NRNP 6531 Final Deck 2 Questions With Verified Answers

Sharon, age 29, is pregnant for the first time. She complains of nasal stuffiness and occasional epistaxis. What do you do? A. Order lab tests, such as a CBC with differential, hemoglobin and hematocrit B. Prescribe an antihistamine C. You do nothing except for client teaching D. Refer the client to an ear, nose and throat specialist - Answer C. You do nothing except for client teaching - Can occur with pregnancy because of increased vascularization in the upper respiratory tract David, age 32, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action? A. Prescribe nasal steroids and oral decongestants B. Prescribe antibiotic eardrops C. Prescribe systemic eardrops D. Refer David to an ear, nose, and throat specialist - Answer A. Prescribe nasal steroids and oral decongestants A sexual history of oral-genital contact in a client presenting with pharyngitis is significant when which of the following organisms is suspected? A. Escherichia coli B. Haemophilus influenzae C. Neisseria gonorrhoeae D. Streptococcus pneumoniae - Answer C. Neisseria gonorrhoeae - Neisseria gonorrhoeae pharyngitis is a common sexually transmitted disease The most common cause of sensoineural hearing loss is A. Trauma B. Tympanic membrane sclerosis and scarring C. Otosclerosis D. Presbycusis - Answer D. Presbycusis How do you describe the cervical lymphadenopathy associated with asymptomatic HIV infection? A. Movable, discrete, soft, and nontender lymph nodes B. Enlarged, warm, tender, firm, but freely movable lymph nodes C. Hard, unilateral, nontender, and fixed lymph nodes D. Firm but not hard, nontender, and mobile lymph nodes - Answer D. Firm but not hard, nontender, and mobile lymph nodes You diagnose acute epiglottitis in Sally, age 5, and immediately send her to the local emergeny room. Which of the following symptoms would indicate that an airway obstruction is imminent? A. Reddened face B. Screaming C. Grabbing her throat D. Stridor - Answer D. Stridor Purulent matter in the anterior chamber of the eye is called A. Hyphema B. Hypopyon C. Anisocoria D. Pterygium - Answer B. Hypopyon A 42 year old stockbroker comes to your office for evaluation of a pulsating headache over the left temporal region and he rates the pain as an 8 on a scale of 1-10. The pain has been constant for the past several hours and is accompanied by nausea and sensitivity to light. He has had frequent headaches for many years but not as severe and they are usually relieved by over the counter medicines. He is unclear as to a precipitating event but notes that he has had visual disturbances before each headache and has been under a lot of stress in his job. Based on this description, what is the most likely diagnosis of this type of headaache? A. Tension B. Migraine C. Cluster D. Temporal arteritis - Answer B. Migraine The trachea deviates toward the affected side in all of the following except A. Aortic aneurysm B. Unilateral thyroid lobe enlargement C. Large atelectasis D. Pneumothorax - Answer C. Large atelectasis Matthew, age 52, has allergic rhinitis and would like some medicine to relieve his symptoms. He is taking cimetidine (Tagamet) for gastroesophageal reflux disease. Which medication would you not order? A. A first-generation antihistamine B. A second-generation antihistamine C. A decongestant D. A topical nasal corticosteroid - Answer B. A second-generation antihistamine Jessica, an 8 year old third grader is broght to the office by her grandmother, who is the child's babysitter. She has complained of fever and sore throat for the past 2 days. Five other children in her class have been sick with sore throats. She denies difficulty swallowing and has been drinking fluids but has no appetite. ROS reveals that she has clear nasal drainage, hoarseness, and nonproductive cough. She denies vomiting but has had mild diarrhea. On examination she has a temperature of 101.5 F, 3+ erythematous tonsils, and palpable, tender cervical lymph nodes. Based on these findings, what is the most likely diagnosis? A. Mono B. Sinusitis C. Strep pharyingitis D. Viral pharyngitis - Answer D. Viral pharyngitis Marcia, age 4, is brought into the office by her mother. She has a sore throat, difficulty swallowing, copious oral secretions, respiratory difficulty, stridor, and a temperature of 102 F but no pharyngeal erythema or cough. What do you suspect? A. Epiglottitis B. Group A beta-hemolytic streptococcal infection pharyngitis C. Tonsillitis D. Diphtheria - Answer A. Epiglottitis You note a completely split uvula in Noi, a 42 year old Asian. What is your next course of action? A. Do nothing B. Refer Noi to a specialist C. Perform a throat culture D. Order a CBC - Answer A. Do nothing Claude, age 78, is being treated with timolol maleate (Timoptic) drops for his chronic open-angle glaucoma. While performing a new client history and physical, you note that he is taking other medications. Which medication would you be most concerned about? A. Apsirin therapy as prophylaxis for heart attack B. Ranitidine (Zantac) for gastroesophageal reflux disease C. Alprazolam (Xanax), an anxiolytic for anxiety D. Atenolol (Tenormin), a beta blocker for high blood pressure - Answer D. Atenolol (Tenormin), a beta blocker for high blood pressure Harry, age 69, has had Meniere's disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo? A. A labyrinthectomy B. Pharmacological therapy C. A vestibular neurectomy D. Wearing an earplug in the ear with the most hearing loss - Answer C. A vestibular neurectomy A 65 year old man presents complaining of left sided deep, throbbing headache along with mild fatigue. On examination the client has a tender, tortuous temporal artery. You suspect temporal arteritis. How do you confirm your diagnosis? A. MRI fo the head B. Erythrocyte sedimentation rate (ESR) C. EEG D. Otoscopy - Answer B. Erythrocyte sedimentation rate (ESR) Marty has a hordeolum in his right eye. You suspect that the offending organism is A. Herpes simplex virus B. Staphylococcus C. Candida albicans D. Escherichia coli - Answer B. Staphylococcus The most common offending allergens causing allergic rhinitis are A. Pollens of grasses, trees and weeds B. Fungi C. Animal allergens D. Food sensitivity - Answer A. Pollens of grasses, trees, and weeds Cydney, age 7, is complaining that she feels as though something is stuck in her ear. What action is contraindicated? A. Inspecting the ear canal with an otoscope B. Using a small suction device to try to remove the object C. Flushing the ear with water D. Instilling several drops of mineral oil in the ear - Answer C. Flushing the ear with water June, age 50, presents with soft, raised, yellow plaques on her eyelids at the inner canthus. She is concerned that they may be cancerous skin lesions. You tell her they are probably A. Xanthelasmas B. Pingueculae C. The result of arcus senilis D. Actinic keratoses - Answer A. Xanthelasmas Mavis is 70 years old and wonders if she can donate her corneas when she dies. How do you respond? A. "As long as you don't have any chronic illness, you corneas may be harvested." B. "They will use corneas only from persons younger than age 65." C. "What makes you feel like you are dying?" D. "Don't think about such terrible things now." - Answer B. "They will use corneas only from persons younger than age 65." Manny, age 16, was hit in the eye with a baseball. He developed pain in the eye, decreased visual acuity, and injection of the globe. You confirm the diagnosis of hyphema by finding blood in the anterior chamber. What treatment would you recommend while Manny is waiting to see the ophthalmologist? A. Apply bilateral eye patches B. Have Manny lie flat C. Refer him to an ophthalmologist within a week D. Make sure Manny is able to be awakened every 30 minutes - Answer A. Apply bilateral eye patches Judy, age 67, complains of a sudden onset of impaired vision, severe eye pain, vomiting, and a headache. You diagnose the following condition and refer for urgent treatment A. Cataracts B. Macular degeneration C. Presbyopia D. Acute glaucoma - Answer D. Acute glaucoma Which of the following refractive errors in vision is a result of the natural loss of accomodative capacity with age? A. Presbyopia B. Hyperopia C. Myopia D. Astigmatism - Answer A. Presbyopia The leading cause of blindness in persons age 20-60 in the United States is A. Macular degeneration B. Glaucoma C. Diabetic retinopathy D. Trauma - Answer C. Diabetic retinopathy A 62 year old obese woman comes in today complaining of difficulty swallowing for the past 3 weeks. She states that "some foods get stuck" and she has been having "heartburn" at night when she lies down, especially if she has had a heavy meal. Occasionally she will awake at night coughing. She denies weight gain and/or weight loss, vomiting, or change in bowel movements. She does not drink or smoke. There is no pertinent family history or findings on review of systems (ROS). Physical examination is normal with no abdominal tenderness, and the stool is OB negative. What is the most likely diagnosis? A. Esophageal varices B. Esophageal cancer C. Gastroesophageal reflux disease (GERD) D. Peptic ulcer disease - Answer C. Gastroesophageal reflux disease (GERD) Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect? A. Acute otitis media B. Chronic otitis media C. External otitis D. Temporomandibular joint syndrome - Answer C. External otitis Barbara, age 72, states that she was told she had atrophic macular degeneration and asks you if there is any treatment. How do you respond? A. "No, but 5 years from the time of the first symptoms, the process usually stops." B. "Yes, there is a surgical procedure that will cure this." C. "If we start medications now, they may prevent any further damage." D. "Unfortunately, there is no effective treatment, but I can refer you to a rehabilitation agency that can help you adjust to the visual loss." - Answer D. "Unfortunately, there is no effective treatment, but I can refer you to a rehabilitation agency that can help you adjust to the visual loss." Natasha, age 4, has amblyopia. How do you respond when her mother asks about treatment? A. "We'll wait until she's 7 years old before starting treatment." B. "Treatment needs to be started now. We'll cover her 'bad' eye." C. "Treatment needs to be started now. We'll cover her 'good' eye." D. "No treatment is necessary. She'll outgrow this." - Answer C. "Treatment needs to be started now. We'll cover her 'good' eye." When Judith, age 15, asks you to explain the 20/50 vision in her right eye, you respond A. "You can see at 20ft with your left eye what the normal person can see at 50ft." B. "You can see at 20ft with your right eye what the normal person can see at 50ft." C. "You can see at 50ft with your right eye what the normal person can see at 20ft." D. "You can see at 50ft with the left eye what the normal person can see at 20ft." - Answer B. "You can see at 20ft with your right eye what the normal person can see at 50ft." - If vision is greater than 20/30, refer the client to an ophthalmologist or optometrist Risk factors for oral cancers include A. A family history, poor dental habits, and use of alcohol B. Obesity, sedentary lifestyle, and chewing tobacco C. A history of diabetes, smoking, and a high fat intake D. Smokine, use of alcohol, and chewing tobacco - Answer D. Smoking, use of alcohol, and chewing tobacco When you are assessing the internal structure of the eye, absence of a red reflex may indicate A. A cataract or a hemorrhage into the vitreous humor B. Acute iritis C. Nothing, this is a normal finding in older adults D. Diabetes or long-standing hypertension - Answer A. A cataract or a hemorrhage into the vitreous humor The immediate goal of myringotomy and tube placement in a child with recurrent episodes of totis media is to A. Prevent future infections B. Have an open access to the middle ear for irrigation and instillation of antibiotics C. Allow removal of suppurative or mucoid material D. Relieve pain - Answer C. Allow removal of suppurative or mucoid material A 22 year old client who plays in a rock band complains that he finds it difficult to understand his fellow musicians at the end of a night of performing, a problem that is compounded by the noisy environment of the "club." These symptoms are most characteristic of which of the following? A. Sensorineural loss B. Conductive loss C. Tinnitus D. Vertigo - Answer A. Sensorineural loss With a chronic allergy, a client's nasal mucosa appear A. Swollen and red B. Swollen, boggy, pale and gray C. Hard, pale, and inflamed D. Bright pink and inflamed - Answer B. Swollen, boggy, pale and gray When a practitioner places a vibrating tuning fork in the midline of a client's skull and asks if the tone sounds the same in both ears or is better in one, the examiner is performing A. The Rinne test B. The Weber test C. The caloric test D. A hearing acuity test - Answer B. The Weber test How should Tommy, age 2 1/2, have his vision screened? A. Using a Snellen letter chart B. Using the Allen test C. Using a Snellen E chart D. Using a Rosebaum chart - Answer B. Using the Allen test What therapy has proved beneficial for long-term symptom relief of tinnitus? A. Aspirin B. Lidocaine C. Cognitive behavioral therapy D. Corticosporin otic gtts PRN - Answer C. Cognitive behavioral therapy Jill presents with symptoms of hay fever and you assess the nasal mucosa of her turbinates to be pale. What diagnosis do you suspect? A. Allergic rhinitis B. Viral rhinitis C. Nasal polyps D. Nasal vestibulitis from folliculitis - Answer A. Allergic rhinitis Which method can be safely used to remove cerumen in a 12 month old child's ear? A. A size 2 ear curette B. Irrigation using hot water from a 3cc syringe C. A commercial jet tooth cleaner D. Cerumen should not be removed from a child this young - Answer C. A commercial jet tooth cleaner - Only if no suspicion of perforated tympanic membrane Mark, age 18, has a persistent sore throat, fever, and malaise not relieved with penicillin therapy. What do you order next? A. A throat culture B. A monospot test C. A rapid antigen test D. A Thayer-Martin plate test - Answer B. A monospot test You have made a diagnosis of acute sinusitis based on Martha's history and the fact that she complains of pain behind her eye. Which sinuses are affected? A. Maxillary B. Ethmoid C. Frontal D. Sphenoid - Answer B. Ethmoid - Maxillary sinus pain is over the cheek and into the upper teeth - Frontal sinus pain is over the lower forehead - Sphenoid sinus pain is in the occiput, vertex, or middle of the head In older adults, the most common cause of decreased visual functioning is A. Cataract formation B. Glaucoma C. Macular degeneration D. Arcus senilis - Answer A. Cataract formation Greg, age 72, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Greg reports that his vision is "like looking through a veil." He also sees floaters and flashing lights but is not having eye pain. What do you suspect? A. Cataracts B. Glaucoma C. Retinal detachment D. Iritis - Answer C. Retinal detachment Maggie, a 56 year old woman, comes to the office requesting a test for thyroid disease. She has had some weight gain since menopause and she read on the internet that all women should have a thyroid test. Based on the recommendations from the U.S. Preventive Service Task Force, which one of the following statements should be considered in this woman's care? A. All adults should be screened for thyroid disease B. Evidence is insufficient for or against routine screening for thyroid disease in asymptomatic adults C. All adults older than 50 should be screened for thyroid disease D. All perimenopausal women should be screened for thyroid disease - Answer B. Evidence is insufficient for or against routine screening for thyroid disease in asymptomatic adults A child's head circumference is routinely measured at each well-child visit until age A. 12 months B. 18 months C. 2 years D. 5 years - Answer C. 2 years In a young child, unilateral purulent rhinitis is most often caused by A. A foreign body B. A viral infection C. A bacterial infection D. An allergic reaction - Answer A. A foreign body A child's central visual acuity is 20/30 by age A. 18 months B. 2 years C. 3 years D. 4 years - Answer C. 3 years Sara, age 29, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by A. Herpes simplex B. Aphthous ulcers C. Candidiasis D. Oral cancer - Answer C. Candidiasis How do you test for near vision? A. By using the Snellen eye chart B. By using the Rosenbaum chart C. By asking the client to read from a magazine or newspaper D. By testing the cardinal fields - Answer B. By using the Rosenbaum chart - Hold it about 12-14 inches from the client's eyes. Mandy was given a diagnosis of flu 2 days ago and wants to start on the "new flu medicine" right away. What do you tell her? A. "The medication is effective only if started within the first 48 hours after the symptoms begin." B. "If you treat a cold, it goes away in 7 days; if you don't treat it, it goes away in 1 week." C. "The medicine has not proven its effectiveness." D. "I'll start you on zanamivir today. It may shorten the course of the disease and perhaps lessen the severity of your symptoms." - Answer D. "I'll start you on zanamivir today. It may shorten the course of the disease and perhaps lessen the severity of your symptoms." What condition occurs in almost all persons beginning around age 42-46? A. Arcus senilis B. Presbyopia C. Cataracts D. Glaucoma - Answer B. Presbyopia Sara, age 92, presents with dry eyes, redness, and a scratchy feeling. You note that this is one of the most common disorders, particularly in older women, and diagnose this as A. Viral conjunctivitis B. Keratoconjunctivitis sicca C. Allergic eye disease D. Corneal ulcer - Answer B. Keratoconjunctivitis sicca When you are assessing the corneal light reflex, an abnormal finding indicates A. Possible use of eye medications B. A neurological problem C. Improper alignment of the eyes D. Strabismus - Answer C. Improper alignment of the eyes - It is noted when the reflections of the light are on different sites on the eyes While doing a face, head, and neck examination, you note that the palpebral fissures are abnormally narrow. What are you examining? A. Nasolabial folds B. The openings between the margins of the upper and lower eyelids C. The thyroid gland in relation to the trachea D. The distance between the trigeminal nerve branches - Answer B. The opening between the margins of the upper and lower eyelids Signs and symptoms of acute angle-closure glaucoma include A. Painless redness of the eyes B. Loss of peripheral vision C. Translucent corneas D. Halos around lights - Answer D. Halos around lights Clonazepam (Klonopin) is occasionally ordered for temporal mandibular joint (TMJ) disease. Which of the following statements applies to this medicine? A. It is ordered for inflammatory pain B. It is ordered for neuropathic pain C. It is ordered for a short course of therapy for 1-2 weeks only D. It is ordered for muscle relaxation - Answer C. It is ordered for a short course of therapy for 1-2 weeks only The most common cause of a white pupil (leukokoria or leukocoria) in a newborn is A. A cataract B. Retinoblastoma C. Persistent hyperplastic primary vitreous D. Retinal detachment - Answer A. A cataract - Some infants require no treatment, however, surgery may be performed Your neighbor calls you because her son, age 9, fell on the sidewalk while playing outside and a tooth fell out. She wants to know what she should put the tooth in to transport it to the dentist. You tell her that the best solution to put it in is A. Salt water B. Saliva C. Milk D. Water - Answer C. Milk If a client presents with a deep, aching, red eye and there is no discharge, you should suspect A. Bacterial conjunctivitis B. Viral conjunctivitis C. Allergic conjunctivitis D. Iritis - Answer D. Iritis Marnie, who has asthma, has been told that she has nasal polyps. What do you tell her about them? A. Nasal polyps are usually precancerous B. Nasal polyps are benign growths C. The majority of nasal polyps are neoplastic D. They are probably inflamed turbinates, not polyps, because polyps are infrequent in clients with asthma - Answer B. Nasal polyps are benign growths A smooth tongue may indicate A. A normal finding B. Alcohol abuse C. A vitamin deficiency D. Nicotine addiction - Answer C. A vitamin deficiency Henry is having difficulty getting rid of a corneal infection. He asks you why. How do you respond? A. "We can't determine the causative agent." B. "Antibiotics have difficulty getting to that area." C. "Because the infection was painless, it was not treated early enough." D. "Because the cornea doesn't have a blood supply, an infection can't be fought off as usual." - Answer D. "Because the cornea doesn't have a blood supply, an infection can't be fought off as usual." Jill states that her 5 year old daughter continually grinds her teeth at night. You document this as A. Temporal mandibular joint malocclusion B. Bruxism C. A psychosis D. An oropharyngeal lesion - Answer B. Bruxism The first-line antibiotic therapy for an adult with no known allergies and suspected group A beta-hemolytic streptococcal pharyngitis is A. Penicillin B. Erythromycin (E-Mycin) C. Azithromycin (Zithromax) D. Cephalexin (Keflex) - Answer A. Penicillin The antibiotic of choice for beta-lactamase coverage of otitis media is A. Amoxicillin (Amoxil) B. Amoxicillin and potassium clavulanate (Augmentin) C. Azithromycin (Zithromax) D. Prednisone (Deltasone) - Answer B. Amoxicillin and potassium clavulanate (Augmentin) Microtia refers to the size of the A. Ears B. Skull C. Pupils D. Eyes - Answer A. Ears Ty, age 68, has a hearing problem. He tells you he is ready for a drastic solution to the problem because he likes to play bingo but cannot hear the calls. What can you do for him? A. Refer him to a hearing aid specialist B. Refer him for further testing C. Perform a gross hearing test in the office, then repeat in 6 months to determine if there is any further loss D. Nothing. Tell him that a gradual hearing loss is to be expected with aging - Answer B. Refer him to further testing Which cranial nerve (CN) is affected in sensorineural or perceptive hearing loss? A. CN II B. CN IV C. CN VIII D. CN XI - Answer C. CN VIII Samantha, age 12, appears with ear pain. When you begin to assess her ear, you tug on her normal appearing auricle, eliciting severe pain. This leads you to suspect A. Otitis media B. Otitis media with effusion C. Otitis externa D. Primary otalgia - Answer C. Otitis externa When you examine the tympanic membrane, which of these structures is visible? A. Stapes B. Cochlea C. Pars flaccida D. Round window - Answer C. Pars flaccida Which fo the following conditions produces sharp, piercing facial pain that lasts for seconds to minutes? A. Trigeminal neuralgia B. TMJ C. Goiter D. Preauricular adenitis - Answer A. Trigeminal neuralgia When assessing Lenore, age 59, who has a sore throat, you note that she has a positive history of diabetes and rheumatic fever. These facts increase the likelihood that which of the following agents caused her sore throat? A. Neisseria gonorrhoeae B. Epstein-Barr virus C. Haemophilus influenzae D. Group A beta-hemolytic streptococcus - Answer D. Group A beta-hemolytic streptococcus Tara was born with a cleft lip and palate. When should treatment begin for this condition? A. Immediately after birth B. At age 3 months C. At age 6 months D. When Tara is ready to drink from a cup - Answer A. Immediately after birth Which manifestation is noted with carbon monoxide poisoning? A. Circumoral pallor of the lips B. Cherry-red lips C. Cyanosis of the lips D. Pale, pink lips - Answer B. Cherry-red lips Regular ocular pressure testing is indicated for older adults taking A. High-dose inhaled glucocorticoids B. NSAIDs C. Angiotensin converting enzyme (ACE) inhibitors D. Insulin - Answer A. High-dose inhaled glucocorticoids John, age 19, has just been given a diagnosis of mononucleosis. Which of the following statements is true? A. The offending organism is bacteria and should be treated with antibiotics B. Convalescence is usually only a few days and John should be back to normal in a week. C. Mono is rarely contagious D. John should avoid contact sports and heavy lifting. - Answer D. John should avoid contact sports and heavy lifting Your client is unable to differentiate between sharp and dull stimulation on both sides of her face. You suspect A. Bell's palsy B. A lesion affecting the trigeminal nerve C. A stroke D. Shingles - Answer B. A lesion affecting the trigeminal nerve Mycostatin (Nystatin) is ordered for Michael, who has an oral fungal infection. What instructions do you give Michael for taking the medication? A. "Don't swallow the medication because it's irritating to the gastric mucosa." B. "Take the medication with meals so that it's better absorbed." C. "Swish and swallow the medication." D. "Apply the medication only to the lesions." - Answer C. "Swish and swallow the medication." Which assessment test is a gross measurement of peripheral vision? A. The cover test B. The corneal light reflex test C. The confrontation test D. The Snellen eye chart test - Answer C. The confrontation test - It compares the client's peripheral vision with the practitioner's, assuming that the practitioner has normal peripheral vision. Marian, age 79, is at a higher risk than a middle-aged client for developing an eye infection because of which age-related change? A. Increased eyestrain B. Loss of subcutaneous tissue C. Change in pupil size D. A decrease in tear production - Answer D. A decrease in tear production Sam, age 4, is brought into the clinic by his father. His tympanic membrane is perforated from otitis media. His father asks about repair of the eardrum. How do you respond? A. "The eardrum, in most cases, heals within several weeks." B. "We need to schedule Sam for a surgical repair." C. "He must absolutely stay out of water for 3-6 months." D. "If the eardrum is not healed in several months, it can be surgically repaired." - Answer A. "The eardrum, in most cases, heals within several weeks." Sylvia has glaucoma and has started taking a medication that acts as a diuretic to reduce the intraocular pressure. Which medication is she taking? A. A carbonic anhydrase inhibitor B. A beta-adrenergic receptor blocker C. A miotic D. A mydriatic - Answer A. A carbonic anhydrase inhibitor Tee, age 64, presents with a sore throat. Your assessment reveals tonsillar exudate, anterior cervical adenopathy, presence of a fever, and absence of a cough. There is a high probability of which causative agent? A. Haemophilus influenzae B. Group A beta-hemolytic streptococcus C. Epstein-Barr virus D. Rhinovirus - Answer B. Group A beta-hemolytic streptococcus - When the four symptoms present as a cluster, there is a high probability that the infection is caused by group A beta-hemolytic streptococcus Monique brings her 4 week old infant into the office because she noticed small, yellow-white, glistening bumps on her infant's gums. She says they look like teeth, but she is worried that they may be cancer. You diagnose these bumps as A. Bednar's aphthae B. Epstein's pearls C. Buccal tumors D. Exostosis - Answer B. Epstein's pearls Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a subconjunctival hemorrhage. Your next step is to A. Refer him to an ophthalmologist B. Order antibiotics C. Do nothing other than provide reassurance D. Consult with you collaborating physician - Answer C. Do nothing other than provide reassurance Clients with allergic conjunctivitis have which type of discharge? A. Purulent B. Serous or clear C. Stringy and white D. Profuse mucoid or mucopurulent - Answer C. Stringy and white Which of the following signs of thyroid dysfunction is a sign of hyperthyroidism? A. Slow pulse B. Decreased systolic BP C. Exophthalmos D. Dry, coarse, cool skin - Answer C. Exopthalmus What is the easiest way to differentiate between otitis externa and otitis media? A. With otitis media, tender swelling is usually visible B. With otitis media, there is usually bilateral pain in the ears C. With otitis media, there is usually tenderness on palpation over the mastoid process D. With otitis externa, movement or pressure on the pinna is extremely painful - Answer D. With otitis externa, movement or pressure on the pinna is extremely painful Mattie says she has heard that it is not good to let a baby go to bed with a bottle. She says that she has always done this with her other children and wonders why it is not recommended. How do you respond? A. "A bottle in the baby's mouth forces the baby to breathe through the nose. If the nose is clogged, the baby will not get enough oxygen." B. "A nipple, when placed in the mouth for long periods of time, can cause toothe displacement." C. "Normal mouth bacteria act on the sugar in the bottle contents to form acids, which will break down the tooth enamel and destroy the teeth even before they come in." D. "This encourages the baby to continually want to drink at night. When the child is older, it will become a habit, and the child will end up wearing diapers into the preschool years." - Answer C. "Normal mouth bacteria act on sugar in the bottle contents to form acids, which will break down the tooth enamel and destroy the teeth even before they come in." Darren, age 26, has AIDS and presents with a painful tongue covered with what looks like creamy-white, curdlike patches overlying erythematous mucosa. You are able to scrape off these "curds" with a tongue depressor, which assists you in making which of the following diagnoses? A. Leukoplakia B. Lichen planus C. Oral candidiasis D. Oral cancer - Answer C. Oral candidiasis