NUR 621 final exam Questions with CORRECT Answers (Grade A+)
Question 1:
In children and adolescents, what should the follow up intervention be for a negative RADT strep
test but continued symptoms?
Answer:
A throat culture should be performed
Question 2:
Does a positive RADT for GAS pharyngitis require back up culture?
Answer:
no, positive RADT is highly specific
Question 3:
If an adult is symptomatic but has a negative RADT for GAS, should throat cultures be performed?
Answer:
No. risk for rheumatic fever is low so back up culture is not required
Question 4:
If patient has acute pharyngitis with cough, rhinorrhea, and oral ulcers should patient be tested for
GAS?
Answer:
No- other symptoms suggest viral etiology.
Question 5:
What is recommended drug of choice for GAS pharyngitis?
Answer:
Penicillin or Amoxicillin 10 day course
Question 6:
Treatment of GAS pharyngitis in penicillin-allergic (not anaphylaxis)
Answer:
,1st gen cephalosporin 10 days (Keflex of cefadroxil), clindamycin or clarithromycin 10 days, or
azithromycin 5 days.
Question 7:
If patient has recurrent GAS pharyngitis, should a tonsillectomy be performed?
Answer:
Tonsillectomy should not be done solely to reduce frequency of GAS
Question 8:
Most common pathogen that causes pharyngitis among college students and adults?
Answer:
Group C strep
Question 9:
Which test is more sensitive for detecting GAS? RADT or blood agar plate culture?
Answer:
Blood agar is more sensitive.
Question 10:
T/F Diagnostic studies are not usually indicated for children <3?
Answer:
True. Unless the child has an older sibling with confirmed GAS. This is because the risk of rheumatic
fever is rare in children <3
Question 11:
Tonsillectomy is indicated for patients who have had ________ or more throat infections in one
year
Answer:
7 or more infections.
Question 12:
Tonsillectomy is indicated for patients who have had ______ or more throat infections per year in
the past 2 years.
,Answer:
5 or more per year
Question 13:
What might be the diagnosis for a patient that is experiencing fluctuating, unilateral, hearing loss
and feels dizzy
Answer:
meniere's disease
Question 14:
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
Answer:
Acoustic neuroma
Question 15:
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
Answer:
b. presbycusis
c. acustic neuroma
e. aminoglycoside induced hearing loss
, All others are conductive hearing loss
Question 16:
Patient presents with sudden, sensorineural hearing loss. What is the next step for the provider?
Answer:
refer to otorhinolaryngologist
Question 17:
What else should be included in the assessment of patients with presbycusis?
Answer:
Mental health assessment. high risk for suicide
Question 18:
Which type of hearing loss is considered reversible? Sensorineural or conductive?
Answer:
Conductive
Question 19:
What is the best treatment for acute attack of menieres disease?
Answer:
resting with the eyes closed and protection from falling.
Question 20:
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?
Answer:
Weber test
Question 21:
What are two medications safe to prescribe in patients with bacterial otitis externa and perforated
tympanic membrane?
Answer:
ciprofloxacin drops
Question 1:
In children and adolescents, what should the follow up intervention be for a negative RADT strep
test but continued symptoms?
Answer:
A throat culture should be performed
Question 2:
Does a positive RADT for GAS pharyngitis require back up culture?
Answer:
no, positive RADT is highly specific
Question 3:
If an adult is symptomatic but has a negative RADT for GAS, should throat cultures be performed?
Answer:
No. risk for rheumatic fever is low so back up culture is not required
Question 4:
If patient has acute pharyngitis with cough, rhinorrhea, and oral ulcers should patient be tested for
GAS?
Answer:
No- other symptoms suggest viral etiology.
Question 5:
What is recommended drug of choice for GAS pharyngitis?
Answer:
Penicillin or Amoxicillin 10 day course
Question 6:
Treatment of GAS pharyngitis in penicillin-allergic (not anaphylaxis)
Answer:
,1st gen cephalosporin 10 days (Keflex of cefadroxil), clindamycin or clarithromycin 10 days, or
azithromycin 5 days.
Question 7:
If patient has recurrent GAS pharyngitis, should a tonsillectomy be performed?
Answer:
Tonsillectomy should not be done solely to reduce frequency of GAS
Question 8:
Most common pathogen that causes pharyngitis among college students and adults?
Answer:
Group C strep
Question 9:
Which test is more sensitive for detecting GAS? RADT or blood agar plate culture?
Answer:
Blood agar is more sensitive.
Question 10:
T/F Diagnostic studies are not usually indicated for children <3?
Answer:
True. Unless the child has an older sibling with confirmed GAS. This is because the risk of rheumatic
fever is rare in children <3
Question 11:
Tonsillectomy is indicated for patients who have had ________ or more throat infections in one
year
Answer:
7 or more infections.
Question 12:
Tonsillectomy is indicated for patients who have had ______ or more throat infections per year in
the past 2 years.
,Answer:
5 or more per year
Question 13:
What might be the diagnosis for a patient that is experiencing fluctuating, unilateral, hearing loss
and feels dizzy
Answer:
meniere's disease
Question 14:
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
Answer:
Acoustic neuroma
Question 15:
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
Answer:
b. presbycusis
c. acustic neuroma
e. aminoglycoside induced hearing loss
, All others are conductive hearing loss
Question 16:
Patient presents with sudden, sensorineural hearing loss. What is the next step for the provider?
Answer:
refer to otorhinolaryngologist
Question 17:
What else should be included in the assessment of patients with presbycusis?
Answer:
Mental health assessment. high risk for suicide
Question 18:
Which type of hearing loss is considered reversible? Sensorineural or conductive?
Answer:
Conductive
Question 19:
What is the best treatment for acute attack of menieres disease?
Answer:
resting with the eyes closed and protection from falling.
Question 20:
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?
Answer:
Weber test
Question 21:
What are two medications safe to prescribe in patients with bacterial otitis externa and perforated
tympanic membrane?
Answer:
ciprofloxacin drops
