NURS 5433 FINAL 300 CERTIFICATION
EVALUATION TESTED QUESTIONS COMPLETE
ANSWERS
◉ A 19 year old 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 what diagnosis?
Answer: allergic conjunctivitis
◉ Treatment for allergic conjunctivitis
Answer: Corticosteroid ophthalmic drops
◉ Treatment for viral conjunctivitis
Answer: no drops needed
◉ Common cause of anterior epistaxis
Answer: localized nasal mucosa trauma
◉ 1st line intervention for epistaxis
Answer: Firm pressure to the area superior to the nasal alar
cartilage
,◉ Ms Murphy is a 58 year old woman presenting with a sudden left
sided headache that is most painful in her left eye. Her vision is
blurred, and the left pupil is slightly dilated and poorly reactive. The
left conjunctiva is markedly injected, and the eyeball is firm. Vision
screen with the Snellen chart is 20/30 OD; and 20/90 OS. What is
the most likely diagnosis?
Answer: angle-closure glaucoma
◉ Mrs. Allen is a 67 year old female with type 2 DM who complains
of seeing flashing lights and floaters, decreased visual acuity, and
metamorphopsia in her left eye. What is the most likely diagnosis?
Answer: Retinal detachment
◉ Which of the following is most likely to be found on the
funduscopic exam in a patient with untreated POAG?
Answer: excessive cupping of the optic disk
◉ A 22 year old female presents with a "pimple" on her right eyelid.
Exam reveals a 2mm pustule on the lateral border of the right eyelid
margin. What is this most consistent with?
Answer: Hordeolum
,◉ A 22 year old female presents with a 'bump" on her right eyelid.
Exam reveals a 2 mm hard, nontender swelling on the lateral border
of the right eyelid margin. What is this most consistent with?
Answer: chalazion
◉ What is an independent risk factor for oral cancer?
Answer: human papillomavirus type 16
◉ What are top 3 causative pathogens for otitis externa?
Answer: Pseudomonas aeruginosa, proteus Enterobacteriaceae, and
staph aureus
◉ What is an appropriate antibiotic therapy for otitis externa with
accompanying cellulitis suitable for outpatient therapy?
Answer: fluoroquinolone
◉ What are the top 3 causative pathogens for otitis media?
Answer: Strep pneumoniae, haemophilus influenzae, moraxella
catarrhalis
◉ What is expected finding in AOM?
Answer: Tympanic membrane immobility
, ◉ A 25 year old patient has a 3 day hx of left ear pain that began
after one week of URI symptoms. On physical exam, you find that she
has AOM. She is allergic to PCN with a flat pink rash only. She took an
oral antimicrobial for the tx of a UTI 2 weeks ago. What is the most
appropriate oral antimicrobial option for this patient?
Answer: cefpodoxime
◉ Drug resistant S. Pneumoniae is least likely to exhibit resistance to
which of the following microbial classes?
Answer: respiratory fluoroquinolones
◉ What are characteristics of M catarrhalis? H. Influenzae? S.
pneumoniae?
Answer: -M cat: high rate of beta-lactamase production
-H flu: some isolates exhibit antimicrobial resistance via production
of beta-lactamase
-S. pneumo: mechanism of antimicrobial resistance usually via
altered protein-binding sites held within the microbe's cell
◉ What are treatment options for streptococcal pharyngitis for a
patient with PCN allergy?
Answer: -azithromycin
-Clarithromycin
-Clindamycin
EVALUATION TESTED QUESTIONS COMPLETE
ANSWERS
◉ A 19 year old 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 what diagnosis?
Answer: allergic conjunctivitis
◉ Treatment for allergic conjunctivitis
Answer: Corticosteroid ophthalmic drops
◉ Treatment for viral conjunctivitis
Answer: no drops needed
◉ Common cause of anterior epistaxis
Answer: localized nasal mucosa trauma
◉ 1st line intervention for epistaxis
Answer: Firm pressure to the area superior to the nasal alar
cartilage
,◉ Ms Murphy is a 58 year old woman presenting with a sudden left
sided headache that is most painful in her left eye. Her vision is
blurred, and the left pupil is slightly dilated and poorly reactive. The
left conjunctiva is markedly injected, and the eyeball is firm. Vision
screen with the Snellen chart is 20/30 OD; and 20/90 OS. What is
the most likely diagnosis?
Answer: angle-closure glaucoma
◉ Mrs. Allen is a 67 year old female with type 2 DM who complains
of seeing flashing lights and floaters, decreased visual acuity, and
metamorphopsia in her left eye. What is the most likely diagnosis?
Answer: Retinal detachment
◉ Which of the following is most likely to be found on the
funduscopic exam in a patient with untreated POAG?
Answer: excessive cupping of the optic disk
◉ A 22 year old female presents with a "pimple" on her right eyelid.
Exam reveals a 2mm pustule on the lateral border of the right eyelid
margin. What is this most consistent with?
Answer: Hordeolum
,◉ A 22 year old female presents with a 'bump" on her right eyelid.
Exam reveals a 2 mm hard, nontender swelling on the lateral border
of the right eyelid margin. What is this most consistent with?
Answer: chalazion
◉ What is an independent risk factor for oral cancer?
Answer: human papillomavirus type 16
◉ What are top 3 causative pathogens for otitis externa?
Answer: Pseudomonas aeruginosa, proteus Enterobacteriaceae, and
staph aureus
◉ What is an appropriate antibiotic therapy for otitis externa with
accompanying cellulitis suitable for outpatient therapy?
Answer: fluoroquinolone
◉ What are the top 3 causative pathogens for otitis media?
Answer: Strep pneumoniae, haemophilus influenzae, moraxella
catarrhalis
◉ What is expected finding in AOM?
Answer: Tympanic membrane immobility
, ◉ A 25 year old patient has a 3 day hx of left ear pain that began
after one week of URI symptoms. On physical exam, you find that she
has AOM. She is allergic to PCN with a flat pink rash only. She took an
oral antimicrobial for the tx of a UTI 2 weeks ago. What is the most
appropriate oral antimicrobial option for this patient?
Answer: cefpodoxime
◉ Drug resistant S. Pneumoniae is least likely to exhibit resistance to
which of the following microbial classes?
Answer: respiratory fluoroquinolones
◉ What are characteristics of M catarrhalis? H. Influenzae? S.
pneumoniae?
Answer: -M cat: high rate of beta-lactamase production
-H flu: some isolates exhibit antimicrobial resistance via production
of beta-lactamase
-S. pneumo: mechanism of antimicrobial resistance usually via
altered protein-binding sites held within the microbe's cell
◉ What are treatment options for streptococcal pharyngitis for a
patient with PCN allergy?
Answer: -azithromycin
-Clarithromycin
-Clindamycin
