NUR 621 final exam with correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers
What might be the diagnosis for a patient that is experiencing fluctuating, unilateral, hearing
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
loss and feels dizzy ||\\||\\ ||\\||\\ ||\\||\\
meniere's disease ||\\||\\
Patient complains of unilateral progressive hearing loss and frequent headaches. What is the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
most likely diagnosis? ||\\||\\ ||\\||\\
a. acoustic neuroma
||\\||\\ ||\\||\\
b. menieres disease
||\\||\\ ||\\||\\
c. prebycusis
||\\||\\
d. conductive hearing loss
||\\||\\ ||\\||\\ ||\\||\\
Acoustic neuroma ||\\||\\
Which of the following are causes of sensorineural hearing loss?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. cerumen impaction
||\\||\\ ||\\||\\
b. presbycusis
||\\||\\
c. acustic neuroma
||\\||\\ ||\\||\\
d.otosclerosis
e. aminoglycoside induced hearing loss
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
f.congential abnormalities ||\\||\\
b. presbycusis
||\\||\\
c. acustic neuroma
||\\||\\ ||\\||\\
e. aminoglycoside induced hearing loss
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
All others are conductive hearing loss
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Patient presents with sudden, sensorineural hearing loss. What is the next step for the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
provider?
refer to otorhinolaryngologist ||\\||\\ ||\\||\\
What else should be included in the assessment of patients with presbycusis?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Mental health assessment. high risk for suicide ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, Which type of hearing loss is considered reversible? Sensorineural or conductive?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Conductive
What is the best treatment for acute attack of menieres disease?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
resting with the eyes closed and protection from falling. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A patient with Meniere's disease has sound lateralization to the non affected ear when a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
tuning fork is placed midline on the top of the head. What is the name of this test?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Weber test ||\\||\\
What are two medications safe to prescribe in patients with bacterial otitis externa and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
perforated tympanic membrane? ||\\||\\ ||\\||\\
1. ciprofloxacin drops
||\\||\\ ||\\||\\
2. ofloxacin drops
||\\||\\ ||\\||\\
A patient with otitis externa asks when they can return to swimming. How would you
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
advise?
The ear must be kept dry without being submerged in water for 4-6 weeks.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Medications of choice for a pediatric patient with AOM and has a hx of an anaphylaxis ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
reaction to penicillin? (3) ||\\||\\ ||\\||\\ ||\\||\\
clarithromycin, bactrim, or azithromycin ||\\||\\ ||\\||\\ ||\\||\\
Pediatric patient recently completed course of amoxicillin but continues to have symptoms of ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
AOM. What is the next step?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Augmentin
Patient with a history of HTN on metoprolol presents with rhinitis. Which medication should
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
be avoided for this patient?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patients on beta blockers should avoid pseudophedrine. Also should be avoided in patients ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
with diabetes, BPH, ||\\||\\ ||\\||\\
Patient presents with purulent gray exudate on tongue and excessive salivation, what is most
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
likely diagnosis?
||\\||\\ ||\\||\\
St. Vincent stomatitis. ||\\||\\ ||\\||\\
A patient hurt their ankle playing basketball. They present with pain in the malleolar zone
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
but they are able to bear weight for 6 steps, but are limping. Are ankle radiographs
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
indicated?
answers
What might be the diagnosis for a patient that is experiencing fluctuating, unilateral, hearing
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
loss and feels dizzy ||\\||\\ ||\\||\\ ||\\||\\
meniere's disease ||\\||\\
Patient complains of unilateral progressive hearing loss and frequent headaches. What is the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
most likely diagnosis? ||\\||\\ ||\\||\\
a. acoustic neuroma
||\\||\\ ||\\||\\
b. menieres disease
||\\||\\ ||\\||\\
c. prebycusis
||\\||\\
d. conductive hearing loss
||\\||\\ ||\\||\\ ||\\||\\
Acoustic neuroma ||\\||\\
Which of the following are causes of sensorineural hearing loss?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. cerumen impaction
||\\||\\ ||\\||\\
b. presbycusis
||\\||\\
c. acustic neuroma
||\\||\\ ||\\||\\
d.otosclerosis
e. aminoglycoside induced hearing loss
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
f.congential abnormalities ||\\||\\
b. presbycusis
||\\||\\
c. acustic neuroma
||\\||\\ ||\\||\\
e. aminoglycoside induced hearing loss
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
All others are conductive hearing loss
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Patient presents with sudden, sensorineural hearing loss. What is the next step for the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
provider?
refer to otorhinolaryngologist ||\\||\\ ||\\||\\
What else should be included in the assessment of patients with presbycusis?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Mental health assessment. high risk for suicide ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, Which type of hearing loss is considered reversible? Sensorineural or conductive?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Conductive
What is the best treatment for acute attack of menieres disease?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
resting with the eyes closed and protection from falling. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A patient with Meniere's disease has sound lateralization to the non affected ear when a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
tuning fork is placed midline on the top of the head. What is the name of this test?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Weber test ||\\||\\
What are two medications safe to prescribe in patients with bacterial otitis externa and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
perforated tympanic membrane? ||\\||\\ ||\\||\\
1. ciprofloxacin drops
||\\||\\ ||\\||\\
2. ofloxacin drops
||\\||\\ ||\\||\\
A patient with otitis externa asks when they can return to swimming. How would you
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
advise?
The ear must be kept dry without being submerged in water for 4-6 weeks.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Medications of choice for a pediatric patient with AOM and has a hx of an anaphylaxis ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
reaction to penicillin? (3) ||\\||\\ ||\\||\\ ||\\||\\
clarithromycin, bactrim, or azithromycin ||\\||\\ ||\\||\\ ||\\||\\
Pediatric patient recently completed course of amoxicillin but continues to have symptoms of ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
AOM. What is the next step?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Augmentin
Patient with a history of HTN on metoprolol presents with rhinitis. Which medication should
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
be avoided for this patient?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patients on beta blockers should avoid pseudophedrine. Also should be avoided in patients ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
with diabetes, BPH, ||\\||\\ ||\\||\\
Patient presents with purulent gray exudate on tongue and excessive salivation, what is most
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
likely diagnosis?
||\\||\\ ||\\||\\
St. Vincent stomatitis. ||\\||\\ ||\\||\\
A patient hurt their ankle playing basketball. They present with pain in the malleolar zone
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
but they are able to bear weight for 6 steps, but are limping. Are ankle radiographs
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
indicated?
