Maryville NURS 620 Adult 1 EXAM 1
questions with answers
if rapid strep test is negative what is the first thing you should do? - ANSWERS✔✔ send out culture
when examining lab from a person with mono what would the NP expect to find? - ANSWERS✔✔
Lymphocytosis
EBV is transmitted through which route? - ANSWERS✔✔ oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? - ANSWERS✔✔ 30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to avoid -
ANSWERS✔✔ beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion with
induration what do you suspect - ANSWERS✔✔ oral cancer
which vision sx is common in open angel glaucoma - ANSWERS✔✔ peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step - ANSWERS✔✔ refer
to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid - ANSWERS✔✔ Hordeolum (stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling on the
eyelid - ANSWERS✔✔ Chalazion
what maneuver can be performed to help manage sx of vertigo? - ANSWERS✔✔ Epley maneuver
, What can help diagnose vertigo - ANSWERS✔✔ Dix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back positive what is the
first thing to do? - ANSWERS✔✔ discontinue antibiotics
peripheral vision loss that has worsened over the last few months - ANSWERS✔✔ open-angle glaucoma
(peripheral loss over time)
Risk factor for otitis externa? - ANSWERS✔✔ Exposure to water, excessive use of headphones, Q-tips,
impacted cerumen and earplugs
Risk factor for otitis media? - ANSWERS✔✔ Young children, allergies, craniofacial abnormalities,
smokers, hx of URI, acid reflux, immunodeficiency
A red flag for pt complaining of red eye? - ANSWERS✔✔ severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with treatment failure
after 7 days of 1st line abx (PCN)? - ANSWERS✔✔ Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore throat; exam
shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99, most appropriate treatment
plan - ANSWERS✔✔ saline nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and red border - ANSWERS✔✔
canker sore
what symptoms are most indicative of mono - ANSWERS✔✔ gradual onset of fatigue/malaise
POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad breath, swollen
puffy receding gums that are tender and bleed easily - ANSWERS✔✔ gingivitis
questions with answers
if rapid strep test is negative what is the first thing you should do? - ANSWERS✔✔ send out culture
when examining lab from a person with mono what would the NP expect to find? - ANSWERS✔✔
Lymphocytosis
EBV is transmitted through which route? - ANSWERS✔✔ oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? - ANSWERS✔✔ 30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to avoid -
ANSWERS✔✔ beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion with
induration what do you suspect - ANSWERS✔✔ oral cancer
which vision sx is common in open angel glaucoma - ANSWERS✔✔ peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step - ANSWERS✔✔ refer
to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid - ANSWERS✔✔ Hordeolum (stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling on the
eyelid - ANSWERS✔✔ Chalazion
what maneuver can be performed to help manage sx of vertigo? - ANSWERS✔✔ Epley maneuver
, What can help diagnose vertigo - ANSWERS✔✔ Dix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back positive what is the
first thing to do? - ANSWERS✔✔ discontinue antibiotics
peripheral vision loss that has worsened over the last few months - ANSWERS✔✔ open-angle glaucoma
(peripheral loss over time)
Risk factor for otitis externa? - ANSWERS✔✔ Exposure to water, excessive use of headphones, Q-tips,
impacted cerumen and earplugs
Risk factor for otitis media? - ANSWERS✔✔ Young children, allergies, craniofacial abnormalities,
smokers, hx of URI, acid reflux, immunodeficiency
A red flag for pt complaining of red eye? - ANSWERS✔✔ severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with treatment failure
after 7 days of 1st line abx (PCN)? - ANSWERS✔✔ Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore throat; exam
shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99, most appropriate treatment
plan - ANSWERS✔✔ saline nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and red border - ANSWERS✔✔
canker sore
what symptoms are most indicative of mono - ANSWERS✔✔ gradual onset of fatigue/malaise
POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad breath, swollen
puffy receding gums that are tender and bleed easily - ANSWERS✔✔ gingivitis
