6202 Exam (Primary Care Adult 2)
Midterm Questions and Answers 2026-
2027.
Martin, age 24, presents to the office with an erythematous ear canal and pain on manipulation
of the auricle. He is on vacation and has been swimming daily at the resort. What is your
diagnosis?
1.Acute otitis media.
2.Chronic otitis media.
3.Otitis Externa
4.Temporomandibular joint (TMJ) syndrome - Answer Otitis Externa
Opacity of the lens of the eye
1. Cataracts
2.Infection
3. Foreign Body
4. Glaucoma - Answer Cataracts
The transparency of the human eye lens results from the highly ordered nature of its composite
stratified epithelia which contains a low number of crystallines. - Answer False
The most prevenative form of glaucoma and accounts for 90%-95% of all cases. - Answer
Primary Open-Angle Glaucoma
An 18-year old woman has a chief complaint of a "sore throat and swollen glands" for the past 3
days. Her physical exam includes a temperature, exudative pharyngitis, and tender anterior
cerival lymphadenopathy. Right and left upper abdominal tenderness is absent. The most likely
diagnosis is - Answer Streptococccus pyogenes pharyngitis
Treatment options for streptococcal pharyngitis for a patient with a penicillin allergy include all
of the following except - Answer Bactrim
Diabetic retinopathy is a noninflammatory disorder of the retina that develops in patients with
diabetes mellitus. - Answer True
What is the leading cause of blindness in patients older than 60 years of age? - Answer
Macular degeneration
, Used to locate macular blind spots - Answer Amsler Grid
Which of the following is helpful in evaluating patients with otitis media with effusion? - Answer
CT Scan
Recent studies suggest that as many as 40 million Americans are affected by tinnitus - Answer
True
Causes of sensorineural hearing loss - Answer Meniere's Disease
Causes conductive hearing loss - Answer Cerumen Impaction
Acoustic Neuroma (Vestibular Schwannoma), a rare tumor of what CN? - Answer VIII
After age 50, otic hair cells in the organ of Corti tend to rapidly grow causing slight hearing loss -
Answer False
Which of the following would the FNP not likely conduct when testing for hearing? - Answer
Pemphigus
Peripheral sensory disorder of both the labyrinth and cochlea of the inner ear. The FNP will refer
to an ENT specialist. - Answer Meniere's Disease
Acute episodes of Meniere's disease last? - Answer 20-180 minutes
Which bacterium is the most common pathogen seen in otitis external infections? - Answer
Pseudomonas Aeruginosa
When using an ophthalmoscope, the FNP - Answer Begins in a position 1 inch from the eye to
check the red light reflex
Approximately 17% of American adults aged 45-65 have hearing impairment - Answer True
Suggest an abnormality in voice production at the level of the larynx - Answer Hoarsness
Sally Argo is 94 and the FNP likely notes the following in her physical exam - Answer
Presbycusis
Midterm Questions and Answers 2026-
2027.
Martin, age 24, presents to the office with an erythematous ear canal and pain on manipulation
of the auricle. He is on vacation and has been swimming daily at the resort. What is your
diagnosis?
1.Acute otitis media.
2.Chronic otitis media.
3.Otitis Externa
4.Temporomandibular joint (TMJ) syndrome - Answer Otitis Externa
Opacity of the lens of the eye
1. Cataracts
2.Infection
3. Foreign Body
4. Glaucoma - Answer Cataracts
The transparency of the human eye lens results from the highly ordered nature of its composite
stratified epithelia which contains a low number of crystallines. - Answer False
The most prevenative form of glaucoma and accounts for 90%-95% of all cases. - Answer
Primary Open-Angle Glaucoma
An 18-year old woman has a chief complaint of a "sore throat and swollen glands" for the past 3
days. Her physical exam includes a temperature, exudative pharyngitis, and tender anterior
cerival lymphadenopathy. Right and left upper abdominal tenderness is absent. The most likely
diagnosis is - Answer Streptococccus pyogenes pharyngitis
Treatment options for streptococcal pharyngitis for a patient with a penicillin allergy include all
of the following except - Answer Bactrim
Diabetic retinopathy is a noninflammatory disorder of the retina that develops in patients with
diabetes mellitus. - Answer True
What is the leading cause of blindness in patients older than 60 years of age? - Answer
Macular degeneration
, Used to locate macular blind spots - Answer Amsler Grid
Which of the following is helpful in evaluating patients with otitis media with effusion? - Answer
CT Scan
Recent studies suggest that as many as 40 million Americans are affected by tinnitus - Answer
True
Causes of sensorineural hearing loss - Answer Meniere's Disease
Causes conductive hearing loss - Answer Cerumen Impaction
Acoustic Neuroma (Vestibular Schwannoma), a rare tumor of what CN? - Answer VIII
After age 50, otic hair cells in the organ of Corti tend to rapidly grow causing slight hearing loss -
Answer False
Which of the following would the FNP not likely conduct when testing for hearing? - Answer
Pemphigus
Peripheral sensory disorder of both the labyrinth and cochlea of the inner ear. The FNP will refer
to an ENT specialist. - Answer Meniere's Disease
Acute episodes of Meniere's disease last? - Answer 20-180 minutes
Which bacterium is the most common pathogen seen in otitis external infections? - Answer
Pseudomonas Aeruginosa
When using an ophthalmoscope, the FNP - Answer Begins in a position 1 inch from the eye to
check the red light reflex
Approximately 17% of American adults aged 45-65 have hearing impairment - Answer True
Suggest an abnormality in voice production at the level of the larynx - Answer Hoarsness
Sally Argo is 94 and the FNP likely notes the following in her physical exam - Answer
Presbycusis
