FNP 652 – QUIZ AND EXAMS
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. A 5-year-old child is hit in the face with a baseball bat and has three avulsed front teeth. Radiologic
studies are negative for fractures. What is the recommended treatment?
A. Replace the avulsed teeth manually
B. Apply ice and analgesics only
C. Refer the child to the dentist immediately
D. Observe at home for complications
Answer: C
EXPLANATION: Immediate referral is necessary to assess permanent tooth damage and initiate proper
dental management.
2. A child treated with amoxicillin and amoxicillin-clavulanate for AOM presents with dull-gray
tympanic membranes and air-fluid levels. What is the next action?
A. Myringotomy
B. Repeat antibiotics
C. Monitor fluid levels for 3 months
D. Tympanostomy tube placement
Answer: C
EXPLANATION: Otitis media with effusion is monitored for up to 3 months if asymptomatic.
3. What is recommended to promote dental health in a child with cerebral palsy who receives nutrition via
gastrostomy tube?
A. Daily fluoride rinse
B. Regular dental visits
C. Daily chlorhexidine gluconate
D. Brushing twice daily
Answer: C
EXPLANATION: Chlorhexidine reduces bacterial growth in patients unable to perform oral hygiene
independently.
4. Cataract formation may be suspected in a patient with:
A. Retinal hemorrhages
B. Asymmetric red reflex
C. Conjunctivitis
D. Dilated pupil
Answer: B
EXPLANATION: Cataracts can cause disruption in light reflex symmetry on eye exam.
,5. A patient with dry eyes, burning, and abnormal Schirmer test likely has:
A. Nasolacrimal duct stenosis
B. Conjunctivitis
C. Aqueous deficiency
D. Eyelid dysfunction
Answer: C
EXPLANATION: Aqueous deficiency is a common cause of dry eye with abnormal tear production.
6. Teen with otitis externa and persistent canal swelling after drops. Next step?
A. Oral antibiotics
B. Insert a wick
C. Ear irrigation
D. Increase drop frequency
Answer: B
EXPLANATION: A wick helps deliver medication deeper in the canal when swelling obstructs access.
7. A patient with tooth pain, mobile molar, erythema and no discharge should be:
A. Observed
B. Given ibuprofen
C. Given amoxicillin and referred in 2-3 days
D. Referred for extraction immediately
Answer: C
EXPLANATION: Initial antibiotics can control infection before dental intervention.
8. Which is essential teaching for an elderly patient with loss of smell and taste?
A. Use only fresh produce
B. Keep windows open
C. Install smoke detectors
D. Avoid spicy foods
Answer: C
EXPLANATION: Loss of smell increases risk of missing smoke/fire; detectors are critical.
9. Treatment for exotropia identified on cover-uncover test in toddler includes:
A. Eyeglasses
B. Eye drops
C. Patching unaffected eye
D. Surgery
Answer: C
EXPLANATION: Patching forces use of the affected eye to correct vision and alignment.
10. A teen has bleeding gums, visible plaque, and no loose teeth. Recommendation?
A. Oral antibiotics
B. Deep cleaning
C. Consistent brushing and flossing
D. Chlorhexidine rinse
Answer: C
EXPLANATION: Early gingivitis can be reversed with good hygiene practices.
, 11. Which cerumenolytic is FDA-approved for chronic cerumen with dry skin?
A. Isopropyl alcohol
B. Olive oil
C. Carbamide peroxide
D. Mineral oil
Answer: C
EXPLANATION: Carbamide peroxide is approved and effective for softening ear wax.
12. On vacation, to promote dental health in children:
A. Give fluoride water
B. Use a finger brush
C. Offer xylitol gum
D. Avoid all sugar
Answer: C
EXPLANATION: Xylitol reduces bacteria and is convenient during travel.
13. A patient with episodes of vertigo, nausea, and vomiting should get:
A. CT scan only
B. Tympanogram
C. Audiogram and MRI
D. BP check
Answer: C
EXPLANATION: Helps evaluate inner ear function and rule out central causes.
14. Prevention of otitis externa includes:
A. Avoiding cotton swabs
B. Using earplugs
C. Drying the canal with a hair dryer
D. Using antibiotic drops
Answer: C
EXPLANATION: Keeping the canal dry prevents moisture-loving bacterial growth.
15. Child with failed AOM treatment on amoxicillin-clavulanate, with effusion and erythema. Next step?
A. Change antibiotic
B. Wait and see
C. Refer to ENT
D. Add steroids
Answer: C
EXPLANATION: Persistent/recurrent AOM requires ENT evaluation for possible tube placement.
16. Painful salivary gland swelling that worsens during meals is likely:
A. Sialadenitis
B. Parotitis
C. Sialolithiasis
D. Pharyngitis
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. A 5-year-old child is hit in the face with a baseball bat and has three avulsed front teeth. Radiologic
studies are negative for fractures. What is the recommended treatment?
A. Replace the avulsed teeth manually
B. Apply ice and analgesics only
C. Refer the child to the dentist immediately
D. Observe at home for complications
Answer: C
EXPLANATION: Immediate referral is necessary to assess permanent tooth damage and initiate proper
dental management.
2. A child treated with amoxicillin and amoxicillin-clavulanate for AOM presents with dull-gray
tympanic membranes and air-fluid levels. What is the next action?
A. Myringotomy
B. Repeat antibiotics
C. Monitor fluid levels for 3 months
D. Tympanostomy tube placement
Answer: C
EXPLANATION: Otitis media with effusion is monitored for up to 3 months if asymptomatic.
3. What is recommended to promote dental health in a child with cerebral palsy who receives nutrition via
gastrostomy tube?
A. Daily fluoride rinse
B. Regular dental visits
C. Daily chlorhexidine gluconate
D. Brushing twice daily
Answer: C
EXPLANATION: Chlorhexidine reduces bacterial growth in patients unable to perform oral hygiene
independently.
4. Cataract formation may be suspected in a patient with:
A. Retinal hemorrhages
B. Asymmetric red reflex
C. Conjunctivitis
D. Dilated pupil
Answer: B
EXPLANATION: Cataracts can cause disruption in light reflex symmetry on eye exam.
,5. A patient with dry eyes, burning, and abnormal Schirmer test likely has:
A. Nasolacrimal duct stenosis
B. Conjunctivitis
C. Aqueous deficiency
D. Eyelid dysfunction
Answer: C
EXPLANATION: Aqueous deficiency is a common cause of dry eye with abnormal tear production.
6. Teen with otitis externa and persistent canal swelling after drops. Next step?
A. Oral antibiotics
B. Insert a wick
C. Ear irrigation
D. Increase drop frequency
Answer: B
EXPLANATION: A wick helps deliver medication deeper in the canal when swelling obstructs access.
7. A patient with tooth pain, mobile molar, erythema and no discharge should be:
A. Observed
B. Given ibuprofen
C. Given amoxicillin and referred in 2-3 days
D. Referred for extraction immediately
Answer: C
EXPLANATION: Initial antibiotics can control infection before dental intervention.
8. Which is essential teaching for an elderly patient with loss of smell and taste?
A. Use only fresh produce
B. Keep windows open
C. Install smoke detectors
D. Avoid spicy foods
Answer: C
EXPLANATION: Loss of smell increases risk of missing smoke/fire; detectors are critical.
9. Treatment for exotropia identified on cover-uncover test in toddler includes:
A. Eyeglasses
B. Eye drops
C. Patching unaffected eye
D. Surgery
Answer: C
EXPLANATION: Patching forces use of the affected eye to correct vision and alignment.
10. A teen has bleeding gums, visible plaque, and no loose teeth. Recommendation?
A. Oral antibiotics
B. Deep cleaning
C. Consistent brushing and flossing
D. Chlorhexidine rinse
Answer: C
EXPLANATION: Early gingivitis can be reversed with good hygiene practices.
, 11. Which cerumenolytic is FDA-approved for chronic cerumen with dry skin?
A. Isopropyl alcohol
B. Olive oil
C. Carbamide peroxide
D. Mineral oil
Answer: C
EXPLANATION: Carbamide peroxide is approved and effective for softening ear wax.
12. On vacation, to promote dental health in children:
A. Give fluoride water
B. Use a finger brush
C. Offer xylitol gum
D. Avoid all sugar
Answer: C
EXPLANATION: Xylitol reduces bacteria and is convenient during travel.
13. A patient with episodes of vertigo, nausea, and vomiting should get:
A. CT scan only
B. Tympanogram
C. Audiogram and MRI
D. BP check
Answer: C
EXPLANATION: Helps evaluate inner ear function and rule out central causes.
14. Prevention of otitis externa includes:
A. Avoiding cotton swabs
B. Using earplugs
C. Drying the canal with a hair dryer
D. Using antibiotic drops
Answer: C
EXPLANATION: Keeping the canal dry prevents moisture-loving bacterial growth.
15. Child with failed AOM treatment on amoxicillin-clavulanate, with effusion and erythema. Next step?
A. Change antibiotic
B. Wait and see
C. Refer to ENT
D. Add steroids
Answer: C
EXPLANATION: Persistent/recurrent AOM requires ENT evaluation for possible tube placement.
16. Painful salivary gland swelling that worsens during meals is likely:
A. Sialadenitis
B. Parotitis
C. Sialolithiasis
D. Pharyngitis
