WGU D115 OA STUDY GUIDE UNIT 3
QUESTIONS & ANSWERS(RATED A+)
Conductive hearing loss involves what part of the ear? - ANSWERMiddle 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? - ANSWERPeritonsillar
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? -
ANSWERSend 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? -
ANSWERHemoglobin 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? - ANSWERBasal 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? - ANSWERFever, 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? - ANSWERTell 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 exam 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? - ANSWERVaccination 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? - ANSWERhave 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? - ANSWERCheck
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? - ANSWERPruritis 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? - ANSWERAvoid
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? - ANSWERAcute 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? - ANSWERBell'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? - ANSWERLong-term
antiplatelet therapy is likely indicated-aspirin or clopidrogrel (plavix)
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? - ANSWERHx of thought
disorder
thought disorders are like schizophrenia
The NP is providing care for a pt with PTSD. The NP anticipates that all of the following
will be report except - ANSWERPoor recall of the precipitating event
QUESTIONS & ANSWERS(RATED A+)
Conductive hearing loss involves what part of the ear? - ANSWERMiddle 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? - ANSWERPeritonsillar
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? -
ANSWERSend 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? -
ANSWERHemoglobin 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? - ANSWERBasal 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? - ANSWERFever, 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? - ANSWERTell 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 exam 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? - ANSWERVaccination 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? - ANSWERhave 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? - ANSWERCheck
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? - ANSWERPruritis 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? - ANSWERAvoid
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? - ANSWERAcute 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? - ANSWERBell'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? - ANSWERLong-term
antiplatelet therapy is likely indicated-aspirin or clopidrogrel (plavix)
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? - ANSWERHx of thought
disorder
thought disorders are like schizophrenia
The NP is providing care for a pt with PTSD. The NP anticipates that all of the following
will be report except - ANSWERPoor recall of the precipitating event
