Dunphy M4 Assessment Exam Questions with Correct Answers

Dunphy M4 Assessment Exam Questions with Correct Answers Which of the following is not recommended for hoarseness? - Answer-Oral steroids Jill, a 34-year-old bank teller, presents with symptoms of hay fever. She complains of nasal congestion, runny nose with clear mucus, and itchy nose and eyes. On physical assessment, you observe that she has pale nasal turbinates. What is your diagnosis? - Answer-Allergic rhinitis (aka hay fever) Mario, a 17-year-old high school student, came to the office for evaluation. He is complaining of persistent sore throat, fever, and malaise not relieved by the penicillin therapy prescribed recently at the urgent care center. As the nurse practitioner, what would you order next? - Answer-A Monospot test A 65-year-old man presents complaining of a left-sided, deep, throbbing headache and mild fatigue. On examination, the client has a tender, tortuous temporal artery. You suspect giant cell arteritis (GCA), or temporal arteritis. What is the least invasive procedure to help with diagnosis? - Answer-Erythrocyte sedimentation rate (ESR) When you are assessing the internal structure of the eye of your 59-year-old patient, the absence of a red reflex may indicate: - Answer-A cataract or hemorrhage into the vitreous humor Kevin, age 26, has AIDS and presents to the clinic with complaints of a painful tongue covered with what look like creamy white, curdlike patches overlying erythematous mucosa. You are able to scrape off these "curds" with a tongue depressor, which assists you in making which of the following diagnoses? - Answer-Oral candidiasis Kevin, a 56-year-old lawyer, has throbbing pain in the left eye, an irregular pupil shape, marked photophobia, and redness around the iris. What is your initial diagnosis? - Answer-Iritis Mattie, age 64, presents with blurred vision in 1 eye and states that it felt like "a curtain came down over my eye." She doesn't have any pain or redness. What do you suspect? - Answer-Retinal detachment You prescribe Levaquin (levofloxacin) for a severe sinus infection. What is not a possible adverse reaction to this medication? - Answer-Stevens-Johnson syndrome *usually caused by allopurinol and beta-lactam abx