HEENT IBoard IVitals IQuiz:
1. When Iexamining Ithe Ieyes, Ithe Inurse Ipractitioner Idetermines Ithat Ithe Ipupils Ichange Isize
I when Ithe Iclient Ifocuses Ifrom Ia Iclose Iobject Ito Ia Idistant Iobject. IThis Iis Iinterpreted Ias:
a. Normal Ivisual Iaccommodation
b. Intact Iextra Iocular Imotor Iresponse
c. Appropriate Iconsensual Iresponse
d. Visual Iacuity Iwithin Inormal Ilimits
2. A I21-year-old Iman Ipresents Ito Ihis Ihealth Icare Iprovider Ifor Ia I2-week Ihistory Iof Iear Ipain
I and Ipruritus. IOn Ifurther Iquestioning, Ihe Ireports Iear Ifullness Iand Itrouble Ihearing. IHe Iis Ia
I senior Iin Icollege Ion Ia Iswimming Ischolarship. IHe Ihas Ihad Ithese Iepisodes Iin Ithe Ipast Ibut
I not Ito Ithis Iextent. IOn Iphysical Iexam, Ihis ITM Iis Idifficult Ito Ivisualize, Ibut Iit Iis Imobile
I without Iany Iinflammation. IThere Iis Ipain Ion Ipalpation Iof Ithe Itragus. IPain Iis Ialso Ielicited
I with Itraction Iof Ithe Ipinna. IWhich Iof Ithe Ifollowing Itreatments Ishould Ibe Iprescribed Ifor
I this Ipatient?
a. Hydrocortisone/neomycin/polymyxin IB
b. Amoxicillin
c. Amoxicillin/clavulanate
d. Tacrolimus Icream
3. An Ielderly Iclient Ipresents Ito Ithe Inurse Ipractitioner’s Ioffice Iwith Ifever Iand Icomplaints Iof
I right Ifacial Ipain, Icopious Iyellow Inasal Idrainage, Iand Iacute Ipain Iand Iheadache Iwhen
I bending Iover. IThe Isymptoms Ihave Ibeen Ioccurring Ifor Iabout I5 Idays. IThere Iis Inot Itrans
I illumination Iof Ithe Iright Imaxillary Isinus Iand Ithat Iarea Iis Ivery Itender Ito Ipalpation. IThe
I client’s Idiagnosis Iis:
, a. Chronic Isinusitis
b. Acute Isinusitis
c. Dental Iabscess
d. Temporal Iarteritis
4. Which Iof Ithe Ifollowing Iorganisms Iis Ileast Ilikely Ito Icause Iotitis Imedia?
a. Moraxella Icatarrhalis
b. Streptococcus Ipneumonia
c. Chlamydia Itrachomatis
d. Haemophilus Iinfluenzae
5. An Iadult Imake Iclient Iis Ibeing Ievaluated Iat Ian IEENT Iclinic Ifor Ia Icomplaint Iof Ia Isore
I throat. IHe Ihas Idifficulty Iswallowing Iand Ihas Isome Imouth Ipain. IOn Iexam Ithe Inurse
I practitioner Ifinds Ithat Ithe Iclients’ Imouth, Itongue, Iand Ipharynx Iare Icoated Iwith Iwhite
I curd-like Iplaques Ithat Iare Idifficult Ito Iremove Iand Ileave Ia Ired Isurface Iwhen Iscraped Iwith Ia
I tongue Iblade. IWhat Iwould Ibe Ithe Ibest Iaction Ifor Ithe Inurse Ipractitioner Ito Itake Iat Ithis
I time?
a. Refer Ihim Ito Ian Iear, Inose, Iand Ithroat Ispecialist Ifor Ievaluation
b. Prescribe IAmoxicillin I500 Img IPO ITid Ix I10 Idays
c. Encourage Ithe Iclient Ito Ihave Ithe IHIV Iscreening Idone
d. Recommend Iclear Ifluids Ionly Ifor Ithe Inext Ifew Idays
6. A I19-year-old Ifemale Ipresents Iwith Ia Ione-week Iof Ired Iand Iitchy Ieyes. IShe Imentions Ithat
I she’s Inoticed Ia Istringy Iwhite Idischarge Iand Iextra Itearing Ifrom Iboth Ieyes. IShe Ireports Ithat
I her Ivision Iis Iunchanged Iand Idenies Ipain. IShe Idenies Iany Irecent Iillnesses Ior Iuse Iof Icontact
I lenses. IBased Ion Iher Ihistory, Iwhat Iis Ithe Imost Ilikely Idiagnosis?
1. When Iexamining Ithe Ieyes, Ithe Inurse Ipractitioner Idetermines Ithat Ithe Ipupils Ichange Isize
I when Ithe Iclient Ifocuses Ifrom Ia Iclose Iobject Ito Ia Idistant Iobject. IThis Iis Iinterpreted Ias:
a. Normal Ivisual Iaccommodation
b. Intact Iextra Iocular Imotor Iresponse
c. Appropriate Iconsensual Iresponse
d. Visual Iacuity Iwithin Inormal Ilimits
2. A I21-year-old Iman Ipresents Ito Ihis Ihealth Icare Iprovider Ifor Ia I2-week Ihistory Iof Iear Ipain
I and Ipruritus. IOn Ifurther Iquestioning, Ihe Ireports Iear Ifullness Iand Itrouble Ihearing. IHe Iis Ia
I senior Iin Icollege Ion Ia Iswimming Ischolarship. IHe Ihas Ihad Ithese Iepisodes Iin Ithe Ipast Ibut
I not Ito Ithis Iextent. IOn Iphysical Iexam, Ihis ITM Iis Idifficult Ito Ivisualize, Ibut Iit Iis Imobile
I without Iany Iinflammation. IThere Iis Ipain Ion Ipalpation Iof Ithe Itragus. IPain Iis Ialso Ielicited
I with Itraction Iof Ithe Ipinna. IWhich Iof Ithe Ifollowing Itreatments Ishould Ibe Iprescribed Ifor
I this Ipatient?
a. Hydrocortisone/neomycin/polymyxin IB
b. Amoxicillin
c. Amoxicillin/clavulanate
d. Tacrolimus Icream
3. An Ielderly Iclient Ipresents Ito Ithe Inurse Ipractitioner’s Ioffice Iwith Ifever Iand Icomplaints Iof
I right Ifacial Ipain, Icopious Iyellow Inasal Idrainage, Iand Iacute Ipain Iand Iheadache Iwhen
I bending Iover. IThe Isymptoms Ihave Ibeen Ioccurring Ifor Iabout I5 Idays. IThere Iis Inot Itrans
I illumination Iof Ithe Iright Imaxillary Isinus Iand Ithat Iarea Iis Ivery Itender Ito Ipalpation. IThe
I client’s Idiagnosis Iis:
, a. Chronic Isinusitis
b. Acute Isinusitis
c. Dental Iabscess
d. Temporal Iarteritis
4. Which Iof Ithe Ifollowing Iorganisms Iis Ileast Ilikely Ito Icause Iotitis Imedia?
a. Moraxella Icatarrhalis
b. Streptococcus Ipneumonia
c. Chlamydia Itrachomatis
d. Haemophilus Iinfluenzae
5. An Iadult Imake Iclient Iis Ibeing Ievaluated Iat Ian IEENT Iclinic Ifor Ia Icomplaint Iof Ia Isore
I throat. IHe Ihas Idifficulty Iswallowing Iand Ihas Isome Imouth Ipain. IOn Iexam Ithe Inurse
I practitioner Ifinds Ithat Ithe Iclients’ Imouth, Itongue, Iand Ipharynx Iare Icoated Iwith Iwhite
I curd-like Iplaques Ithat Iare Idifficult Ito Iremove Iand Ileave Ia Ired Isurface Iwhen Iscraped Iwith Ia
I tongue Iblade. IWhat Iwould Ibe Ithe Ibest Iaction Ifor Ithe Inurse Ipractitioner Ito Itake Iat Ithis
I time?
a. Refer Ihim Ito Ian Iear, Inose, Iand Ithroat Ispecialist Ifor Ievaluation
b. Prescribe IAmoxicillin I500 Img IPO ITid Ix I10 Idays
c. Encourage Ithe Iclient Ito Ihave Ithe IHIV Iscreening Idone
d. Recommend Iclear Ifluids Ionly Ifor Ithe Inext Ifew Idays
6. A I19-year-old Ifemale Ipresents Iwith Ia Ione-week Iof Ired Iand Iitchy Ieyes. IShe Imentions Ithat
I she’s Inoticed Ia Istringy Iwhite Idischarge Iand Iextra Itearing Ifrom Iboth Ieyes. IShe Ireports Ithat
I her Ivision Iis Iunchanged Iand Idenies Ipain. IShe Idenies Iany Irecent Iillnesses Ior Iuse Iof Icontact
I lenses. IBased Ion Iher Ihistory, Iwhat Iis Ithe Imost Ilikely Idiagnosis?
