artery. You suspect temporal arteritis. How do you confirm your diagnosis?
A. MRI fo the head
B. Erythrocyte sedimentation rate (ESR)
C. EEG D. Otoscopy Correct Answer B. Erythrocyte sedimentation rate (ESR)
Marty has a hordeolum in his right eye. You suspect that the offending organism is
A. Herpes simplex virus
B. Staphylococcus
C. Candida albicans
D. Escherichia coli Correct Answer B. Staphylococcus
The most common offending allergens causing allergic rhinitis are
A. Pollens of grasses, trees and weeds
B. Fungi
C. Animal allergens
D. Food sensitivity Correct Answer A. Pollens of grasses, trees, and weeds
Cydney, age 7, is complaining that she feels as though something is stuck in her ear. What action is contraindicated?
A. Inspecting the ear canal with an otoscope
B. Using a small suction device to try to remove the object
C. Flushing the ear with water
D. Instilling several drops of mineral oil in the ear Correct Answer C. Flushing the ear with water
June, age 50, presents with soft, raised, yellow plaques on her eyelids at the inner canthus. She is concerned that they may be cancerous skin lesions. You tell her they are probably
A. Xanthelasmas
B. Pingueculae
C. The result of arcus senilis
D. Actinic keratoses Correct Answer A. Xanthelasmas
Mavis is 70 years old and wonders if she can donate her corneas when she dies. How do you respond?
A. "As long as you don't have any chronic illness, you corneas may be harvested."
B. "They will use corneas only from persons younger than age 65."
C. "What makes you feel like you are dying?"
D. "Don't think about such terrible things now." Correct Answer B. "They will use corneas only from persons younger than age 65."
Manny, age 16, was hit in the eye with a baseball. He developed pain in the eye, decreased visual acuity, and injection of the globe. You confirm the diagnosis of hyphema by finding blood in the anterior chamber. What treatment would you recommend while Manny is waiting to see the ophthalmologist?
A. Apply bilateral eye patches
B. Have Manny lie flat
C. Refer him to an ophthalmologist within a week
