MN 566 FINAL EXAM QUESTIONS AND ANSWERS

The clinician is assessing a patient complaining of hearing loss. The clinician places a tuning fork over the patient's mastoid process, and when the sound fades away, the fork is placed without restriking it over the external auditory meatus. The patient is asked to let the clinical know when the sound fades away. This is an example of which type of test? a. Weber Test b. Schwabach Test c. Rinne Test d. Auditory brainstem response (ABR) test - ANSWER c. Rinne Test Fluctuations and reductions in estrogen may be a contributing factor in which type of rhinitis? a. Vasomotor Rhinitis b. Rhinitis medicamentosa c. Atrophic Rhinitis d. Viral Rhinitis - ANSWER a. Vasomotor Rhinitis You have a patient who is a positive for strep on rapid antigen testing (rapid strep test). You order amoxicillin after checking for drug allergies (patient is negative) but he returns 3 days later, reporting that his temperature has gone up, not down (101.5F in office). You also note significant lymphadenopathy, most notably in the posterior and anterior cervical chains, some heptosplenomegaly, and a diffuse rash. You decide: a. To refer the patient b. That he is having an allergic response and needs to be changed to a macrolide antibiotic c. That his antibiotic dosage is not sufficient and should be changed d. That he possibly has mononucleosis concurrent with his strep infection - ANSWER d. That he possibly has mononucleosis concurrent with his strep MN 566 FINAL EXAM QUESTIONS AND ANSWERS infection A patient present with nonvesicular lesions that are 2 to 10mm, symmetrical, and scattered on the oropharynx and mouth. What is their most likely diagnosis? a. Corynebacterium diphtheriae b. Primary Syphilis c. Candida infection d. Secondary syphilis - ANSWER b. Secondary Syphilis Jean has acute otitis externa with fluid that is black and malodorous. Which of the following is responsible for the infection? a. Fungal Infection b. Staphylococcus Infection c. Pseudomonas Infection d. Allergic Reaction - ANSWER a. Fungal Infection Which of the following medications for temporomandibular disorder has the warning that patients should NOT drive while taking it? a. Flexeril b. Naprosyn c. Tylenol d. Elavil - ANSWER a. Flexeril Which type of stomatitis is caused by continual exposure to chewing tobacco? a. Aphthous stomatitis b. Herpetic stomatitis c. Nicotinic stomatitis d. Allergic stomatitis - ANSWER c. Nicotinic stomatitis What is the initial treatment for uncomplicated anterior epistaxis? a. Tilting the head back so the blood does not run out the nose b. Applying firm and continuous pressure superior to the nasal alar cartilage for 10 to 15 minutes c. Applying firm and continuous pressure to the nostril for 5 minutes d. Letting the nose bleed blot and and leaning the head forward - ANSWER b. Applying firm and continuous pressure superior to the nasal alar cartilages for 10 to 15 minutes Which of the following is an example of sensorineural hearing loss? a. Perforation of the tympanic membrane b. Otosclerosis c. Cholesteatoma d. Presbycusis - ANSWER d. Presbycusis A provider is examining a patient with temporomandibular joint disease (TMJ). Which of the following results would the provider expect from the exam? a. The mandibular opening is 40 mm b. There are no sounds elicited from the exam c. The mandible deviates to the left side d. The patient is able to open the mouth without pain or sound - ANSWER c. The mandible deviates to the left side A patient presents to the clinician complaining of ear pain. On examination, the clinician finds that the patient has tenderness on traction of the pinna as well as when applying pressure over the tragus. These findings are classic signs of which condition? a. Otitis media b. Meniere's disease c. Tinnitus d. Otitis externa - ANSWER d. Otitis externa Peter presents with complaints of right hearing loss that has been getting worse and a congruent headache. What is the most likely diagnosis? a. Acoustic neuroma b. Presbycusis c. Meniere's disease d. Sensorineural hearing loss - ANSWER a. Acoustic neuroma You are performing muscle strength testing on a patient presenting with musculoskeletal pain and find that the patient has complete ROM but cannot move it about gravity. Which numeric grade of muscle strength would you give this patient? a. 1 b. 2 c. 3 d. 4 - ANSWER