N675 Test Exam Questions and Answers Graded A+
A patient reports a sudden onset of sore throat, fever, malaise, and cough. The provider notes mild
erythema of the pharynx and clear rhinorrhea without cervical lymphadenopathy. What is the most
likely cause of these symptoms? - Answers Viral pharyngitis
What are factors associated with acute suppurative parotitis? (Select all that apply.) - Answers
Anticholinergic medications
Diabetes mellitus
Group A strep pharyngitis: - Answers Can be accompanied by abdominal pain
A 61 year old male presents with a 12 hour history of extremely painful left red eye. The patient
complains of blurred vision, halos around lights, and vomiting. It began yesterday evening. On exam, the
eye is red, tender and inflamed. The cornea is hazy and pupil reacts poorly to light. The most likely
diagnosis in this patient is: - Answers Acute angle glaucoma
A patient has an initial episode otitis external associated with swimming. The patient's ear canal is mildly
inflamed and the tympanic membrane is not involved. Which medication will be ordered? - Answers
Cipro HC
Which physical examination finding suggests viral rather than bacterial parotitis? - Answers Clear
discharge from Stensen's duct
A patient presents with findings of pain, warmth, redness, and swelling below the inner canthus toward
nose. Tearing is present and when pressure is applied to the lacrimal sac, purulent discharge from the
puncta is noted. This is suggestive of: - Answers Dacryocystitis
Pt has painful oral lesions and the provider notes several white verrucous lesions in clusters throughout
the mouth. What is the recommended treatment for this? - Answers Surgical incision.
A Pt is concerned about frequent nasal stuffiness and congestions that begins shortly after getting out of
bed in the morning. Pt denies itching, sneezing. A physical exam reveals erythematous nasal mucosa
with scant watery discharge. What treatment will the provider recommend? - Answers Daily intranasal
steroid.
A pediatric Pt has otalgia, fever 38.8C & recent h/o of URI. The examiner is unable to visualize the
tympanic membrane in the Rt ear b/c of cerumen in the ear canal. The Lt ear tympanic is dull gray w/
fluid present. What is correct course of action? - Answers Remove cerumen & visualize tympanic
membrane.
A 70 yr old male Pt c/o a bright red spot that has been present on his Lt eye for 2 days. He denies eye
pain, or visual changes or HA's. He has new onset of cough from recent UPR & he takes 1 ASA a day. -
, Answers Advise the Pt that the condition is benign and will resolve spontaneously. This question was on
both practice quizzes.
During an eye exam of 50-year-old with HTN, Pt c/o severe HA. The borders of the disc margins on both
eyes are blurred. What is the name of this clinical finding? - Answers Papilledema
Child is hit w/ baseball bat during game & sustains injury to nose along w/ transient loss of
consciousness. A healthcare provider at the game notes bleeding from nose & displacement of septum.
What is the most important intervention at this time? - Answers Immobilize the child's head and call
911.
A Pt has nasal congestion, fever, purulent nasal d/c, HA, fever & pain and begins treatment with Amox-
Clav. At f/u 10-days later, Pt still has purulent d/c, congestion & pain but no fever. What is next course of
action? - Answers 2nd course of Amox-Clav.
A Pt has recurrent epistaxis without signs of localized irritation. Which lab tests may be performed at
this time to evaluate his condition? - Answers PT, PTT, PT/INR, CBC Platelets.
A 32-yr-old is newly dx DM, She has developed a sinus infection. She has had symptoms for 10 days. 6-
weeks ago she got amoxicillin for URI. It was cleared up without incident. What's next? - Answers
Prescribe Amoxicillin-Clavulanate today.
Swimmer's ear question on practice test - Answers Prescribe Cipro HC
A Pt reports severe episodes of vertigo with some lasting up to an hour, the episodes are associated with
nausea & vomiting. What is part of the initial diagnostic workup? - Answers Audiogram & MRI.
A Pt reports a feeling of fullness & pain in both ears & the practitioner elicits pain when manipulating
the external ear structures. What is likely diagnosis? - Answers Acute otitis externa.
During a routine physical exam a provider notes a shiny irregular painless lesion on top of one ear auricle
& suspects skin cancer. What will the the provider tell the patient about this lesion? - Answers A biopsy
should be performed.
Which symptoms in children are evaluated using a parent-reported scoring system to determine the
severity of pain in children with otitis media? - Answers Tugging on ears, difficulty sleeping, and
appetite.
A 70 year old male has a yellowish, triangular nodule near the iris this is probably a - Answers
pinguecula.
A 20 year old make of hispanic descent who reports a history of cold that resolved 2 weeks ago except
for a dry cough and pain over right cheek that worsens when he bends down. The patient denies fever.
The Pt tells you he is very allergic to keflex, and erythromycin. VSS except temp is 99.2 F. - Answers
Acute sinusitis.
A patient reports a sudden onset of sore throat, fever, malaise, and cough. The provider notes mild
erythema of the pharynx and clear rhinorrhea without cervical lymphadenopathy. What is the most
likely cause of these symptoms? - Answers Viral pharyngitis
What are factors associated with acute suppurative parotitis? (Select all that apply.) - Answers
Anticholinergic medications
Diabetes mellitus
Group A strep pharyngitis: - Answers Can be accompanied by abdominal pain
A 61 year old male presents with a 12 hour history of extremely painful left red eye. The patient
complains of blurred vision, halos around lights, and vomiting. It began yesterday evening. On exam, the
eye is red, tender and inflamed. The cornea is hazy and pupil reacts poorly to light. The most likely
diagnosis in this patient is: - Answers Acute angle glaucoma
A patient has an initial episode otitis external associated with swimming. The patient's ear canal is mildly
inflamed and the tympanic membrane is not involved. Which medication will be ordered? - Answers
Cipro HC
Which physical examination finding suggests viral rather than bacterial parotitis? - Answers Clear
discharge from Stensen's duct
A patient presents with findings of pain, warmth, redness, and swelling below the inner canthus toward
nose. Tearing is present and when pressure is applied to the lacrimal sac, purulent discharge from the
puncta is noted. This is suggestive of: - Answers Dacryocystitis
Pt has painful oral lesions and the provider notes several white verrucous lesions in clusters throughout
the mouth. What is the recommended treatment for this? - Answers Surgical incision.
A Pt is concerned about frequent nasal stuffiness and congestions that begins shortly after getting out of
bed in the morning. Pt denies itching, sneezing. A physical exam reveals erythematous nasal mucosa
with scant watery discharge. What treatment will the provider recommend? - Answers Daily intranasal
steroid.
A pediatric Pt has otalgia, fever 38.8C & recent h/o of URI. The examiner is unable to visualize the
tympanic membrane in the Rt ear b/c of cerumen in the ear canal. The Lt ear tympanic is dull gray w/
fluid present. What is correct course of action? - Answers Remove cerumen & visualize tympanic
membrane.
A 70 yr old male Pt c/o a bright red spot that has been present on his Lt eye for 2 days. He denies eye
pain, or visual changes or HA's. He has new onset of cough from recent UPR & he takes 1 ASA a day. -
, Answers Advise the Pt that the condition is benign and will resolve spontaneously. This question was on
both practice quizzes.
During an eye exam of 50-year-old with HTN, Pt c/o severe HA. The borders of the disc margins on both
eyes are blurred. What is the name of this clinical finding? - Answers Papilledema
Child is hit w/ baseball bat during game & sustains injury to nose along w/ transient loss of
consciousness. A healthcare provider at the game notes bleeding from nose & displacement of septum.
What is the most important intervention at this time? - Answers Immobilize the child's head and call
911.
A Pt has nasal congestion, fever, purulent nasal d/c, HA, fever & pain and begins treatment with Amox-
Clav. At f/u 10-days later, Pt still has purulent d/c, congestion & pain but no fever. What is next course of
action? - Answers 2nd course of Amox-Clav.
A Pt has recurrent epistaxis without signs of localized irritation. Which lab tests may be performed at
this time to evaluate his condition? - Answers PT, PTT, PT/INR, CBC Platelets.
A 32-yr-old is newly dx DM, She has developed a sinus infection. She has had symptoms for 10 days. 6-
weeks ago she got amoxicillin for URI. It was cleared up without incident. What's next? - Answers
Prescribe Amoxicillin-Clavulanate today.
Swimmer's ear question on practice test - Answers Prescribe Cipro HC
A Pt reports severe episodes of vertigo with some lasting up to an hour, the episodes are associated with
nausea & vomiting. What is part of the initial diagnostic workup? - Answers Audiogram & MRI.
A Pt reports a feeling of fullness & pain in both ears & the practitioner elicits pain when manipulating
the external ear structures. What is likely diagnosis? - Answers Acute otitis externa.
During a routine physical exam a provider notes a shiny irregular painless lesion on top of one ear auricle
& suspects skin cancer. What will the the provider tell the patient about this lesion? - Answers A biopsy
should be performed.
Which symptoms in children are evaluated using a parent-reported scoring system to determine the
severity of pain in children with otitis media? - Answers Tugging on ears, difficulty sleeping, and
appetite.
A 70 year old male has a yellowish, triangular nodule near the iris this is probably a - Answers
pinguecula.
A 20 year old make of hispanic descent who reports a history of cold that resolved 2 weeks ago except
for a dry cough and pain over right cheek that worsens when he bends down. The patient denies fever.
The Pt tells you he is very allergic to keflex, and erythromycin. VSS except temp is 99.2 F. - Answers
Acute sinusitis.
