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EENT - NP Certification, Fitzgerald 4th edition
100% Correct Questions & Answers.
a 19 y/o man presents with a cc of a red, irritated rt eye for the past 48 hrs.
with eyelids that were stuck together this morning when he awoke. exam
reveals injected palpebral and bulbar conjunctiva and reactive pupils; vision
screen with the Snellen chart eval reveals 2-/30 in the right eye, left eye and
both eyes; and purulent eye discharge in on the right. this presentation is
most consistent with:
a. suppurative conjunctivitis
b. viral conjunctivitis
c. allergic conjunctivitis
d. mechanical injury - ✔✔✔a. suppurative conjunctivitis
a 19 y/o woman presents with a complaint of bilaterally itchy, red eyes with
tearing that occurs intermittently throughout the year and is often
accompanied by a rope-like eye discharge and clear nasal discharge. this is
most consistent with conjunctival inflammation caused by a)n):
a. bacterium
b. virus
c. allergen
d. injury - ✔✔✔c. allergen
common causative organisms of acute suppurative conjunctivitis include all
of the following except:
a. staphylococcus aureus
b. haemophilus influenzae
c. streptococcus pneumoniae
d. pseudomonas aeruginosa - ✔✔✔d. pseudomonas aeruginosa
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txment options in suppurative conjunctivitis include all of the following
ophthalmic preparations except:
a. polymyxin B plus trimethroprim
b. levofloxacin
c. polymyxin
d. azithromycin - ✔✔✔c. polymyxin
txment options in acute and recurrent allergic conjunctivitis include all of the
following except:
a. cromolyn ophthalmic drops
b. oral antihistamines
c. ophthalmological antihistamines
d. corticosteroid ophthalmic drops - ✔✔✔d. corticosteroid ophthalmic drops
the most common virological cause of conjunctivitis is:
a. coronavirus
b. adenovirus
c. rhinovirus
d. human papillomavirus - ✔✔✔b. adenovirus
txment of viral conjunctivitis can include:
a. moxifloxacin ophthalmic drops
b. polymyxin B ophthalmic drops
c. oral acyclovir
d. no antibiotic txment needed - ✔✔✔d. no antibiotic txment needed
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anterior epistaxis is usually caused by:
a. hypertension
b. bleeding d/o
c. localized nasal mucosa trauma
d. a foreign body - ✔✔✔c. localized nasal mucosa trauma
first-line intervention for anterior epistaxis includes:
a. nasal packing
b. application of topical thrombin
c. firm pressure to the area superior to the nasal alar cartilage
d. chemical cauterization - ✔✔✔c. firm pressure to the area superior to the
nasal alar cartilage
the most common clinical finding in pts with severe or refractory epistaxis is:
a. type 2 DM
b. HTN
c. acute bacterial sinusitis
d. anemia - ✔✔✔b. HTN
a 22 y/o man with recurrent epistaxis episodes fails to respond to simple
pressure. alternative approaches include all of the following EXCEPT:
a. initiating systemic prothrombotic txment
b. nasal packing
c. chemical cautery
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d. topical antifibrinolytic agents - ✔✔✔a. initiating systemic prothrombotic
txment
all of the following are components of the classic ophthalmogical emergency
except:
a. eye pain
b. purulent eye discharge
c. red eye
d. new onset change in visual acuity - ✔✔✔b. purulent eye discharge
mrs. murphy is a 58 y/o woman presenting with a suddent left-sided
headache that is most painful in her left eye. her vision is blurred and the left
pupil is sltly dilated and poorly reactive. the left conjunctiva is markedly
injected, and the eyeball is firm. vision screen with the Snellen chart is 20/30
OD and 20/90 OS. the most likely dx is:
a. unilateral herpetic conjunctivitis
b. open angle glaucoma
c. angle-closure glaucoma
d. anterior uveitis - ✔✔✔c. angle-closure glaucoma
in caring for mrs. murphy, who is dx with angle-closure glaucoma, the most
appropriate next action is:
a. prompt referral to an ophthalmologist
b. to provide analgesia and repeat the evaluation when the pt is more
comfortable
c. instill a corticosteroid ophthalmic solution
d. patch the eye and arrange for f/u in 24 hrs - ✔✔✔a. prompt referral to an
ophthalmologist
®™
EENT - NP Certification, Fitzgerald 4th edition
100% Correct Questions & Answers.
a 19 y/o man presents with a cc of a red, irritated rt eye for the past 48 hrs.
with eyelids that were stuck together this morning when he awoke. exam
reveals injected palpebral and bulbar conjunctiva and reactive pupils; vision
screen with the Snellen chart eval reveals 2-/30 in the right eye, left eye and
both eyes; and purulent eye discharge in on the right. this presentation is
most consistent with:
a. suppurative conjunctivitis
b. viral conjunctivitis
c. allergic conjunctivitis
d. mechanical injury - ✔✔✔a. suppurative conjunctivitis
a 19 y/o woman presents with a complaint of bilaterally itchy, red eyes with
tearing that occurs intermittently throughout the year and is often
accompanied by a rope-like eye discharge and clear nasal discharge. this is
most consistent with conjunctival inflammation caused by a)n):
a. bacterium
b. virus
c. allergen
d. injury - ✔✔✔c. allergen
common causative organisms of acute suppurative conjunctivitis include all
of the following except:
a. staphylococcus aureus
b. haemophilus influenzae
c. streptococcus pneumoniae
d. pseudomonas aeruginosa - ✔✔✔d. pseudomonas aeruginosa
®™
, ®™ ®™
txment options in suppurative conjunctivitis include all of the following
ophthalmic preparations except:
a. polymyxin B plus trimethroprim
b. levofloxacin
c. polymyxin
d. azithromycin - ✔✔✔c. polymyxin
txment options in acute and recurrent allergic conjunctivitis include all of the
following except:
a. cromolyn ophthalmic drops
b. oral antihistamines
c. ophthalmological antihistamines
d. corticosteroid ophthalmic drops - ✔✔✔d. corticosteroid ophthalmic drops
the most common virological cause of conjunctivitis is:
a. coronavirus
b. adenovirus
c. rhinovirus
d. human papillomavirus - ✔✔✔b. adenovirus
txment of viral conjunctivitis can include:
a. moxifloxacin ophthalmic drops
b. polymyxin B ophthalmic drops
c. oral acyclovir
d. no antibiotic txment needed - ✔✔✔d. no antibiotic txment needed
®™
, ®™ ®™
anterior epistaxis is usually caused by:
a. hypertension
b. bleeding d/o
c. localized nasal mucosa trauma
d. a foreign body - ✔✔✔c. localized nasal mucosa trauma
first-line intervention for anterior epistaxis includes:
a. nasal packing
b. application of topical thrombin
c. firm pressure to the area superior to the nasal alar cartilage
d. chemical cauterization - ✔✔✔c. firm pressure to the area superior to the
nasal alar cartilage
the most common clinical finding in pts with severe or refractory epistaxis is:
a. type 2 DM
b. HTN
c. acute bacterial sinusitis
d. anemia - ✔✔✔b. HTN
a 22 y/o man with recurrent epistaxis episodes fails to respond to simple
pressure. alternative approaches include all of the following EXCEPT:
a. initiating systemic prothrombotic txment
b. nasal packing
c. chemical cautery
®™
, ®™ ®™
d. topical antifibrinolytic agents - ✔✔✔a. initiating systemic prothrombotic
txment
all of the following are components of the classic ophthalmogical emergency
except:
a. eye pain
b. purulent eye discharge
c. red eye
d. new onset change in visual acuity - ✔✔✔b. purulent eye discharge
mrs. murphy is a 58 y/o woman presenting with a suddent left-sided
headache that is most painful in her left eye. her vision is blurred and the left
pupil is sltly dilated and poorly reactive. the left conjunctiva is markedly
injected, and the eyeball is firm. vision screen with the Snellen chart is 20/30
OD and 20/90 OS. the most likely dx is:
a. unilateral herpetic conjunctivitis
b. open angle glaucoma
c. angle-closure glaucoma
d. anterior uveitis - ✔✔✔c. angle-closure glaucoma
in caring for mrs. murphy, who is dx with angle-closure glaucoma, the most
appropriate next action is:
a. prompt referral to an ophthalmologist
b. to provide analgesia and repeat the evaluation when the pt is more
comfortable
c. instill a corticosteroid ophthalmic solution
d. patch the eye and arrange for f/u in 24 hrs - ✔✔✔a. prompt referral to an
ophthalmologist
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