NURS 6531 Week 2 Quiz Study guide

NURS 6531 Week 2 Quiz Study guide • Question 1 Amaurosis fugax is described as a: frequently described by patients as "a shade coming down over one eye." It may be due to embolic process from the ipsilateral internal carotid artery. The embolus courses from the internal carotid artery to the ophthalmic artery. Other sources of emboli include the common carotid artery or heart. • Question 2 A patient presents complaining of a painful nodule on the left lower eyelid. The nurse practitioner recognizes the lesion as: hordeolum (stye) commonly caused by staph • Question 3 The differential diagnosis for a patient complaining of a sore throat includes which of the following? • viral pharyngitis • bacterial pharyngitis • infectious mononucleosis • acute HIV infection • Question 4 A patient presents to the primary care provider complaining of a rash on his right forehead that started yesterday and is burning and painful. The physical exam reveals an erythematous, maculopapular rash that extends over the patient’s right eye to his upper right forehead. Based on the history and examination, the most likely cause of this patient’s symptoms is: Herpes Zoster • Question 5 A patient is unable to read any letters on the Snellen chart with both eyes. The nurse practitioner records the patient’s visual acuity as: 20/100 • Question 6 The most common cancer found on the auricle is: basal cell carcinoma and squamous cell carcinoma -skin cancer is probably the most common significant auricular disorder seen in primary care. • Question 7 A middle-aged male presents to urgent care complaining of fever, dysphagia, and shortness of breath. The nurse practitioner notes the patient leaning forward in a tripod position and drooling. The clinical presentation of this patient suggests: Epiglottitis was commonly caused by Haemophilus influenzae type B, but can also be caused by Staph and Strep species. Patients may present with fever, dysphagia, drooling, stridor and significant respiratory distress. Patients are generally seen sitting, leaning forward with the neck hyperextended. Epiglottitis has become less common due to immunization with Hib. This diagnosis is less likely in our patient, since his immunizations are up to date, he is afebrile and not in severe respiratory distress. • Question 8 The nurse practitioner is performing a physical exam on a middle-aged African-American man. Which of the following areas is a common site for melanomas in African-Americans and other dark-skinned individuals? Common locations: trunk and back; legs in women; and palms, soles of feet, and nails in Blacks. • Question 9 Treatment for a corneal abrasion associated with contact lens consists of: pressure patch along with prophylactic antibiotics. (pressure patch-apply ointment prior to patching) • Question 10 Which of the following color changes in a pigmented lesion suggests malignant transformation Potentially lethal lesions that are the malignant transformation of melanocytes.36 May arise from preexisting nevus or de novo. Usually brown; can be tan, black, pink-red, purple, or mixed pigmentation. Often irregular or notched borders. May have scaling, flaking, oozing texture. • Question 1 The differential diagnosis for a patient complaining of a sore throat includes which of the following? • viral pharyngitis • bacterial pharyngitis • infectious mononucleosis • acute HIV infection • Question 2 A 46-year-old female with a past medical history of diabetes presents with a swollen, erythematous right auricle and is diagnosed with malignant otitis externa. The nurse practitioner knows that the most likely causative organism for this patient’s problem is: Pseudomonas aeruginosa • Question 3 Amaurosis fugax is described as a: • Question 4 A patient is unable to read any letters on the Snellen chart with both eyes. The nurse practitioner records the patient’s visual acuity as: • Question 5 Which of the following dermatologic vehicles are the most effective in absorbing moisture and decreasing friction?