FNP 652 QUIZ 1 LATEST UPDATED 2026 2027
VERSION 1 QUESTIONS AND ANSWERS (100%
ANSWERS) GRADED A+
Hearing Loss in the elderly
Conductive- usually caused by problems in the external or middle ear that interfere with
transmitting sound and its conversion to mechanical vibrations (IE Cerumen impaction,
perforated membrane)
Sensorineural- involves problems converting mechanical vibrations to electrical potential in the
cochlea and/or in auditory nerve transmission to the brain. It is usually caused by permanent
damage in the organ of Corti. (Age related hearing loss; noise trauma)
Hearing Loss in the elderly
Affects 60-80% of 70 yr +. Start with Whisper and Rinne tests. Refer patients for Audiometric
testing if there is no obvious occlusion.
Differential Diagnoses: Cerumen impaction, foreign object, tumors.
Vision Screening in <1 year old
, As part of each well-child visit, eye health, vision development, and alignment of the eyes
should be checked.
Findings that merit watchful waiting: Chemical conjunctivitis in neonates
Referral considering age of patient: Eye alignment, not making eye contact
Tympanogram results
Tympanometry measures the capacity of the middle ear to transfer sound energy.
What do they indicate:
Type A: Normal Tympanogram is shaped like a tent
Type B: Abnormal; needs medical attention (flat)
Type C: Almost normal but not right (may be too peaked); refers to a middle ear with negative
pressure. A child with this type of tympanogram should be monitored and may need medical
attention. Such a tympanogram may be caused by retraction of the eardrum or blockage of the
Eustachian tube.
Group A hemolytic strep
Illnesses it can cause: Strep throat, Rheumatic Fever, Scarlet Fever, Post-Streptococcal
Glomerular nephritis. It is spread by nasal or oral secretions and the incubation period of 2-5
days.
Presentation: often pharyngitis is the very first symptom. Suspect Group A strep if:
Sudden-onset of sore throat
Odynophagia
Fever
VERSION 1 QUESTIONS AND ANSWERS (100%
ANSWERS) GRADED A+
Hearing Loss in the elderly
Conductive- usually caused by problems in the external or middle ear that interfere with
transmitting sound and its conversion to mechanical vibrations (IE Cerumen impaction,
perforated membrane)
Sensorineural- involves problems converting mechanical vibrations to electrical potential in the
cochlea and/or in auditory nerve transmission to the brain. It is usually caused by permanent
damage in the organ of Corti. (Age related hearing loss; noise trauma)
Hearing Loss in the elderly
Affects 60-80% of 70 yr +. Start with Whisper and Rinne tests. Refer patients for Audiometric
testing if there is no obvious occlusion.
Differential Diagnoses: Cerumen impaction, foreign object, tumors.
Vision Screening in <1 year old
, As part of each well-child visit, eye health, vision development, and alignment of the eyes
should be checked.
Findings that merit watchful waiting: Chemical conjunctivitis in neonates
Referral considering age of patient: Eye alignment, not making eye contact
Tympanogram results
Tympanometry measures the capacity of the middle ear to transfer sound energy.
What do they indicate:
Type A: Normal Tympanogram is shaped like a tent
Type B: Abnormal; needs medical attention (flat)
Type C: Almost normal but not right (may be too peaked); refers to a middle ear with negative
pressure. A child with this type of tympanogram should be monitored and may need medical
attention. Such a tympanogram may be caused by retraction of the eardrum or blockage of the
Eustachian tube.
Group A hemolytic strep
Illnesses it can cause: Strep throat, Rheumatic Fever, Scarlet Fever, Post-Streptococcal
Glomerular nephritis. It is spread by nasal or oral secretions and the incubation period of 2-5
days.
Presentation: often pharyngitis is the very first symptom. Suspect Group A strep if:
Sudden-onset of sore throat
Odynophagia
Fever
