MSN 620- possible questions with
correct answers
A 4-year-old girl presents with a history of recurrent otitis media requiring antibiotics.
She has no significant history, though both parents had recurrent ear infections as
children. She had 4 episodes of otitis media this year and 4 episodes i...
A 38-year-old male patient complains of chronic nasal allergies. He has used over-the-
counter antihistamines without much success. He believes he is allergic to ragweed but
has had no testing. His past medical history is remarkable for hypertension that is
controlled on hydrochlorothiazide. He does not drink, smoke, or use illicit drugs. He
works in a relatively new office, but he lives in a 60-year-old house with his family. They
have carpets, drapes, and a cat. Exam shows pale and boggy nasal mucosa and
cobblestoning of the posterior pharynx. Lungs are clear on auscultation. Skin prick
testing shows allergies to cat dander, dust mites, ragweed, and tree pollen. Which of the
following would be an appropriate step to take?
1. Intranasal corticosteroids
2. Send carpet fiber for analysis
3. Immunotherapy for cat dander
4. Wash and keep carpets and drapes - Correct Answer✔️✔️-1. Intranasal corticosteroids
A 17-year-old male patient presents with a complaint of watery discharge from his eyes
for the past three days. He also complains of itching and redness associated with it.
Upon further questioning, he reveals a history of upper respiratory tract infections. His
vital signs show blood pressure of 120/80 mmHg, heart rate of 80 beats per minute,
respiratory rate of 14 breaths per minute, and temperature of 98.6 F (37 C). Ocular
4/62
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