Maryville NURS 620 Adult 1 EXAM 1 2025
if rapid strep test is negative what is the first thing you should do? - ANS-send out
culture
when examining lab from a person with mono what would the NP expect to find? - ANS-
Lymphocytosis
EBV is transmitted through which route? - ANS-oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? - ANS-30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of
med to avoid - ANS-beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated
lesion with induration what do you suspect - ANS-oral cancer
which vision sx is common in open angel glaucoma - ANS-peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step -
ANS-refer to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid - ANS-Hordeolum
(stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless
swelling on the eyelid - ANS-Chalazion
what maneuver can be performed to help manage sx of vertigo? - ANS-Epley maneuver
What can help diagnose vertigo - ANS-Dix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back
positive what is the first thing to do? - ANS-discontinue antibiotics
peripheral vision loss that has worsened over the last few months - ANS-open-angle
glaucoma (peripheral loss over time)
Risk factor for otitis externa? - ANS-Exposure to water, excessive use of headphones,
Q-tips, impacted cerumen and earplugs
Risk factor for otitis media? - ANS-Young children, allergies, craniofacial abnormalities,
smokers, hx of URI, acid reflux, immunodeficiency
, A red flag for pt complaining of red eye? - ANS-severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with
treatment failure after 7 days of 1st line abx (PCN)? - ANS-Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and
sore throat; exam shows pharyngeal erythema, pale swollen turbinates, clear
rhinorrhea; T 99, most appropriate treatment plan - ANS-saline nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and red border -
ANS-canker sore
what symptoms are most indicative of mono - ANS-gradual onset of fatigue/malaise
POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad
breath, swollen puffy receding gums that are tender and bleed easily - ANS-gingivitis
toothache, bad breath, pus, fever, swollen lymph nodes - ANS-Dental abscess
symptoms of meniere's disease - ANS-loss of balance, tinnitus, vertigo
PE findings of meniere's disease - ANS-positive Romberg, abnormal gait, unilateral
hearing loss, sensorineural hearing loss (excessively longer air conduction vs bone
conduction)
most common in children, self limiting, local irritation r/t trauma or inflammation,
bleeding from Kiesselbach's plexus - ANS-Anterior epistaxis
nose bleed most common in elderly, heavier bleeding from arterial damage - ANS-
Posterior epistaxis
What would indicate prep for possible emergency surgery by making NPO and treating
VS. Protect eye to avoid pressure, limit patient activity, send to ER - ANS-retinal
detachment
If patient has mono and is placed on amoxicillin what are the effects on the patient? -
ANS-could cause a rash
Sudden eye pain, nausea, rainbow around lights, blurred vision - ANS-closed angle
glaucoma
What is the treatment for AOM if there is a PCN allergy - ANS-bactrim or azithromycin
Triad: fever, exudative pharyngitis (sore thraot), posterior cervical adenopathy - ANS-
MONO
if rapid strep test is negative what is the first thing you should do? - ANS-send out
culture
when examining lab from a person with mono what would the NP expect to find? - ANS-
Lymphocytosis
EBV is transmitted through which route? - ANS-oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? - ANS-30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of
med to avoid - ANS-beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated
lesion with induration what do you suspect - ANS-oral cancer
which vision sx is common in open angel glaucoma - ANS-peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step -
ANS-refer to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid - ANS-Hordeolum
(stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless
swelling on the eyelid - ANS-Chalazion
what maneuver can be performed to help manage sx of vertigo? - ANS-Epley maneuver
What can help diagnose vertigo - ANS-Dix-Hallpack test
A pt is started on antibiotics for strep a few days later the mono spot comes back
positive what is the first thing to do? - ANS-discontinue antibiotics
peripheral vision loss that has worsened over the last few months - ANS-open-angle
glaucoma (peripheral loss over time)
Risk factor for otitis externa? - ANS-Exposure to water, excessive use of headphones,
Q-tips, impacted cerumen and earplugs
Risk factor for otitis media? - ANS-Young children, allergies, craniofacial abnormalities,
smokers, hx of URI, acid reflux, immunodeficiency
, A red flag for pt complaining of red eye? - ANS-severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with
treatment failure after 7 days of 1st line abx (PCN)? - ANS-Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and
sore throat; exam shows pharyngeal erythema, pale swollen turbinates, clear
rhinorrhea; T 99, most appropriate treatment plan - ANS-saline nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and red border -
ANS-canker sore
what symptoms are most indicative of mono - ANS-gradual onset of fatigue/malaise
POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad
breath, swollen puffy receding gums that are tender and bleed easily - ANS-gingivitis
toothache, bad breath, pus, fever, swollen lymph nodes - ANS-Dental abscess
symptoms of meniere's disease - ANS-loss of balance, tinnitus, vertigo
PE findings of meniere's disease - ANS-positive Romberg, abnormal gait, unilateral
hearing loss, sensorineural hearing loss (excessively longer air conduction vs bone
conduction)
most common in children, self limiting, local irritation r/t trauma or inflammation,
bleeding from Kiesselbach's plexus - ANS-Anterior epistaxis
nose bleed most common in elderly, heavier bleeding from arterial damage - ANS-
Posterior epistaxis
What would indicate prep for possible emergency surgery by making NPO and treating
VS. Protect eye to avoid pressure, limit patient activity, send to ER - ANS-retinal
detachment
If patient has mono and is placed on amoxicillin what are the effects on the patient? -
ANS-could cause a rash
Sudden eye pain, nausea, rainbow around lights, blurred vision - ANS-closed angle
glaucoma
What is the treatment for AOM if there is a PCN allergy - ANS-bactrim or azithromycin
Triad: fever, exudative pharyngitis (sore thraot), posterior cervical adenopathy - ANS-
MONO
