EENT - NP Certification, Fitzgerald 4th ed Questions with Detailed Verified Answers

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EENT - NP Certification, Fitzgerald 4th
ed Questions with Detailed Verified
Answers


Question: a 19 y/o man presents with a cc of a red, irritated rt eye for the past
48 hrs with eyelids that were stuck together this morning when he awoke.
exam reveals injected palpebral and bulbar conjunctiva and reactive pupils;
vision screen with the Snellen chart eval reveals 2-/30 in the right eye, left eye
and both eyes; and purulent eye discharge in on the right. this presentation is
most consistent with:
a. suppurative conjunctivitis
b. viral conjunctivitis
c. allergic conjunctivitis
d. mechanical injury
Ans: a. suppurative conjunctivitis


Question: a 19 y/o woman presents with a complaint of bilaterally itchy, red
eyes with tearing that occurs intermittently throughout the year and is often
accompanied by a rope-like eye discharge and clear nasal discharge. this is
most consistent with conjunctival inflammation caused by a)n):
a. bacterium
b. virus
c. allergen
d. injury
Ans: c. allergen
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Question: common causative organisms of acute suppurative conjunctivitis
include all of the following except:
a. staphylococcus aureus
b. haemophilus influenzae
c. streptococcus pneumoniae
d. pseudomonas aeruginosa
Ans: d. pseudomonas aeruginosa


Question: txment options in suppurative conjunctivitis include all of the
following ophthalmic preparations except:
a. polymyxin B plus trimethroprim
b. levofloxacin
c. polymyxin
d. azithromycin
Ans: c. polymyxin


Question: txment options in acute and recurrent allergic conjunctivitis
include all of the following except:
a. cromolyn ophthalmic drops
b. oral antihistamines
c. ophthalmological antihistamines
d. corticosteroid ophthalmic drops
Ans: d. corticosteroid ophthalmic drops


Question: the most common virological cause of conjunctivitis is:
a. coronavirus

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b. adenovirus
c. rhinovirus
d. human papillomavirus
Ans: b. adenovirus


Question: txment of viral conjunctivitis can include:
a. moxifloxacin ophthalmic drops
b. polymyxin B ophthalmic drops
c. oral acyclovir
d. no antibiotic txment needed
Ans: d. no antibiotic txment needed


Question: anterior epistaxis is usually caused by:
a. hypertension
b. bleeding d/o
c. localized nasal mucosa trauma
d. a foreign body
Ans: c. localized nasal mucosa trauma


Question: first-line intervention for anterior epistaxis includes:
a. nasal packing
b. application of topical thrombin
c. firm pressure to the area superior to the nasal alar cartilage
d. chemical cauterization
Ans: c. firm pressure to the area superior to the nasal alar cartilage




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Question: the most common clinical finding in pts with severe or refractory
epistaxis is:
a. type 2 DM
b. HTN
c. acute bacterial sinusitis
d. anemia
Ans: b. HTN


Question: a 22 y/o man with recurrent epistaxis episodes fails to respond to
simple pressure. alternative approaches include all of the following EXCEPT:
a. initiating systemic prothrombotic txment
b. nasal packing
c. chemical cautery
d. topical antifibrinolytic agents
Ans: a. initiating systemic prothrombotic txment


Question: all of the following are components of the classic ophthalmogical
emergency except:
a. eye pain
b. purulent eye discharge
c. red eye
d. new onset change in visual acuity
Ans: b. purulent eye discharge


Question: mrs. murphy is a 58 y/o woman presenting with a suddent left-
sided headache that is most painful in her left eye. her vision is blurred and the
left pupil is sltly dilated and poorly reactive. the left conjunctiva is markedly

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