PRIMARY CARE ADULT 2 MIDTERM REVIEW | COMPREHENSIVE ADULT PRIMARY
CARE STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027
Martin, age 24, presents to the office with an erythematous ear canal and pain on manipulation of the
auricle. He is on vacation and has been swimming daily at the resort. What is your diagnosis?
1.Acute otitis media.
2.Chronic otitis media.
3.Otitis Externa
4.Temporomandibular joint (TMJ) syndrome - correct answer ✔✔Otitis Externa
Opacity of the lens of the eye
1. Cataracts
2.Infection
3. Foreign Body
4. Glaucoma - correct answer ✔✔Cataracts
The transparency of the human eye lens results from the highly ordered nature of its composite
stratified epithelia which contains a low number of crystallines. - correct answer ✔✔False
The most prevenative form of glaucoma and accounts for 90%-95% of all cases. - correct answer
✔✔Primary Open-Angle Glaucoma
An 18-year old woman has a chief complaint of a "sore throat and swollen glands" for the past 3 days.
Her physical exam includes a temperature, exudative pharyngitis, and tender anterior cerival
lymphadenopathy. Right and left upper abdominal tenderness is absent. The most likely diagnosis is -
correct answer ✔✔Streptococccus pyogenes pharyngitis
Treatment options for streptococcal pharyngitis for a patient with a penicillin allergy include all of the
following except - correct answer ✔✔Bactrim
Diabetic retinopathy is a noninflammatory disorder of the retina that develops in patients with diabetes
mellitus. - correct answer ✔✔True
What is the leading cause of blindness in patients older than 60 years of age? - correct answer
✔✔Macular degeneration
Used to locate macular blind spots - correct answer ✔✔Amsler Grid
Which of the following is helpful in evaluating patients with otitis media with effusion? - correct answer
✔✔CT Scan
Recent studies suggest that as many as 40 million Americans are affected by tinnitus - correct answer
✔✔True
Causes of sensorineural hearing loss - correct answer ✔✔Meniere's Disease
, Causes conductive hearing loss - correct answer ✔✔Cerumen Impaction
Acoustic Neuroma (Vestibular Schwannoma), a rare tumor of what CN? - correct answer ✔✔VIII
After age 50, otic hair cells in the organ of Corti tend to rapidly grow causing slight hearing loss - correct
answer ✔✔False
Which of the following would the FNP not likely conduct when testing for hearing? - correct answer
✔✔Pemphigus
Peripheral sensory disorder of both the labyrinth and cochlea of the inner ear. The FNP will refer to an
ENT specialist. - correct answer ✔✔Meniere's Disease
Acute episodes of Meniere's disease last? - correct answer ✔✔20-180 minutes
Which bacterium is the most common pathogen seen in otitis external infections? - correct answer
✔✔Pseudomonas Aeruginosa
When using an ophthalmoscope, the FNP - correct answer ✔✔Begins in a position 1 inch from the eye to
check the red light reflex
Approximately 17% of American adults aged 45-65 have hearing impairment - correct answer ✔✔True
Suggest an abnormality in voice production at the level of the larynx - correct answer ✔✔Hoarsness
Sally Argo is 94 and the FNP likely notes the following in her physical exam - correct answer
✔✔Presbycusis
A small access on a hair follicle on the eyelid is called?
A. Hordeolum
B. Pterygium
C. Pinguecula
D. Ptosis - correct answer ✔✔Hordeolum
Sam Argo has bilateral cerumen impaction and calls your office for advice. The FNP recommends -
correct answer ✔✔Hydrogen peroxide and warm mineral oil in the external ear for 1 hour, followed by
lavage with warm water
Unrecognized, untreated OSA is estimated to be in 15% of the adult male population. 30% in the adult
female population. - correct answer ✔✔False, reverse
Which of the following is not a diagnostic test for sleep apnea? - correct answer ✔✔Nasopharyngeal
exam
Characterized by slow eye movements, usually preceding sleep onset - correct answer ✔✔Stage 1
CARE STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027
Martin, age 24, presents to the office with an erythematous ear canal and pain on manipulation of the
auricle. He is on vacation and has been swimming daily at the resort. What is your diagnosis?
1.Acute otitis media.
2.Chronic otitis media.
3.Otitis Externa
4.Temporomandibular joint (TMJ) syndrome - correct answer ✔✔Otitis Externa
Opacity of the lens of the eye
1. Cataracts
2.Infection
3. Foreign Body
4. Glaucoma - correct answer ✔✔Cataracts
The transparency of the human eye lens results from the highly ordered nature of its composite
stratified epithelia which contains a low number of crystallines. - correct answer ✔✔False
The most prevenative form of glaucoma and accounts for 90%-95% of all cases. - correct answer
✔✔Primary Open-Angle Glaucoma
An 18-year old woman has a chief complaint of a "sore throat and swollen glands" for the past 3 days.
Her physical exam includes a temperature, exudative pharyngitis, and tender anterior cerival
lymphadenopathy. Right and left upper abdominal tenderness is absent. The most likely diagnosis is -
correct answer ✔✔Streptococccus pyogenes pharyngitis
Treatment options for streptococcal pharyngitis for a patient with a penicillin allergy include all of the
following except - correct answer ✔✔Bactrim
Diabetic retinopathy is a noninflammatory disorder of the retina that develops in patients with diabetes
mellitus. - correct answer ✔✔True
What is the leading cause of blindness in patients older than 60 years of age? - correct answer
✔✔Macular degeneration
Used to locate macular blind spots - correct answer ✔✔Amsler Grid
Which of the following is helpful in evaluating patients with otitis media with effusion? - correct answer
✔✔CT Scan
Recent studies suggest that as many as 40 million Americans are affected by tinnitus - correct answer
✔✔True
Causes of sensorineural hearing loss - correct answer ✔✔Meniere's Disease
, Causes conductive hearing loss - correct answer ✔✔Cerumen Impaction
Acoustic Neuroma (Vestibular Schwannoma), a rare tumor of what CN? - correct answer ✔✔VIII
After age 50, otic hair cells in the organ of Corti tend to rapidly grow causing slight hearing loss - correct
answer ✔✔False
Which of the following would the FNP not likely conduct when testing for hearing? - correct answer
✔✔Pemphigus
Peripheral sensory disorder of both the labyrinth and cochlea of the inner ear. The FNP will refer to an
ENT specialist. - correct answer ✔✔Meniere's Disease
Acute episodes of Meniere's disease last? - correct answer ✔✔20-180 minutes
Which bacterium is the most common pathogen seen in otitis external infections? - correct answer
✔✔Pseudomonas Aeruginosa
When using an ophthalmoscope, the FNP - correct answer ✔✔Begins in a position 1 inch from the eye to
check the red light reflex
Approximately 17% of American adults aged 45-65 have hearing impairment - correct answer ✔✔True
Suggest an abnormality in voice production at the level of the larynx - correct answer ✔✔Hoarsness
Sally Argo is 94 and the FNP likely notes the following in her physical exam - correct answer
✔✔Presbycusis
A small access on a hair follicle on the eyelid is called?
A. Hordeolum
B. Pterygium
C. Pinguecula
D. Ptosis - correct answer ✔✔Hordeolum
Sam Argo has bilateral cerumen impaction and calls your office for advice. The FNP recommends -
correct answer ✔✔Hydrogen peroxide and warm mineral oil in the external ear for 1 hour, followed by
lavage with warm water
Unrecognized, untreated OSA is estimated to be in 15% of the adult male population. 30% in the adult
female population. - correct answer ✔✔False, reverse
Which of the following is not a diagnostic test for sleep apnea? - correct answer ✔✔Nasopharyngeal
exam
Characterized by slow eye movements, usually preceding sleep onset - correct answer ✔✔Stage 1
