Page 1 of 38
NURS 621 - HEENT EXAM 1 (MARYVILLE
UNIVERSITY) | {LATEST 2026/ 2027 UPDATE}
COMPLETE ACTUAL AND AUTHENTIC EXAM |
BRAND NEW!
What will a PE show in a patient with allergic rhinitis? - ✔✔✔
Correct Answer > - allergic shiners
- hypertrophic turbinates
- pale/blue mucus membranes of nares.
- cobblestone appearance to throat
- swollen eye lids
- erythema to conjunctiva
What is the presentation of Viral Conjunctivitis? - ✔✔✔ Correct
Answer > - gritty/burning feeling.
- morning crusting.
- watery to serous discharge during the day.
- unilateral at onset then bilateral within 1 - 2 days.
- URI symptoms follow (fever, pharyngitis, adenopathy).
,Page 2 of 38
What is the treatment of allergic rhinitis? - ✔✔✔ Correct Answer
> - oral antihistamines
- oral decongestants
- nasal steroids
- saline nasal irrigation
What is epitxis? - ✔✔✔ Correct Answer > - Nose bleeds
What are causes of nose bleeds? - ✔✔✔ Correct Answer > -
nasal mucosa dryness
- trauma
- (rare) HTN, Coagulation disorders.
What is the treatment for nose bleeds? - ✔✔✔ Correct Answer >
- firm pressure - superior to nasal cartilage
- nasal packing
- cautery
What are some common conditions of the throat? - ✔✔✔ Correct
Answer > - pharyngitis
- infectious mononucleosis
- Stomatitis
,Page 3 of 38
- leukoplakia and oral cancer
What viruses can be the cause of pharyngitis? - ✔✔✔ Correct
Answer > - Adenovirus or influenza
- Coxsacki: hand, foot and mouth
- herpangina due to coxsacki and echvirus
- HIV
- Epstein - barr
What bacteria can be the cause of pharyngitis? - ✔✔✔ Correct
Answer > - Group A B - hemolytic streptococcus
- N. Gonorrhoeae
- Corynebacterium Diptheriae
What do we want to focus on for H&P for pharyngitis? - ✔✔✔
Correct Answer > - onset
- duration
- associated symptoms
- exposure
What do we include in our PE of a patient with possible
pharyngitis? - ✔✔✔ Correct Answer > - EENT
, Page 4 of 38
- Heart
- Lungs
- abdominal exam if suspect strep or mono (enalarged spleen or
liver with mono).
- Skin - examine for sandpaper rash.
What do we do if a patient is drooling, has stridor or trouble
breathing in tripod position? - ✔✔✔ Correct Answer > Do not
examine these patients.
Send straight to ER
What are the classic symptoms of a tonsillar abcess? - ✔✔✔
Correct Answer > - Drooling
- stridor
- trouble breathing
- tripod position
What diagnostics would we want to do for a patient that comes in
with s/s of pharyngitis? - ✔✔✔ Correct Answer > - rapid antigen
detection testing for strep
- throat culture
- CBC with diff
- monospot for mono
NURS 621 - HEENT EXAM 1 (MARYVILLE
UNIVERSITY) | {LATEST 2026/ 2027 UPDATE}
COMPLETE ACTUAL AND AUTHENTIC EXAM |
BRAND NEW!
What will a PE show in a patient with allergic rhinitis? - ✔✔✔
Correct Answer > - allergic shiners
- hypertrophic turbinates
- pale/blue mucus membranes of nares.
- cobblestone appearance to throat
- swollen eye lids
- erythema to conjunctiva
What is the presentation of Viral Conjunctivitis? - ✔✔✔ Correct
Answer > - gritty/burning feeling.
- morning crusting.
- watery to serous discharge during the day.
- unilateral at onset then bilateral within 1 - 2 days.
- URI symptoms follow (fever, pharyngitis, adenopathy).
,Page 2 of 38
What is the treatment of allergic rhinitis? - ✔✔✔ Correct Answer
> - oral antihistamines
- oral decongestants
- nasal steroids
- saline nasal irrigation
What is epitxis? - ✔✔✔ Correct Answer > - Nose bleeds
What are causes of nose bleeds? - ✔✔✔ Correct Answer > -
nasal mucosa dryness
- trauma
- (rare) HTN, Coagulation disorders.
What is the treatment for nose bleeds? - ✔✔✔ Correct Answer >
- firm pressure - superior to nasal cartilage
- nasal packing
- cautery
What are some common conditions of the throat? - ✔✔✔ Correct
Answer > - pharyngitis
- infectious mononucleosis
- Stomatitis
,Page 3 of 38
- leukoplakia and oral cancer
What viruses can be the cause of pharyngitis? - ✔✔✔ Correct
Answer > - Adenovirus or influenza
- Coxsacki: hand, foot and mouth
- herpangina due to coxsacki and echvirus
- HIV
- Epstein - barr
What bacteria can be the cause of pharyngitis? - ✔✔✔ Correct
Answer > - Group A B - hemolytic streptococcus
- N. Gonorrhoeae
- Corynebacterium Diptheriae
What do we want to focus on for H&P for pharyngitis? - ✔✔✔
Correct Answer > - onset
- duration
- associated symptoms
- exposure
What do we include in our PE of a patient with possible
pharyngitis? - ✔✔✔ Correct Answer > - EENT
, Page 4 of 38
- Heart
- Lungs
- abdominal exam if suspect strep or mono (enalarged spleen or
liver with mono).
- Skin - examine for sandpaper rash.
What do we do if a patient is drooling, has stridor or trouble
breathing in tripod position? - ✔✔✔ Correct Answer > Do not
examine these patients.
Send straight to ER
What are the classic symptoms of a tonsillar abcess? - ✔✔✔
Correct Answer > - Drooling
- stridor
- trouble breathing
- tripod position
What diagnostics would we want to do for a patient that comes in
with s/s of pharyngitis? - ✔✔✔ Correct Answer > - rapid antigen
detection testing for strep
- throat culture
- CBC with diff
- monospot for mono
