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NRNP 6531 Final Exam compilation Questions and Answers
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An adult patient with a history of recurrent sinusitis and allergic
rhinitis reports chronic
tearing in one eye, ocular discharge, and eyelid crusting. The
provider suspects nasolacrimal duct obstruction. Which initial
treatment will the provider recommend?
a. Antibiotic eye drops
Nasolacrimal duct
probing
b.
c. Systemic antibiotics
*d Warm compresses
.
A patient diagnosed with alopecia is noted to have scaling on the
affected areas of the scalp.
Which confirmatory test(s) will the provider order?
*a Examination of scalp scrapings with potassium
hydroxide (KOH)
.
b. Grasping and pulling on a few dozen hairs
c. Serum iron studies and a complete blood count
d. Venereal Disease Research Laboratory (VDRL) test
A female patient is diagnosed with androgenetic alopecia. Which
medication will the primary
health care provider prescribe?
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a. Anthralin
Cyclospori
ne
b.
c. Finasteride
*d Minoxidil
.
Mikey is a 19 y/o male who is brought to the clinic because he has a fever,
sore throat, pain on
swallowing and mildly enlarged submandibular nodes
The most likely organism causing Mikey’s infection is:
*A Streptococcus
. pyogenes
B. Streptococcus
pneumonia
Streptococcus
C.
mutans
D. Streptomyces
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Audrey is a 16 y/o female who comes to the clinic because her teacher
says that she is having a hardtime hearing in class. The NP examines her
ears and notes that she has otitis media.
If the NP performed a Weber test on Audrey she would discover
that there would be:
A. Lateralization to the good ear
*B Lateralization to the bad ear
.
Lateralization would be equal to
C. either ear.
A patient experiencing chronically dry eyes reports having a foreign
body sensation, burning,
and itching. A Schirmer test is abnormal. What is the suspected
cause of this patient’s symptoms based on this test finding?
*a Aqueous
deficiency
.
b. Corneal abrasion
Evaporative
c. disorder
Poor eyelid
d. closure
Which is the most common cause of orbital cellulitis in all age
groups?
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Bacteremic spread from remote
a. infections
Inoculation from local trauma or
b. bug bites
*c Local spread from the ethmoid
sinus
.
d. Paranasal sinus inoculation
A patient reports bilateral burning and itching eyes for several days.
The provider notes a
boggy appearance to the conjunctivae, along with clear, watery
discharge. The patient’s eyelids are thickened and discolored.
There are no other symptoms. Which type of conjunctivitis is most
likely?
*a Allergic
.
Bacteri
b. al
Chemic
c. al