NSG 554 Exam 2 (Latest
Update) Nurse Practitioners in Primary
Care I Questions and Verified Answers
100% Correct {Grade A} – Wilkes
chronic otitis media signs and symptoms - Correct answer -purulent aural drainage,
continuous or intermittent
with increased severity during URI or following H2O exposure
-pain is uncommon unless during acute exacerbation.
-conductive hearing loss from TM destruction, ossicular chair or both
chronic otitis media: treatment - Correct answer -regular removal of infected debris
-use of earplugs to protect against H20 exposure
-topical abx gtts (ofloxacin 0.3% or cipro with dexamethasone) for exacerbations
-oral cipro (for pseudomonas) 500 mg daily for 1-6 weeks may help dry a chronically
discharging ear
-definitive management=surgical reconstruction of TM
Pinguecula - Correct answer yellowish mass on the conjunctiva
,does not grow in to cornea
usually on the nasal side of conjunctiva
pterygium - Correct answer -fleshy triangular encroachment of conjunctiva onto the
cornea usually caused from sun exposure
-can induce astigmatism, decrease vision, foreign body sensation
onchomycosis - Correct answer fungal infection of the nail
tinea unguium is a trichophyton
lusterless, brittle, hypertrophic
tx: clip, 10% KOH and microscoped, tavaborole 5% solution or efinaconazole 10% topical
CBC and LFTs
hordeolum - Correct answer acute infection (staph aureus)
localized red/swollen/tender area on upper and lower eyelid
external: stye
tx: warm compress, incision if not resolved in 48 hours
abx ointment: bacitracin or azithro
, chalazion - Correct answer a nodule or cyst, usually on the upper eyelid, caused by
obstruction in a sebaceous gland
-hard, contender, on the upper or lower lid
-warm compress
Actinomycosis - Correct answer Actinomycosis is a rare subacute to chronic infection
caused by the gram-positive filamentous non-acid fast anaerobic to microaerophilic
bacteria, Actinomyces. The most common way to get actinomycosis is as a result of
gum disease or dental procedures.
Bullous Pemphigoid Mini Review
Autoimmune disorder
Risk Factors
Age > 60 year old
Update) Nurse Practitioners in Primary
Care I Questions and Verified Answers
100% Correct {Grade A} – Wilkes
chronic otitis media signs and symptoms - Correct answer -purulent aural drainage,
continuous or intermittent
with increased severity during URI or following H2O exposure
-pain is uncommon unless during acute exacerbation.
-conductive hearing loss from TM destruction, ossicular chair or both
chronic otitis media: treatment - Correct answer -regular removal of infected debris
-use of earplugs to protect against H20 exposure
-topical abx gtts (ofloxacin 0.3% or cipro with dexamethasone) for exacerbations
-oral cipro (for pseudomonas) 500 mg daily for 1-6 weeks may help dry a chronically
discharging ear
-definitive management=surgical reconstruction of TM
Pinguecula - Correct answer yellowish mass on the conjunctiva
,does not grow in to cornea
usually on the nasal side of conjunctiva
pterygium - Correct answer -fleshy triangular encroachment of conjunctiva onto the
cornea usually caused from sun exposure
-can induce astigmatism, decrease vision, foreign body sensation
onchomycosis - Correct answer fungal infection of the nail
tinea unguium is a trichophyton
lusterless, brittle, hypertrophic
tx: clip, 10% KOH and microscoped, tavaborole 5% solution or efinaconazole 10% topical
CBC and LFTs
hordeolum - Correct answer acute infection (staph aureus)
localized red/swollen/tender area on upper and lower eyelid
external: stye
tx: warm compress, incision if not resolved in 48 hours
abx ointment: bacitracin or azithro
, chalazion - Correct answer a nodule or cyst, usually on the upper eyelid, caused by
obstruction in a sebaceous gland
-hard, contender, on the upper or lower lid
-warm compress
Actinomycosis - Correct answer Actinomycosis is a rare subacute to chronic infection
caused by the gram-positive filamentous non-acid fast anaerobic to microaerophilic
bacteria, Actinomyces. The most common way to get actinomycosis is as a result of
gum disease or dental procedures.
Bullous Pemphigoid Mini Review
Autoimmune disorder
Risk Factors
Age > 60 year old
