NR 569/ NR569 Final Exam: Differential Diagnosis in Acute Care Practicum Review Guide (Latest 2026/ 2027 Update) | Qs & As| Grade A| 100% Correct (Verified Answers)- Chamberlain

NRl 569/l NR569l Finall Exam:l Differentiall
Diagnosisl inl Acutel Carel Practicuml
Reviewl Guidel (Latestl 2026/l 2027l Update)l
|l Qsl &l As|l Gradel A|l 100%l Correctl
(Verifiedl Answers)-l Chamberlain
QUESTION
l Symptomsl typicallyl associatedl withl TMJl dysfunction
Answer:
l vertigo,l tinnitus,l headache,l andl al jawl click.l painl developsl soonl afterl dentall procedures



QUESTION
l TMJl painl mayl bel eased
Answer:
l dentall bitel appliance



QUESTION
l malocclusionl orl arthritisl ofl thel TMJ
Answer:
l occursl morel frequentlyl inl patientsl withl rheumatoidl arthritis.



QUESTION
l Primaryl Otalgia
Answer:

,l Causedl byl al probleml directlyl associatedl tol thel ear,l suchl asl w/l anl earl infection,l
swimmer'sl ear,l trauma,l XSl cerumen



QUESTION
l Eagle'sl syndrome
Answer:
l Otalgial exacerbatedl byl swallowing,l anl elongatedl styloidl process



QUESTION
l cholesteatoma
Answer:
l anl abnormall skinl growthl orl skinl cystl trappedl behindl thel eardrum,l orl thel bonel behindl
thel ear.l beginsl asl al build-upl ofl earl waxl andl skin,l whichl causesl eitherl al lumpl onl thel
eardruml orl anl eardruml retractionl pocket.



QUESTION
l Symptomsl ofl cholesteatoma
Answer:
l -Hearingl loss-Earl drainage,l oftenl withl al badl smell-Recurrentl earl infections-Sensationl ofl
earl fullness-Dizziness-Faciall musclel weaknessl onl thel sidel ofl thel infectedl ear-
Earache/pain



QUESTION
l Physicall examl findingsl ofl Cholesteatoma
Answer:
l thel mostl commonl signsl ofl cholesteatomal formationl arel drainagel andl granulationl tissuel
inl thel earl canall andl middlel earl space.

,QUESTION
l Managementl ofl cholesteatoma
Answer:
l Urgentl referrall tol ENTl specialist-Tol removel al cholesteatoma,l youl usuallyl needl tol
havel surgeryl underl generall anesthetic.-CT
l
ifl extracraniall complicationsl arel suspected-MRIl (inl additionl tol CT)l ifl extracraniall
complicationsl arel suspected-IVl antibioticsl tol empiricallyl coverl forl intracraniall com-l
plicationsl Important:l culturel first!



QUESTION
l Auriclel hematoma
Answer:
l Cauliflowerl ear"l isl al collectionl ofl bloodl underneathl thel perichondriuml ofl thel earl andl
typicallyl occursl secondaryl tol trauma



QUESTION
l Physicall examl findingsl ofl Auriclel hematoma
Answer:
l contourl irregularityl ofl earl withl swellingl andl fluctuantl areal overlyingl thel ear'sl
cartilaginousl portions.l Likelyl symptomsl includel pain,l paresthesia,l andl ecchymosis.



QUESTION
l Treatmentl forl auriclel hematoma
Answer:
l -Incisionl andl drainagel (likely)-Bolsterl dress-l ingl tol reducel deadl space,l compressl andl
preventl rel accumulatingl blood-Re-
quiresl closel follow-up-Referrall tol Plasticl Surgeryl ifl cosmeticl appearancel isl al concern-
Hematomasl lastingl morel thanl 7l daysl needl anl urgentl referrall tol anl ENTl orl plasticl
surgeon-Ifl recurs,l orl isl notl treated,l willl resultl inl al permanentl deformity,l alsol knownl asl
"cauliflowerl ear".

, QUESTION
l symptomsl ofl acutel otitisl media
Answer:
l unilaterall otalgial (earl pain),l pullingl &l tuggingl atl thel ears,l irritability,l headache,l
restlessness,l poorl feeding,l anorexia,l vomiting,l orl diarrhea,l earsl feell full,l low-gradel fever.



QUESTION
l Howl isl acutel otitisl medial diagnosed?
Answer:
l clinicall presentationobjectivel findingsl onl physicall examl (otoscopy)l combinedl withl thel
patient'sl historyl andl presentingl signsl andl symptoms.



QUESTION
l Managementl ofl acutel otitisl media
Answer:
l thel goall ofl treatmentl isl tol controll painl andl tol treatl thel infectiousl processl withl
antibiotics



QUESTION
l Serousl otitisl media
Answer:
l oftenl asymptomatic



QUESTION
l otitisl medial withl effusion