NR545 exam 1 FNP UPDATED ACTUAL
Exam Questions and CORRECT Answers
What is otitis media - CORRECT ANSWER - Infection of the middle ear. Presented often
after upper respiratory infection from increase amount of nasal drainage
Otitis media S/S - CORRECT ANSWER - Ear pain. (kids will tug their ears/fuss).
Heariing loss, drainage of drum if perforated, Fever.
otitis media diagnosis - CORRECT ANSWER - ear exam. If erythematous (red, yellow
white or opague) = problem. BULDING IS BETTER HALLMARK THAN REDNESS.
Otitis media TX - CORRECT ANSWER - observation or Amoxicillin for those who don't
go t a penicillin allergy or without recent beta-lactam treatment. If unresponsive to amoxicillin
use with clavulanate. Tylenol/ibuprophen or benzocaine and lidocaine.
what could go wrong with otitis media - CORRECT ANSWER - Ruptured Tympanic
membrane or extended infection. (mastoiditis/meningitis)
otitis externa - CORRECT ANSWER - "Swimmers ear" infection of the external auditory
canal and pinna. Usually bacterial origin but occasionally is fungal. From external sources
(earphones, earplugs, ear cleaning)
otitis externa S/S - CORRECT ANSWER - pain, preulent dischargem hearing deficit.
PAIN IS USUALLY INCREASED WITH MOVEMENT. UNLIKE OTITIS MEDIA.
Rhinovirus - CORRECT ANSWER - common cold
Rhinovirus s/s - CORRECT ANSWER - Headache, occasional fever, sneezing, coughing,
sorethroat, post nasal drip, edematous nasal turbinates, tonsillar edematous
, rhinovirus TX - CORRECT ANSWER - supportive, treat sxs - cough, congestion
Tylenol/ibuprophen, nasal decongestant, nasal saline flush, salt water gurgle
allergic rhinitis - CORRECT ANSWER - an allergic reaction to airborne allergens that
causes an increased flow of mucus. Inflammation and swelling in mucus membranes caused by
allergies
Allergic rhinitis - CORRECT ANSWER - the reaction of the nasal mucosa to a specific
allergen.
S/S of allergic rhinitis - CORRECT ANSWER - Rhinorrhea (runny nose), stuffiness,
sneezing, itchy/watery eyes. Edematous/nasal turbinates
Tx for allergic rhinitis - CORRECT ANSWER - - Nasal corticosteroids, OTC
antihistamines (oral and nasal spray), nasal saline flush, aovid allergens
Bacterial conjunctivitis - CORRECT ANSWER - pink eye. Inflammation of the thin
membrane the covers inside eyelids
Bacterial conjunctivitis s/s - CORRECT ANSWER - red/pink eye, pain, itching,
green/yellow discharge, crusted eyes
bacterial conjunctivitis tx - CORRECT ANSWER - - Eye drops for itching, oral
antihistamines, polymyxin B/Erythromycin. Cool wet compress. No eye makeup and stuff.
Viral conjunctivitis s/s - CORRECT ANSWER - pinkness swelliing watery eyes sensitive
to light
acute sinusitis - CORRECT ANSWER - <4 weeks. Viral
inflammation of tissue linning the sinuses.
Exam Questions and CORRECT Answers
What is otitis media - CORRECT ANSWER - Infection of the middle ear. Presented often
after upper respiratory infection from increase amount of nasal drainage
Otitis media S/S - CORRECT ANSWER - Ear pain. (kids will tug their ears/fuss).
Heariing loss, drainage of drum if perforated, Fever.
otitis media diagnosis - CORRECT ANSWER - ear exam. If erythematous (red, yellow
white or opague) = problem. BULDING IS BETTER HALLMARK THAN REDNESS.
Otitis media TX - CORRECT ANSWER - observation or Amoxicillin for those who don't
go t a penicillin allergy or without recent beta-lactam treatment. If unresponsive to amoxicillin
use with clavulanate. Tylenol/ibuprophen or benzocaine and lidocaine.
what could go wrong with otitis media - CORRECT ANSWER - Ruptured Tympanic
membrane or extended infection. (mastoiditis/meningitis)
otitis externa - CORRECT ANSWER - "Swimmers ear" infection of the external auditory
canal and pinna. Usually bacterial origin but occasionally is fungal. From external sources
(earphones, earplugs, ear cleaning)
otitis externa S/S - CORRECT ANSWER - pain, preulent dischargem hearing deficit.
PAIN IS USUALLY INCREASED WITH MOVEMENT. UNLIKE OTITIS MEDIA.
Rhinovirus - CORRECT ANSWER - common cold
Rhinovirus s/s - CORRECT ANSWER - Headache, occasional fever, sneezing, coughing,
sorethroat, post nasal drip, edematous nasal turbinates, tonsillar edematous
, rhinovirus TX - CORRECT ANSWER - supportive, treat sxs - cough, congestion
Tylenol/ibuprophen, nasal decongestant, nasal saline flush, salt water gurgle
allergic rhinitis - CORRECT ANSWER - an allergic reaction to airborne allergens that
causes an increased flow of mucus. Inflammation and swelling in mucus membranes caused by
allergies
Allergic rhinitis - CORRECT ANSWER - the reaction of the nasal mucosa to a specific
allergen.
S/S of allergic rhinitis - CORRECT ANSWER - Rhinorrhea (runny nose), stuffiness,
sneezing, itchy/watery eyes. Edematous/nasal turbinates
Tx for allergic rhinitis - CORRECT ANSWER - - Nasal corticosteroids, OTC
antihistamines (oral and nasal spray), nasal saline flush, aovid allergens
Bacterial conjunctivitis - CORRECT ANSWER - pink eye. Inflammation of the thin
membrane the covers inside eyelids
Bacterial conjunctivitis s/s - CORRECT ANSWER - red/pink eye, pain, itching,
green/yellow discharge, crusted eyes
bacterial conjunctivitis tx - CORRECT ANSWER - - Eye drops for itching, oral
antihistamines, polymyxin B/Erythromycin. Cool wet compress. No eye makeup and stuff.
Viral conjunctivitis s/s - CORRECT ANSWER - pinkness swelliing watery eyes sensitive
to light
acute sinusitis - CORRECT ANSWER - <4 weeks. Viral
inflammation of tissue linning the sinuses.
