Questions for Exam 2 Primary Care 2
Dunphy Complete Correct Answers
\Q\.An acutely presenting, erythematous, tender lump within the eyelid is called:
a. Blepharitis. c. Chalazion.
b. Hordeolum. d. Iritis. - ANSWERS✔-b. Hordeolum
\Q\.The clinician is seeing a patient complaining of red eye. The clinician suspects conjunctivitis.
The presence of mucopurulent discharge suggests which type of conjunctivitis?
a. Viral conjunctivitis c. Bacterial conjunctivitis
b. Keratoconjunctivitis d. Allergic conjunctivitis - ANSWERS✔-c. Bacterial conjunctivitis
\Q\.Which subtype of cataracts is characterized by significant nearsightedness and a slow
indolent course?
a. Nuclear cataracts c. Posterior cataracts
b. Cortical cataracts d. Immature cataracts - ANSWERS✔-a. Nuclear cataracts
\Q\.Which of the following statements is true concerning the use of bilberry as a
complementary therapy for cataracts?
a. The body converts bilberry to vitamin A, which helps to maintain a healthy lens.
b. Bilberry blocks an enzyme that leads to sorbitol accumulation that contributes to cataract
formation in diabetes.
c. Bilberry boosts oxygen and blood delivery to the eye.
d. Bilberry is a good choice for patients with diabetes as it does not interact with antidiabetic
drugs. - ANSWERS✔-c. Bilberry boosts oxygen and blood delivery to the eye.
,\Q\.A 65-year-old man presents to the clinician with complaints of increasing bilateral
peripheral vision loss, poor night vision, and frequent prescription changes that started 6
months previously. Recently, he has also been seeing halos around lights. The clinician suspects
chronic open-angle glaucoma. Which of the following statements is true concerning the
diagnosis of chronic open-angle glaucoma?
a. The presence of increased intraocular pressure measured by tonometry is definitive for the
diagnosis of open-angle glaucoma.
b. The clinician can definitively diagnosis open-angle glaucoma based on the subjective
complaints of the patient.
c. Physical diagnosis relies on goniscopic evaluation of the angle by an ophthalmologist.
d. Early diagnosis is essential in order to reverse any damage that has occurred to the optic
nerve. - ANSWERS✔-c. Physical diagnosis relies on goniscopic evaluation of the angle by an
ophthalmologist.
\Q\.6. Acute angle-closure glaucoma involves a sudden severe rise in intraocular pressure.
Which of the following ranges represents normal intraocular pressure?
a. 0 to 7 mm Hg c. 22 to 40 mm Hg
b. 8 to 21 mm Hg d. 40 to 80 mm Hg - ANSWERS✔-b. 8 to 21 mm Hg
\Q\.As diabetic retinopathy progresses, the presence of "cotton wool" spots can be detected.
Cotton wool spots refer to:
a. Nerve fiber layer infarctions. c. Venous beading.
b. Blood vessel proliferation. d. Retinal hemorrhage. - ANSWERS✔-a. Nerve fiber layer
infarctions.
\Q\.Which of the following is an example of sensorineural hearing loss?
a. Perforation of the tympanic membrane c. Cholesteatoma
b. Otosclerosis d. Presbycusis - ANSWERS✔-d. Presbycusis
, \Q\.The clinician is assessing a patient complaining of hearing loss. The clinician places a tuning
fork over the patient's mastoid process, and when the sound fades away, the fork is placed
without restriking it over the external auditory meatus. The patient is asked to let the clinician
know when the sound fades away. This is an example of which type of test?
a. Weber test
b. Schwabach test
c. Rinne test
d. Auditory brainstem response (ABR) test - ANSWERS✔-c. Rinne test
\Q\.A patient presents to the clinician complaining of ear pain. On examination, the clinician
finds that the patient has tenderness on traction of the pinna as well as when applying pressure
over the tragus. These findings are classic signs of which condition?
a. Otitis media c. Tinnitus
b. Meniere's disease d. Otitis externa - ANSWERS✔-d. Otitis externa
\Q\.Otitis media is considered chronic when:
a. Inflammation persists more than 3 months with intermittent or persistent otic discharge.
b. There are more than six occurrences of otitis media in a 1-year period.
c. Otitis media does not resolve after two courses of antibiotics.
d. All of the above - ANSWERS✔-a. Inflammation persists more than 3 months with intermittent
or persistent otic discharge.
\Q\.The most significant precipitating event leading to otitis media with effusion is:
a. Pharyngitis.
b. Allergies.
c. Viral upper respiratory infection (URI).
d. Perforation of the eardrum. - ANSWERS✔-c. Viral upper respiratory infection (URI).
Dunphy Complete Correct Answers
\Q\.An acutely presenting, erythematous, tender lump within the eyelid is called:
a. Blepharitis. c. Chalazion.
b. Hordeolum. d. Iritis. - ANSWERS✔-b. Hordeolum
\Q\.The clinician is seeing a patient complaining of red eye. The clinician suspects conjunctivitis.
The presence of mucopurulent discharge suggests which type of conjunctivitis?
a. Viral conjunctivitis c. Bacterial conjunctivitis
b. Keratoconjunctivitis d. Allergic conjunctivitis - ANSWERS✔-c. Bacterial conjunctivitis
\Q\.Which subtype of cataracts is characterized by significant nearsightedness and a slow
indolent course?
a. Nuclear cataracts c. Posterior cataracts
b. Cortical cataracts d. Immature cataracts - ANSWERS✔-a. Nuclear cataracts
\Q\.Which of the following statements is true concerning the use of bilberry as a
complementary therapy for cataracts?
a. The body converts bilberry to vitamin A, which helps to maintain a healthy lens.
b. Bilberry blocks an enzyme that leads to sorbitol accumulation that contributes to cataract
formation in diabetes.
c. Bilberry boosts oxygen and blood delivery to the eye.
d. Bilberry is a good choice for patients with diabetes as it does not interact with antidiabetic
drugs. - ANSWERS✔-c. Bilberry boosts oxygen and blood delivery to the eye.
,\Q\.A 65-year-old man presents to the clinician with complaints of increasing bilateral
peripheral vision loss, poor night vision, and frequent prescription changes that started 6
months previously. Recently, he has also been seeing halos around lights. The clinician suspects
chronic open-angle glaucoma. Which of the following statements is true concerning the
diagnosis of chronic open-angle glaucoma?
a. The presence of increased intraocular pressure measured by tonometry is definitive for the
diagnosis of open-angle glaucoma.
b. The clinician can definitively diagnosis open-angle glaucoma based on the subjective
complaints of the patient.
c. Physical diagnosis relies on goniscopic evaluation of the angle by an ophthalmologist.
d. Early diagnosis is essential in order to reverse any damage that has occurred to the optic
nerve. - ANSWERS✔-c. Physical diagnosis relies on goniscopic evaluation of the angle by an
ophthalmologist.
\Q\.6. Acute angle-closure glaucoma involves a sudden severe rise in intraocular pressure.
Which of the following ranges represents normal intraocular pressure?
a. 0 to 7 mm Hg c. 22 to 40 mm Hg
b. 8 to 21 mm Hg d. 40 to 80 mm Hg - ANSWERS✔-b. 8 to 21 mm Hg
\Q\.As diabetic retinopathy progresses, the presence of "cotton wool" spots can be detected.
Cotton wool spots refer to:
a. Nerve fiber layer infarctions. c. Venous beading.
b. Blood vessel proliferation. d. Retinal hemorrhage. - ANSWERS✔-a. Nerve fiber layer
infarctions.
\Q\.Which of the following is an example of sensorineural hearing loss?
a. Perforation of the tympanic membrane c. Cholesteatoma
b. Otosclerosis d. Presbycusis - ANSWERS✔-d. Presbycusis
, \Q\.The clinician is assessing a patient complaining of hearing loss. The clinician places a tuning
fork over the patient's mastoid process, and when the sound fades away, the fork is placed
without restriking it over the external auditory meatus. The patient is asked to let the clinician
know when the sound fades away. This is an example of which type of test?
a. Weber test
b. Schwabach test
c. Rinne test
d. Auditory brainstem response (ABR) test - ANSWERS✔-c. Rinne test
\Q\.A patient presents to the clinician complaining of ear pain. On examination, the clinician
finds that the patient has tenderness on traction of the pinna as well as when applying pressure
over the tragus. These findings are classic signs of which condition?
a. Otitis media c. Tinnitus
b. Meniere's disease d. Otitis externa - ANSWERS✔-d. Otitis externa
\Q\.Otitis media is considered chronic when:
a. Inflammation persists more than 3 months with intermittent or persistent otic discharge.
b. There are more than six occurrences of otitis media in a 1-year period.
c. Otitis media does not resolve after two courses of antibiotics.
d. All of the above - ANSWERS✔-a. Inflammation persists more than 3 months with intermittent
or persistent otic discharge.
\Q\.The most significant precipitating event leading to otitis media with effusion is:
a. Pharyngitis.
b. Allergies.
c. Viral upper respiratory infection (URI).
d. Perforation of the eardrum. - ANSWERS✔-c. Viral upper respiratory infection (URI).
