N675 Final Exam Acute Care Exam 1 Week 1-14

N675 Final E xam Acute Care Exam 1 Week 1 -14 Week 1 – EENT Week 2 – Pulmonary Week 3 – Endocrinology Week 4 – Cardiovascular (CV) Week 5 – Gastrointestinal (GI) Week 6 – Genitourinary (GU) Week 7 – Gynecology (GYN) and Sexually Transmitted Infections (STI) Week 8 – Obstetrics (OB) Week 9 – Geriatric (GERI) Week 10 – Mental Health Conditions and Psychiatric Disorders Week 11 – Neurology Week 12 – Dermatology Week 13 – Pediatrics Week 14 – Musculoskeletal (MSK) Answer Marked in Green Color Week 1 – EENT A primary care provider notes painless, hard lesions on a patient’s external ears that expel a white crystalline substance when pressed. What diagnostic test is indicated? Rheumatoid factor Endocrine studies Biopsy of thelesions Uric acid chemical profile A patient has painful oral lesions and theprovider notes several white, verrucous lesions in clusters throughout themouth. What is therecommended treatment for this patient? Oral hygiene measures Nystatin oral suspension Surgical excision Oral acyclovir A patient has sore throat, a temperature of 38.5° C, tonsillar exudates, and cervical lymphadenopathy. What will theprovider do next to manage this patient’s symptoms? Prescribe empiric penicillin Perform a rapid antigen detection test Refer to an otolaryngologist Order an antistreptolysin O titer A 61 year old male presents with a 12 hour history of extremely painful left red eye. thepatient complains of blurred vision, haloes around lights, and vomiting. It began yesterday evening. On N675 Final Exam Acute Care Exam 1 Week 1-14 N675 Final E xam Acute Care Exam 1 Week 1 -14 exam, theeye is red, tender and inflamed. thecornea is hazy and pupil reacts poorly to light. themost likely diagnosis in this patient is: Macular degeneration Acute angle glaucoma Increased intracranial pressure Detached cornea A patient has recurrent epistaxis without localized signs of irritation. Which laboratory tests may be performed to evaluate this condition? (Select all that apply. ) CBC with platelets BUN and creatinine PT and PTT Liver function tests PT/INR A patient reports a feeling of fullness and pain in both ears and thepractitioner elicits exquisite pain when manipulating theexternal ear structures. What is thelikely diagnosis? Chronic otitis externa Acute otitis externa Otitis media with effusion Acute otitis media Patient has been diagnosed with acute rhinosinusitis. Symptoms began 3 days ago. Based on themost likely etiology, how should this patient be managed? Azithromycin and decongestant Decongestant and analgesic Levofloxacin Amoxicillin with clavulanate The vast majority of rhinosinusitis is of viral etiology, antibiotics would not be helpful and would only lead to continued antibacterial resistance. If symptoms persist for longer than 10 days, reevaluation is necessary with possible antibiotics at that time A 20-year-old male of Hispanic descent who reports a history of a cold that resolved 2 weeks ago except for a dry cough and pain over his right cheek that worsens when he bends down. thepatient denies fever. thepatient tells you that he is very allergic to Keflex and erythromycin. Vital signs are stable except temperature is 99.2°F. Which showed thefollowing conditions is most likely? Fever secondary to previous viral URI Acute sinusitis N675 Final E xam Acute Care Exam 1 Week 1 -14 Acute bronchitis Hay fever Patient's symptoms match most closely to acute sinusitis which includes cough, facial pain, low - grade fever An adult patient has epiglottitis secondary to a chemical burn. Which medication will be given initially to prevent complications? Chloramphenicol biopsyrecu Dexamethasone Metronidazole Clindamycin What are factors associated with acute suppurative parotitis? (Select all that apply.) Anticholinergic medications Diabetes mellitu s Radiotherapy Hypervolemia Allergies A 39 year old has a sudden onset of painful right red eye. He reports sensitivity to light and thesensation of a foreign body, though his history for a foreign body is negative. He does not wear contact lenses. How should theNP manage this? Observe for 24 ho urs if visual acuity is normal Treat for bacterial conjunctivitis Treat for viral conjunctivitis Refer to ophthalmology No clear diagnosis can be made from signs/symptoms, but there are several red flags. collectively thered flags necessitate a referral. There is no mention of eye discharge necessary for conjunctivitis. Red flags present point more towards active corneal process although glaucoma should also be a differential. A 17-year-old has a complaint of ear pain. If he has otitis externa, which complaint is most likely/most common? Concurrent URI Fever Difficulty hearing TV Tragal pain