WGU D115 OA Study Guide Unit 3 Exam 57 Questions with
Verified Answers
Middle ear - CORRECT ANSWER Conductive hearing loss involves what part of the
ear?
Peritonsillar abscess - CORRECT ANSWER A potential complication of streptococcal
pharyngitis that leads to contralateral uvular deviation, asymmetric tonsillar
hypertrophy, muffled voice on exam but no stridor, drooling, or dyspnea or
dysphagia is recognized as what?
Send the pt to the ER - CORRECT ANSWER A 64 year old woman presents to the
office with complains of vision loss. Funduscopic examination reveals cupping of
the optic nerve. Which action should you take?
Hemoglobin A1C of 12
Retinal detachment is a potential outcome of retinopathy of diabetes - CORRECT
ANSWER A 39 year old female presents with complaints of sudden onset of blurry
vision. She states that she sees flashing lights and it sensation that she is "looking
through a curtain." Which dx finding would the NP expect to find in this patient?
Basal skull fx - CORRECT ANSWER A 16 year old presents to the urgent care clinic
after a hard hit in football practice. During the physical exam, the NP observes
"battle's sign" and immediately refers the patient to the ED. Which dx is the NP
concerned about?
,Fever, sore throat, dysphagia, drooling, "hot potato" voice - CORRECT ANSWER A 4
year old male is brought into a clinic with complaints of fever and sore throat for 2
days. the NP suspects a peritonsilar abscess and refers the pt to the ED. Which
finding is most consistent with this dx?
Tell pt to rinse with salt water and avoid spicy food until s/s resolve - CORRECT
ANSWER A 40 year old female presents with complaints of soreness when eating
spicy foods. The NP observes that the patient has a "geographic tongue." What
would be the most appropriate for the patient's plan of care?
Vaccination status
Koplik spots are seen with measles: small white spots on a reddened background
that occur on the inside of the cheeks - CORRECT ANSWER A 2 year old boy
presents to the clinic with a fever. During the physical exam the NP observes
Koplik's spots inside of his buccal mucosa. Which would be the most important to
assess on the pt to aid in an appropriate dx?
have you ever had a cold sore? - CORRECT ANSWER A 26 year old presents to a
clinic with complaints of left eye pain. the NP performs fluorescent dye staining
which reveals fern-like lines in the corneal surface. Which would be the most
appropriate hx question to ask the pt?
Check vitamin B12 levels
Most common cause is a fungal infection but can be from vitamin B12 deficiency
and bacterial infections - CORRECT ANSWER A 17 year old female was dx with
angular cheilitis. She had tx failure after a course of topical abx, topical steroids,
, moisture barrier creams, and antifungals were rxed. What would be the most
appropriate next step in the pt's plan of care?
Pruritis and hx of recent swimming
Otitis externa is referred to as "swimmers ear" - CORRECT ANSWER Which finding
is most consistent with acute otitis externa?
Avoid contact sports for up to 4 weeks
Splenomegaly is a complication of mono. Contact sports increase risk of spleen
rupturing - CORRECT ANSWER A 15 year old male pt presents to the clinic with
abd pain and fatigue, and is dx with mono. Which is the most important part of
this patient's plan of care?
Acute bacterial rhinosinusitis
S/S are facial pain or pressure, postnasal drip, nasal congestion, upper jaw or
tooth pain, nasal discharge, fever, cough - CORRECT ANSWER A 20 year old female
reports a hx of "cold symptoms" for 12 days. Her physical exam reveals unilateral
facial pain and purulent nasal discharge. Which dx are these findings consistent
with?
Bell's Palsy
Verified Answers
Middle ear - CORRECT ANSWER Conductive hearing loss involves what part of the
ear?
Peritonsillar abscess - CORRECT ANSWER A potential complication of streptococcal
pharyngitis that leads to contralateral uvular deviation, asymmetric tonsillar
hypertrophy, muffled voice on exam but no stridor, drooling, or dyspnea or
dysphagia is recognized as what?
Send the pt to the ER - CORRECT ANSWER A 64 year old woman presents to the
office with complains of vision loss. Funduscopic examination reveals cupping of
the optic nerve. Which action should you take?
Hemoglobin A1C of 12
Retinal detachment is a potential outcome of retinopathy of diabetes - CORRECT
ANSWER A 39 year old female presents with complaints of sudden onset of blurry
vision. She states that she sees flashing lights and it sensation that she is "looking
through a curtain." Which dx finding would the NP expect to find in this patient?
Basal skull fx - CORRECT ANSWER A 16 year old presents to the urgent care clinic
after a hard hit in football practice. During the physical exam, the NP observes
"battle's sign" and immediately refers the patient to the ED. Which dx is the NP
concerned about?
,Fever, sore throat, dysphagia, drooling, "hot potato" voice - CORRECT ANSWER A 4
year old male is brought into a clinic with complaints of fever and sore throat for 2
days. the NP suspects a peritonsilar abscess and refers the pt to the ED. Which
finding is most consistent with this dx?
Tell pt to rinse with salt water and avoid spicy food until s/s resolve - CORRECT
ANSWER A 40 year old female presents with complaints of soreness when eating
spicy foods. The NP observes that the patient has a "geographic tongue." What
would be the most appropriate for the patient's plan of care?
Vaccination status
Koplik spots are seen with measles: small white spots on a reddened background
that occur on the inside of the cheeks - CORRECT ANSWER A 2 year old boy
presents to the clinic with a fever. During the physical exam the NP observes
Koplik's spots inside of his buccal mucosa. Which would be the most important to
assess on the pt to aid in an appropriate dx?
have you ever had a cold sore? - CORRECT ANSWER A 26 year old presents to a
clinic with complaints of left eye pain. the NP performs fluorescent dye staining
which reveals fern-like lines in the corneal surface. Which would be the most
appropriate hx question to ask the pt?
Check vitamin B12 levels
Most common cause is a fungal infection but can be from vitamin B12 deficiency
and bacterial infections - CORRECT ANSWER A 17 year old female was dx with
angular cheilitis. She had tx failure after a course of topical abx, topical steroids,
, moisture barrier creams, and antifungals were rxed. What would be the most
appropriate next step in the pt's plan of care?
Pruritis and hx of recent swimming
Otitis externa is referred to as "swimmers ear" - CORRECT ANSWER Which finding
is most consistent with acute otitis externa?
Avoid contact sports for up to 4 weeks
Splenomegaly is a complication of mono. Contact sports increase risk of spleen
rupturing - CORRECT ANSWER A 15 year old male pt presents to the clinic with
abd pain and fatigue, and is dx with mono. Which is the most important part of
this patient's plan of care?
Acute bacterial rhinosinusitis
S/S are facial pain or pressure, postnasal drip, nasal congestion, upper jaw or
tooth pain, nasal discharge, fever, cough - CORRECT ANSWER A 20 year old female
reports a hx of "cold symptoms" for 12 days. Her physical exam reveals unilateral
facial pain and purulent nasal discharge. Which dx are these findings consistent
with?
Bell's Palsy
