If your patient has a severe upper respiratory disease with copious nasal drainage,
which rescue therapy might you consider as the best option?
A. Oral antihistamines
B. Topical decongestant such as oxymetazoline (Afrin Nasal Spray)
C. Leukotriene modifier (Singulair)
D. oral corticosteroid
Give this one a try later!
, Topical decongestant such as oxymetazoline (Afrin Nasal Spray)
The NP notices a gray ring on the edge of both irises of an 80 y/o female. The patient
denies visual changes or pain. She reports that she has had the "ring" for many years.
What is the clinical significance of this finding on a 35 y/o?
A. The patient has a higher risk of blindness
B. The patient should be evaluated for hyperlipidemia
C. The patient should be evaluated by an ophthalmologist
D. The patient should be evaluated for acute angle glaucoma
Give this one a try later!
The patient should be evaluated for hyperlipidemia
Which of the following would you recommend on an annual basis for an elderly
patient with type 2 diabetes?
A. Eye exam with an ophthalmologist
B. Follow-up visit with a urologist
C. Periodic visits to an optometrist
D. Colonoscopy
Give this one a try later!
eye exam with an ophthalmologist
Which of the following pharmaceutical options might you classify as a fast-acting
therapy for allergies that a patient could start today for quick relief?
A. Anticholinergic nasal spray
B. Oral corticosteroids
,C. Oral antihistamine
D. Leukotriene modifier (Singulair)
Give this one a try later!
--Anticholinergic nasal spray
-- Oral antihistamine
While checking for the red reflex on a 3 y/o during a well visit, a white reflection is
seen on the child's left pupil. Which of the following conditions should be ruled out?
A. Unilateral strabismus
B. Unilateral cataracts
C. Retinoblastoma of the left eye
D. Color blindness of the left eye
Give this one a try later!
Retinoblastoma of the left eye
While examining a patient with hearing loss, if Rhine testing is abnormal in the
affected ear, which type of hearing loss do you suspect?
A. Conductive
B. Sensorineural
Give this one a try later!
Conductive
, On examination of the eye of an elderly male, the NP notes that the eyelashes are
curving inward. The term that best describes this is:
A. Chalazion
B. Hordeolum
C. Entropion
D. Ectropion
Give this one a try later!
entropion
What is the best procedure for evaluating a corneal abrasion?
A. Tonometry
B. Flourescein stain
C. Visual field test
D. Fundoscopy
Give this one a try later!
Flourescein stain
Review treatment for adult with ABRS that has recently been treated with Amoxicillin
for AOM
Give this one a try later!
See McPhee Table 8-4: First line after antibiotic use in past 4-6 weeks:
Levafloxicin (Levoquin) or amoxicillin-clavulante (Augmentin). Augmentin
was not an answer choice, leaving only Levaquin. You would not use
amoxicillin again due to likely resistance from recent use. Trimethoprim-
sulfamethoxazole (Bactrim) and doxycycline are both first-line medications,
which rescue therapy might you consider as the best option?
A. Oral antihistamines
B. Topical decongestant such as oxymetazoline (Afrin Nasal Spray)
C. Leukotriene modifier (Singulair)
D. oral corticosteroid
Give this one a try later!
, Topical decongestant such as oxymetazoline (Afrin Nasal Spray)
The NP notices a gray ring on the edge of both irises of an 80 y/o female. The patient
denies visual changes or pain. She reports that she has had the "ring" for many years.
What is the clinical significance of this finding on a 35 y/o?
A. The patient has a higher risk of blindness
B. The patient should be evaluated for hyperlipidemia
C. The patient should be evaluated by an ophthalmologist
D. The patient should be evaluated for acute angle glaucoma
Give this one a try later!
The patient should be evaluated for hyperlipidemia
Which of the following would you recommend on an annual basis for an elderly
patient with type 2 diabetes?
A. Eye exam with an ophthalmologist
B. Follow-up visit with a urologist
C. Periodic visits to an optometrist
D. Colonoscopy
Give this one a try later!
eye exam with an ophthalmologist
Which of the following pharmaceutical options might you classify as a fast-acting
therapy for allergies that a patient could start today for quick relief?
A. Anticholinergic nasal spray
B. Oral corticosteroids
,C. Oral antihistamine
D. Leukotriene modifier (Singulair)
Give this one a try later!
--Anticholinergic nasal spray
-- Oral antihistamine
While checking for the red reflex on a 3 y/o during a well visit, a white reflection is
seen on the child's left pupil. Which of the following conditions should be ruled out?
A. Unilateral strabismus
B. Unilateral cataracts
C. Retinoblastoma of the left eye
D. Color blindness of the left eye
Give this one a try later!
Retinoblastoma of the left eye
While examining a patient with hearing loss, if Rhine testing is abnormal in the
affected ear, which type of hearing loss do you suspect?
A. Conductive
B. Sensorineural
Give this one a try later!
Conductive
, On examination of the eye of an elderly male, the NP notes that the eyelashes are
curving inward. The term that best describes this is:
A. Chalazion
B. Hordeolum
C. Entropion
D. Ectropion
Give this one a try later!
entropion
What is the best procedure for evaluating a corneal abrasion?
A. Tonometry
B. Flourescein stain
C. Visual field test
D. Fundoscopy
Give this one a try later!
Flourescein stain
Review treatment for adult with ABRS that has recently been treated with Amoxicillin
for AOM
Give this one a try later!
See McPhee Table 8-4: First line after antibiotic use in past 4-6 weeks:
Levafloxicin (Levoquin) or amoxicillin-clavulante (Augmentin). Augmentin
was not an answer choice, leaving only Levaquin. You would not use
amoxicillin again due to likely resistance from recent use. Trimethoprim-
sulfamethoxazole (Bactrim) and doxycycline are both first-line medications,
