Case: A 70 year old male patient complains of a bright-red-colored spot that has been present 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 URI. The only medicine he is taking is Bayer aspirin one tablet a day.
Which of t...
Case: A 70 year old male patient complains of a bright-red-colored spot that has been present 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 URI. The only medicine he is taking is Bayer aspirin one tablet a day.
Which of the following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - ANSWER D
Case: A 70 year old male patient complains of a bright-red-colored spot that has been present 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 URI. The only medicine he is taking is Bayer aspirin one tablet a day.
Which of the following actions is appropriate follow-up for this 70 year old patient?
A. Refer the patient to an optometrist
B. Refer the patient to an ophthalmologist
C. Advise the patient that the condition is benign and will resolve spontaneously
D. Prescribe an ophthalmic antibiotic solution - ANSWER C
Case: A 17 year old high school student is diagnosed by the NP with serous otitis media of the left ear. He
states that his nose is always congested because of dust mite allergy. His medical history includes allergic
rhinitis and asthma.
What is the expected result of the Rinne test in patients who have serous otitis media of the left ear?
A. Air conduction (AC) > bone conduction (BC)
B. BC > AC
C. Lateralization to the left ear
D. Sound is heard by both ears - ANSWER B
, Case: A 17 year old high school student is diagnosed by the NP with serous otitis media of the left ear. He
states that his nose is always congested because of dust mite allergy. His medical history includes allergic
rhinitis and asthma.
The student reports a history of chronic nasal congestion. He occasionally has fits of sneezing when he is
in a dusty room. The NP is using an otoscope to examine his nasal tissue. The inferior nasal turbinates
appear swollen and pale. Which of the following medications is considered first-line treatment for
allergic rhinitis?
A. Azelastine (Astelin) one to two sprays in each nostril twice a day
B. Saline nasal spray one to two sprays in each nostril four times a day as needed
C. Cetirizine (Zyrtec) one 5 mg tablet PO at bedtime
D. Budesonide (Rhinocort) one to two sprays in each nostril twice a day - ANSWER D
Which of the following is involved with sensorineural hearing loss? (Select all that apply)
A. Outer ear
B. Middle ear
C. Inner ear
D. Cranial nerve VIII - ANSWER C, D
In the majority of children, the first permanent teeth start to erupt at the age of 6 years. Which of the
following are the first permanent teeth to erupt in this time period?
A. First molars
B. Second molars
C. Lower or upper incisors
D. Canines - ANSWER A
The Ishihara chart is useful for evaluating which of the following conditions?
A. Nystagmus
B. Esodeviation
C. Color blindness
D. Strabismus - ANSWER C
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