Conductive hearing loss involves what part of the ear? - correct answers
- Middle ear
A potential complication of streptococcal pharyngitis that leads to
contralateral uvular deviation, asymmetric tonsillar hypertrophy, muffled
voice on exam but no stridor, drooling, or dyspnea or dysphagia is
recognized as what? - correct answers -
Peritonsillar abscess
A 64 year old woman presents to the office with complains of vision loss.
Funduscopic examination reveals cupping of the optic nerve. Which action
should you take? -
correct answers - Send the pt to the ER
A 39 year old female presents with complaints of sudden onset of blurry
vision. She states that she sees flashing lights and it sensation that she is
"looking through a curtain." Which dx finding would the NP expect to find in
this patient? - correct
answers
- Hemoglobin A1C of 12
Retinal detachment is a potential outcome of retinopathy of diabetes
A 16 year old presents to the urgent care clinic after a hard hit in football
practice. During the physical exam, the NP observes "battle's sign" and
immediately refers the patient to the ED. Which dx is the NP concerned
about? - correct answers -
Basal skull fx
A 4 year old male is brought into a clinic with complaints of fever and sore
throat for 2 days. the NP suspects a peritonsilar abscess and refers the pt to
the ED. Which finding is most consistent with this dx? - correct answers -
Fever, sore throat, dysphagia, drooling, "hot potato" voice
A 40 year old female presents with complaints of soreness when eating
spicy foods. The NP observes that the patient has a "geographic tongue."
What would be the most appropriate for the patient's plan of care? -
correct answers - Tell pt to rinse with salt water and avoid spicy food until
s/s resolve
A 2 year old boy presents to the clinic with a fever. During the physical
GRADED
exam
A+ the NP observes Koplik's spots inside of his buccal mucosa. Which
would be the most important to assess on the pt to aid in an appropriate
dx? - correct answers -
Vaccination status
, Koplik spots are seen with measles: small white spots on a reddened
background that occur on the inside of the cheeks
A 26 year old presents to a clinic with complaints of left eye pain. the NP
performs fluorescent dye staining which reveals fern-like lines in the corneal
surface. Which would be the most appropriate hx question to ask the pt?
- correct answers - have
you ever had a cold sore?
A 17 year old female was dx with angular cheilitis. She had tx failure after a
course of topical abx, topical steroids, moisture barrier creams, and
antifungals were rxed. What would be the most appropriate next step in the
pt's plan of care? - correct answers
- Check vitamin B12 levels
Most common cause is a fungal infection but can be from vitamin B12
deficiency and bacterial infections
Which finding is most consistent with acute otitis externa? - correct
answers - Pruritis and hx of recent swimming
Otitis externa is referred to as "swimmers ear"
A 15 year old male pt presents to the clinic with abd pain and fatigue, and is
dx with mono. Which is the most important part of this patient's plan of care?
- correct
answers
- Avoid contact sports for up to 4 weeks
Splenomegaly is a complication of mono. Contact sports increase risk
of spleen rupturing
A 20 year old female reports a hx of "cold symptoms" for 12 days. Her
physical exam reveals unilateral facial pain and purulent nasal discharge.
Which dx are these findings consistent with? - correct answers - Acute
bacterial rhinosinusitis
S/S are facial pain or pressure, postnasal drip, nasal congestion, upper
jaw or tooth pain, nasal discharge, fever, cough
Inflammation and swelling of the 7th cranial nerve with resultant unilateral
facial muscle paralysis is called? - correct answers - Bell's Palsy
Caused by virus, sudden onset of facial paralysis usually resolves within 2
weeks
The NP caring for a pt with a recent TIA understands that? - correct
answers - Long- term antiplatelet therapy is likely indicated-aspirin or
clopidrogrel
GRADED
(plavix)
A+
A 22 yr old woman has a new onset of panic disorder. As part of her clinical
presentation, you expect to find all of the following except? - correct
answers - Hx of thought disorder
- Middle ear
A potential complication of streptococcal pharyngitis that leads to
contralateral uvular deviation, asymmetric tonsillar hypertrophy, muffled
voice on exam but no stridor, drooling, or dyspnea or dysphagia is
recognized as what? - correct answers -
Peritonsillar abscess
A 64 year old woman presents to the office with complains of vision loss.
Funduscopic examination reveals cupping of the optic nerve. Which action
should you take? -
correct answers - Send the pt to the ER
A 39 year old female presents with complaints of sudden onset of blurry
vision. She states that she sees flashing lights and it sensation that she is
"looking through a curtain." Which dx finding would the NP expect to find in
this patient? - correct
answers
- Hemoglobin A1C of 12
Retinal detachment is a potential outcome of retinopathy of diabetes
A 16 year old presents to the urgent care clinic after a hard hit in football
practice. During the physical exam, the NP observes "battle's sign" and
immediately refers the patient to the ED. Which dx is the NP concerned
about? - correct answers -
Basal skull fx
A 4 year old male is brought into a clinic with complaints of fever and sore
throat for 2 days. the NP suspects a peritonsilar abscess and refers the pt to
the ED. Which finding is most consistent with this dx? - correct answers -
Fever, sore throat, dysphagia, drooling, "hot potato" voice
A 40 year old female presents with complaints of soreness when eating
spicy foods. The NP observes that the patient has a "geographic tongue."
What would be the most appropriate for the patient's plan of care? -
correct answers - Tell pt to rinse with salt water and avoid spicy food until
s/s resolve
A 2 year old boy presents to the clinic with a fever. During the physical
GRADED
exam
A+ the NP observes Koplik's spots inside of his buccal mucosa. Which
would be the most important to assess on the pt to aid in an appropriate
dx? - correct answers -
Vaccination status
, Koplik spots are seen with measles: small white spots on a reddened
background that occur on the inside of the cheeks
A 26 year old presents to a clinic with complaints of left eye pain. the NP
performs fluorescent dye staining which reveals fern-like lines in the corneal
surface. Which would be the most appropriate hx question to ask the pt?
- correct answers - have
you ever had a cold sore?
A 17 year old female was dx with angular cheilitis. She had tx failure after a
course of topical abx, topical steroids, moisture barrier creams, and
antifungals were rxed. What would be the most appropriate next step in the
pt's plan of care? - correct answers
- Check vitamin B12 levels
Most common cause is a fungal infection but can be from vitamin B12
deficiency and bacterial infections
Which finding is most consistent with acute otitis externa? - correct
answers - Pruritis and hx of recent swimming
Otitis externa is referred to as "swimmers ear"
A 15 year old male pt presents to the clinic with abd pain and fatigue, and is
dx with mono. Which is the most important part of this patient's plan of care?
- correct
answers
- Avoid contact sports for up to 4 weeks
Splenomegaly is a complication of mono. Contact sports increase risk
of spleen rupturing
A 20 year old female reports a hx of "cold symptoms" for 12 days. Her
physical exam reveals unilateral facial pain and purulent nasal discharge.
Which dx are these findings consistent with? - correct answers - Acute
bacterial rhinosinusitis
S/S are facial pain or pressure, postnasal drip, nasal congestion, upper
jaw or tooth pain, nasal discharge, fever, cough
Inflammation and swelling of the 7th cranial nerve with resultant unilateral
facial muscle paralysis is called? - correct answers - Bell's Palsy
Caused by virus, sudden onset of facial paralysis usually resolves within 2
weeks
The NP caring for a pt with a recent TIA understands that? - correct
answers - Long- term antiplatelet therapy is likely indicated-aspirin or
clopidrogrel
GRADED
(plavix)
A+
A 22 yr old woman has a new onset of panic disorder. As part of her clinical
presentation, you expect to find all of the following except? - correct
answers - Hx of thought disorder
