CNM 586 CERTIFIED NURSE MIDWIVES’ UNIT 1
REVISION STUDY QUESTIONS COMPLETE A+
GRADED
Which of the following would you recommend on an annual basis for an
elderly patient with type 2 diabetes?
A. Eye exam with an ophthalmologist
B. Follow-up visit with a urologist
C. Periodic visits to an optometrist
D. Colonoscopy
✔✔eye exam with an ophthalmologist
A 70 y/o male patient complains of a bright red-colored spot in his left eye
for 2 days. He denies eye pain, visual changes, or headaches. He has a new
onset cough from a recent viral upper respiratory infection. The only
medicine he is on is a Bayer aspirin, 1 tab daily. Which of the following is
most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage
✔✔Subconjunctival hemorrhage
Which of the following structures in the eye is responsible for color vision?
A. rods
,B. macula
C. cones
D. pupils
✔✔cones
HPV infection of the larynx has been associated with:
A. Laryngeal cancer
B. Esophageal stricture
C. Cervical cancer
D. Metaplasia of the squamous cells
✔✔Laryngeal cancer
Which of the following is considered an abnormal response on the weber?
A. Lateralization to one ear
B. No lateralization in either ear
C. Air conduction lasts longer than bone conduction
D. Bone conduction lasts longer than air conduction
✔✔Lateralization to one ear
While checking for the red reflex on a 3 y/o during a well visit, a white
reflection is seen on the child's left pupil. Which of the following conditions
should be ruled out?
A. Unilateral strabismus
B. Unilateral cataracts
,C. Retinoblastoma of the left eye
D. Color blindness of the left eye
✔✔Retinoblastoma of the left eye
The red reflex is elicited by shining a light on the eyes at an angle with the
light about 15 inches away. The NP is screening for:
A. Cataracts
B. Strabismus
C. Blindness
D. The blinking response
✔✔Cataracts
A 12 y/o girl is complaining of a 2-week history of facial pressure that
worsens when she bends over. She complains of tooth pain in her upper
molars on the right side of her face. On exam, her lung and heart sounds
are normal. Which of the following is the most likely diagnosis?
A. An acute dental abscess
B. Chronic sinusitis
C. Acute sinusitis
D. Severe allergic rhinitis
✔✔Acute sinusitis
The Rinne and the Weber test are used to assess which of the following
cranial nerves?
A. CN III, IV, and VI
, B. CN II
C. CN VIII
D. CN IX and X
✔✔CN VIII
A mother brings in her 4 y/o daughter who just started attending
preschool. She tells the NP that her child is complaining of burning and
itching in both eyes along with a runny nose. During the exam, the child's
eyes appear infected bilaterally. The throat is red with her inferior nasal
turbinates swollen. Which of the following is most likely?
A. Herpes keratitis
B. Corneal ulcer
C. Viral conjunctivitis
D. Bacterial conjunctivitis
✔✔Viral conjunctivitis
During a sports physical exam, a 16 y/o patient is noted to have a few eats
of horizontal nystagmus on the extreme lateral gaze that disappear when
the eyes move back toward midline. Which statement best describes the
clinical finding?
A. It is caused by occult bleeding of the retinal artery
B. This is a normal finding
C. It is a sign of a possible brain mass
D. This is a borderline result and requires further evaluation
✔✔This is a normal finding
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