NURS 5338 CORE EXAM TEST QUESTIONS AND ANSWERS
GRADED A+
✔✔Describe the Epley maneuver - ✔✔1. Involves sequential movement of head in 4
positions,
2. Patient stays in each position for 30 seconds,
3. 30% recurrence rate @ 1 year,
4. 2nd treatment may be necessary
✔✔Describe benign paroxysmal positional vertigo (BPPV) - ✔✔- affects the posterior or
anterior canals
- free floating particles in the affected semicircular canals stimulate the cupula and
cause vertigo
- relocating these particles to the utricle by using the Epley maneuver works in 90-95%
of cases
✔✔Describe dysmenorrhea - ✔✔- menstrual pain and cramps
- sharp, throbbing, dull, nauseating, burning, or shooting pain
- may precede menstruation by several days or accompany
- excessively heavy blood loss
✔✔Describe otalgia - ✔✔- ear pain
may be caused by:
- impacted teeth
- sinus disease
- inflamed tonsils
- infections of the nose and pharynx
- throat cancer
- occasionally as a sensory aura that precedes a migraine
✔✔Describe otitis media - ✔✔Middle ear infection - bacterial or viral
Complications include: perforated ear drum, chronic mastoiditis, scarring and hearing
loss
✔✔Describe the treatment for otitis media - ✔✔- first line: amoxicillin
- if there's resistance or use of amoxicillin in the last 30 days then amoxicillin-
clavulanate or another penicillin derivative plus beta lactamase inhibitor is
recommended
✔✔Prescribing antibiotics longer than this will likely result is side effects -
✔✔Prescribing antibiotics more than 7 days will have less side effects
✔✔When prescribing azithromycin for otitis media, the FNP should know - ✔✔- For a
short course
- long-acting
, - more likely to be successful than short-acting alternatives
- no improvement after 2-3 days of treatment, then change therapy
✔✔Describe otitis externa - ✔✔Infection of the auditory canal.
-History of trauma or moist environment.
-Itching in the ear canal.
-Intense pain with movement of pinna such as chewing.
-Discharge may be watery at first, then purulent and thick mixed with pus and epithelial
cells. Foul smelling.
-Conductive hearing loss.
-Canal is red, edematous. Tympanic membrane obscure.
✔✔Describe the treatment for bone fractures - ✔✔- either surgical or conservative
- conservative treatment with pain management, immobilization, non-surgical
stabilization
- either open vs closed treatment
✔✔How should an open fracture be treated in primary care? - ✔✔It's a medical
emergency
✔✔What are the pain sensitive structures in the head? - ✔✔- Brain tissue isn't sensitive
to pain
- periosteum of the skull
- muscles
- nerves
- arteries
- veins
- subcutaneous tissues
- eyes
- ears
- sinuses
- mucous membranes
✔✔What is the first line treatment for a headache? - ✔✔Naproxen
✔✔Describe the symptoms of TBI - ✔✔- exchangeable with concussion
- clumsiness
- fatigue
- confusion
- nausea
- blurry vision
- headaches
✔✔describe hidradenitis suppurativa - ✔✔chronic skin disease w/ clusters of abscesses
or subcutaneous boil-like skin lesion around the apocrine glands that most commonly
GRADED A+
✔✔Describe the Epley maneuver - ✔✔1. Involves sequential movement of head in 4
positions,
2. Patient stays in each position for 30 seconds,
3. 30% recurrence rate @ 1 year,
4. 2nd treatment may be necessary
✔✔Describe benign paroxysmal positional vertigo (BPPV) - ✔✔- affects the posterior or
anterior canals
- free floating particles in the affected semicircular canals stimulate the cupula and
cause vertigo
- relocating these particles to the utricle by using the Epley maneuver works in 90-95%
of cases
✔✔Describe dysmenorrhea - ✔✔- menstrual pain and cramps
- sharp, throbbing, dull, nauseating, burning, or shooting pain
- may precede menstruation by several days or accompany
- excessively heavy blood loss
✔✔Describe otalgia - ✔✔- ear pain
may be caused by:
- impacted teeth
- sinus disease
- inflamed tonsils
- infections of the nose and pharynx
- throat cancer
- occasionally as a sensory aura that precedes a migraine
✔✔Describe otitis media - ✔✔Middle ear infection - bacterial or viral
Complications include: perforated ear drum, chronic mastoiditis, scarring and hearing
loss
✔✔Describe the treatment for otitis media - ✔✔- first line: amoxicillin
- if there's resistance or use of amoxicillin in the last 30 days then amoxicillin-
clavulanate or another penicillin derivative plus beta lactamase inhibitor is
recommended
✔✔Prescribing antibiotics longer than this will likely result is side effects -
✔✔Prescribing antibiotics more than 7 days will have less side effects
✔✔When prescribing azithromycin for otitis media, the FNP should know - ✔✔- For a
short course
- long-acting
, - more likely to be successful than short-acting alternatives
- no improvement after 2-3 days of treatment, then change therapy
✔✔Describe otitis externa - ✔✔Infection of the auditory canal.
-History of trauma or moist environment.
-Itching in the ear canal.
-Intense pain with movement of pinna such as chewing.
-Discharge may be watery at first, then purulent and thick mixed with pus and epithelial
cells. Foul smelling.
-Conductive hearing loss.
-Canal is red, edematous. Tympanic membrane obscure.
✔✔Describe the treatment for bone fractures - ✔✔- either surgical or conservative
- conservative treatment with pain management, immobilization, non-surgical
stabilization
- either open vs closed treatment
✔✔How should an open fracture be treated in primary care? - ✔✔It's a medical
emergency
✔✔What are the pain sensitive structures in the head? - ✔✔- Brain tissue isn't sensitive
to pain
- periosteum of the skull
- muscles
- nerves
- arteries
- veins
- subcutaneous tissues
- eyes
- ears
- sinuses
- mucous membranes
✔✔What is the first line treatment for a headache? - ✔✔Naproxen
✔✔Describe the symptoms of TBI - ✔✔- exchangeable with concussion
- clumsiness
- fatigue
- confusion
- nausea
- blurry vision
- headaches
✔✔describe hidradenitis suppurativa - ✔✔chronic skin disease w/ clusters of abscesses
or subcutaneous boil-like skin lesion around the apocrine glands that most commonly
