NR511 Week 2 Davis Edge Questions and answers Graded A+

1. Jill, a 34-year-old bank teller, presents with symptoms of hay fever. She complains of nasal congestion, runny nose with clear mucus, and itchy nose and eyes. On physical assessment, you observe that she has pale nasal turbinates. What is your diagnosis? • Allergic rhinitis (The symptoms of hay fever, also called allergic rhinitis, are similar to those of viral rhinitis but usually persist and are seasonal in nature. When assessing the nasal mucosa, you will observe that the turbinates are usually pale or violaceous because of venous engorgement) • Viral rhinitis (with viral rhinitis, the turbinates are typically erythematous) • Nasal polyps (With nasal polyps, there are usually yellowish, boggy masses of hypertrophic mucosa) • Nasal vestibulitis from folliculitis (Nasal vestibulitis usually results from folliculitis of the hairs that line the nares) 2. A 75-year-old African American male presents to your family practice office complaining of visual impairment. He has worn corrective lenses for many years but has noticed that his vision has gotten progressively worse the past 6 months. He denies pain. He states his vision is worse in both eyes in the peripheral aspects of his visual field. He also notes trouble driving at night and halos around street lights at night. You test his intraocular pressure, and it is 23 mm Hg. What is his most likely diagnosis? • Open-angle glaucoma (This is the typical presentation of chronic, or open-angle, glaucoma) • Angle-closure glaucoma (This is an acute, painful form of glaucoma) • Cataracts (This is a loss of central vision) • Macular degeneration (This also affects central vision)