FNP 2 exam questions with Complete
Verified Answers
Strabismus - ANSWER Corneal light and cover uncover
Esotropia- inward is most common
Treatment with patching of good eye- referred to peds
Amblyopia - ANSWER Secondary vision loss because brain cannot focus on two
visual fields
Acute Otitis Media Prevention - ANSWER • Pneumococcal vaccine
• Yearly influenza vaccine
• Breastfeeding exclusively until at least 6 months old
• Avoiding tobacco exposure
Tinnittus- what to do? - ANSWER • Stop ototoxic meds.
• Decrease noise exposure.
• Decrease caffeine and nicotine use.
Treat the cause.
Labyrinthitis - ANSWER Vertigo, nausea, and vomiting, aggravated by head
movements; can occur after a URI; spontaneous nystagmus
,Labyrinthitis Management - ANSWER • Bed rest.
○ Side lying position with affected ear uppermost.
○ Increase activity as tolerated.
• Meclizine 12.5-50 mg every 6 hours.
• Sedatives, antiemetics PRN.
• Antibiotics if bacterial infection suspected.
• No evidence to support systemic corticosteroids.
Refer to ENT if no resolution in 4 to 6 weeks, unclear diagnosis, severe bacterial infectio
Meniere's Disease - ANSWER Chronic; mostly after 50
4 symptoms: spinning vertigo, low freq sensorineural hearing loss, tinnitus, fullness
in affected ear
Conductive hearing loss - ANSWER External (cerumen, ifection)
TM Mobility (perforation, scar tissue)
Middle Ear (AOM, serous itits)
Ostoclerosis -Fusion of the stapes over the oval window
Sensorineural Hearing Loss - ANSWER disorders of Cochlea and Retrocochlear
region Presbycussis- gradual degeneration within cochlea with aggive
Ototoxicity - Can be from various medications including antineoplastics,
salicylates, aminoglycosides, furosemide and quinine-related drugs.
Infection
, Newborns Hearing - ANSWER Test: use evoked otoacoustic emission testing or
Auditory brainstem response
○ Measures response of inner ear to brief clicks or tones.
Normal Age Responses to Sound - ANSWER ○ 0-4 months: should startle to loud
sounds, quiet to mother's voice, cease activity momentarily when sound is made at
conversational level
○ 5-6 months: should correctly localize to a sound, begin to imitate sounds
○ 7-12 months: correctly localize sound in any plane, respond to name
○ 13-15 months: should point toward unexpected sound or to familiar persons
when asked
○ 16-18 months: should follow simple directions
○ 19-24 months: should point to body parts when asked
AOM - ANSWER 3 things:
○ Recent abrupt onset of signs/symptoms such as ear pain, irritability, otorrhea,
+/-fever
○ Middle ear effusion confirmed by bulging TM, limited or decreased mobility, air-fluid
level
○ Signs/symptoms of middle ear inflammation: red TM, otalgia, interfering
with sleep/activity
Culprits:
○ S. Pneumoniae (Decreased due to prevnar)
○ Haemophilus influenzae (Increasing incidence)
○ M. Catarrhalis
Bullous Myringitis - ANSWER ○ Haemophilus influenzae
Verified Answers
Strabismus - ANSWER Corneal light and cover uncover
Esotropia- inward is most common
Treatment with patching of good eye- referred to peds
Amblyopia - ANSWER Secondary vision loss because brain cannot focus on two
visual fields
Acute Otitis Media Prevention - ANSWER • Pneumococcal vaccine
• Yearly influenza vaccine
• Breastfeeding exclusively until at least 6 months old
• Avoiding tobacco exposure
Tinnittus- what to do? - ANSWER • Stop ototoxic meds.
• Decrease noise exposure.
• Decrease caffeine and nicotine use.
Treat the cause.
Labyrinthitis - ANSWER Vertigo, nausea, and vomiting, aggravated by head
movements; can occur after a URI; spontaneous nystagmus
,Labyrinthitis Management - ANSWER • Bed rest.
○ Side lying position with affected ear uppermost.
○ Increase activity as tolerated.
• Meclizine 12.5-50 mg every 6 hours.
• Sedatives, antiemetics PRN.
• Antibiotics if bacterial infection suspected.
• No evidence to support systemic corticosteroids.
Refer to ENT if no resolution in 4 to 6 weeks, unclear diagnosis, severe bacterial infectio
Meniere's Disease - ANSWER Chronic; mostly after 50
4 symptoms: spinning vertigo, low freq sensorineural hearing loss, tinnitus, fullness
in affected ear
Conductive hearing loss - ANSWER External (cerumen, ifection)
TM Mobility (perforation, scar tissue)
Middle Ear (AOM, serous itits)
Ostoclerosis -Fusion of the stapes over the oval window
Sensorineural Hearing Loss - ANSWER disorders of Cochlea and Retrocochlear
region Presbycussis- gradual degeneration within cochlea with aggive
Ototoxicity - Can be from various medications including antineoplastics,
salicylates, aminoglycosides, furosemide and quinine-related drugs.
Infection
, Newborns Hearing - ANSWER Test: use evoked otoacoustic emission testing or
Auditory brainstem response
○ Measures response of inner ear to brief clicks or tones.
Normal Age Responses to Sound - ANSWER ○ 0-4 months: should startle to loud
sounds, quiet to mother's voice, cease activity momentarily when sound is made at
conversational level
○ 5-6 months: should correctly localize to a sound, begin to imitate sounds
○ 7-12 months: correctly localize sound in any plane, respond to name
○ 13-15 months: should point toward unexpected sound or to familiar persons
when asked
○ 16-18 months: should follow simple directions
○ 19-24 months: should point to body parts when asked
AOM - ANSWER 3 things:
○ Recent abrupt onset of signs/symptoms such as ear pain, irritability, otorrhea,
+/-fever
○ Middle ear effusion confirmed by bulging TM, limited or decreased mobility, air-fluid
level
○ Signs/symptoms of middle ear inflammation: red TM, otalgia, interfering
with sleep/activity
Culprits:
○ S. Pneumoniae (Decreased due to prevnar)
○ Haemophilus influenzae (Increasing incidence)
○ M. Catarrhalis
Bullous Myringitis - ANSWER ○ Haemophilus influenzae
