Buttaro Exam 2 with all Correct & 100% Verified
Answers |Actual Complete Exam| Guaranteed to Pass
A 78-year-old male present for a physical examination. He has no discomfort or complaints other
than a general decrease in vision, but it helps when he puts things under a bright light to read. He
admits that while driving at night the streetlights appear to be a bit distorted and his night vision is
pretty poor. What is his likely diagnosis an expected physical exam findings? ✔Correct Answer-
Diminished Red reflex;Dx: Cataracts
What is the primary purpose of using eye ointments or lubricants for patients under general
anesthesia on paralytics of in long-term comatose states? ✔Correct Answer-To prevent corneal
abrasion.
A patient with minor head trauma presents for evaluation. Which of the following findings should be
followed up with a CT scan to rule out orbital fracture? ✔Correct Answer-the presence of
periorbital ecchymosis (aka black eye)
An African American patient presents with decreased peripheral vision and no other symptoms.
What is the most likely diagnosis? ✔Correct Answer-Open angle glaucoma
What is the symptom presentation of stasis dermatitis and how is it treated? ✔Correct Answer-Hx
of lower extremity edema with chronic venous insufficiency. Itching of bilateral lower legs with 2-3+
pitting edema and trophic hyperpigmentation.Treatment is to promote venous return from the lower
extremities.
What is contraindicated for corneal abrasions? ✔Correct Answer-Ophthalmic corticosteroids
What is an absolute indication for treating otitis media with antibiotics? ✔Correct Answer-Fever
>102.2*F or moderate to severe ear pain.
The NP notes a patient to have a bifurcate uvula on physical exam which is a ________ exam finding.
✔Correct Answer-normal variant
When managing penetrating or open globe eye injuries, it is critical to avoid: ✔Correct Answer-
applying pressure to the affected eye.
The AGACNP is seeing a patient who was transferred from the correctional facility for evaluation. He
has a profound purulent discharge from his right eye. The conjunctive is erythematous and there is
mild photosensitivity. The inmate denies any real eye pain, just says that it is extremely
uncomfortable. Treatment for this patient is likely to include: ✔Correct Answer-IM Rocephin and
referral to ophthalmology.
Dx: gonococcal conjunctivitis.DO NOT IRRIGATE THE EYE
A patient recently had a nasal packing inserted for management of refractory epistaxis. One week
later he presents with fatigue, a headache "inside of his nose" and a feeling generally unwell. The
AGACNP considers: ✔Correct Answer-Bacterial sinusitis
A 55-year-old female patient presents with a fever of 103.4° F. She was treated approximately 10
days ago at urgent care for a sinus infection, but two days ago the right side of her face started to
, hurt, and today she has significant swelling of the right orbit and eyelid. The eyelid is very edematous
and there is purulent drainage noted. The priority of care for this patient begins with: ✔Correct
Answer-Initiating antibiotic therapy to cover streptococcus pneumoniae for orbital cellulitis.
Antibx: Clindamycin or Bactrim PLUS Augmentin or Cefdinir
When evaluating a patient with epistaxis, which of the following signs or symptoms is suggestive of a
more serious etiology and posterior packing? ✔Correct Answer-Swallowing blood which indicates a
posterior bleed inaccessible by anterior nasal packing. Posterior packing will be required to stop
bleeding.
A 26-year-old female patient being evaluated for eye discharge. She says that for the last few days
she has developed this sticky, string-like discharge in both eyes. She denies any pain or visual
changes, but does admit to a sense of "something in my eyes" and that her eyes itch a lot. Physical
examination reveals injected conjunctiva, rope-like discharge bilaterally; pupil response is equal and
brisk in both eyes. Which factor in the patient's history would be supportive of the most likely
diagnosis? ✔Correct Answer-Symptoms occurring bilaterally supports the dx of allergic
conjunctivitis.
A 31-year-old male presents to urgent care because he has something in his eye. He was changing
the oil under his car and says that something dropped into his eye. He is not having any pain, in fact
he waited a day before coming in because he thought it would work itself out. Physical exam reveals
a black 1 mm foreign body visible on the corneal surface. The most appropriate intervention is to:
✔Correct Answer-Attempt to remove the foreign body with a saline soaked sterile swab since it is
visible on exam.
A 36-year-old male patient who presents for treatment of eye pain. He has no significant medical
history and does not take any daily or over-the-counter medications. His only recent history is
nighttime allergies for which he takes occasional diphenhydramine with good relief. He has had some
throbbing in his eye for the last few days on and off but just ignored it; today he says it is flat out
painful and he had to come to the emergency department. The eye is throbbing and painful, and he
reports generalized decreased vision. The pupil is dilated to 5 mm and non-reactive to light. The eye
conjunctiva is reddened. The next step in the diagnostic evaluation should be: ✔Correct Answer-
Assessment of intraocular pressure via tonometry to confirm angle closure glaucoma diagnosis.
A 30-year-old chef complains of pruritic hives over her chest and arms but denies difficulty
swallowing or breathing. She reports a family history of allergic rhinitis and asthma. Which of the
following interventions is most appropriate?
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID
C) Give an injection of epinephrine 1:1000 intramuscularly stat
D) Call 911 ✔Correct Answer-A) Perform a complete and thorough history
Prior to prescribing medications, a complete and thorough history must be performed to determine
possible causes of hives. The patient denied difficulty with swallowing and breathing, so there was
no medical emergency to require calling 911.
A 70-year-old male patient complains of a bright red spot in his left eye for 2 days. He denies eye
pain, visual changes, or headaches. He has a new onset of cough from a recent viral upper
respiratory infection. The only medicine he is on is Bayer aspirin 1 tablet a day. Which of the
following is most likely?
A) Corneal abrasion
B) Acute bacterial conjunctivitis
Answers |Actual Complete Exam| Guaranteed to Pass
A 78-year-old male present for a physical examination. He has no discomfort or complaints other
than a general decrease in vision, but it helps when he puts things under a bright light to read. He
admits that while driving at night the streetlights appear to be a bit distorted and his night vision is
pretty poor. What is his likely diagnosis an expected physical exam findings? ✔Correct Answer-
Diminished Red reflex;Dx: Cataracts
What is the primary purpose of using eye ointments or lubricants for patients under general
anesthesia on paralytics of in long-term comatose states? ✔Correct Answer-To prevent corneal
abrasion.
A patient with minor head trauma presents for evaluation. Which of the following findings should be
followed up with a CT scan to rule out orbital fracture? ✔Correct Answer-the presence of
periorbital ecchymosis (aka black eye)
An African American patient presents with decreased peripheral vision and no other symptoms.
What is the most likely diagnosis? ✔Correct Answer-Open angle glaucoma
What is the symptom presentation of stasis dermatitis and how is it treated? ✔Correct Answer-Hx
of lower extremity edema with chronic venous insufficiency. Itching of bilateral lower legs with 2-3+
pitting edema and trophic hyperpigmentation.Treatment is to promote venous return from the lower
extremities.
What is contraindicated for corneal abrasions? ✔Correct Answer-Ophthalmic corticosteroids
What is an absolute indication for treating otitis media with antibiotics? ✔Correct Answer-Fever
>102.2*F or moderate to severe ear pain.
The NP notes a patient to have a bifurcate uvula on physical exam which is a ________ exam finding.
✔Correct Answer-normal variant
When managing penetrating or open globe eye injuries, it is critical to avoid: ✔Correct Answer-
applying pressure to the affected eye.
The AGACNP is seeing a patient who was transferred from the correctional facility for evaluation. He
has a profound purulent discharge from his right eye. The conjunctive is erythematous and there is
mild photosensitivity. The inmate denies any real eye pain, just says that it is extremely
uncomfortable. Treatment for this patient is likely to include: ✔Correct Answer-IM Rocephin and
referral to ophthalmology.
Dx: gonococcal conjunctivitis.DO NOT IRRIGATE THE EYE
A patient recently had a nasal packing inserted for management of refractory epistaxis. One week
later he presents with fatigue, a headache "inside of his nose" and a feeling generally unwell. The
AGACNP considers: ✔Correct Answer-Bacterial sinusitis
A 55-year-old female patient presents with a fever of 103.4° F. She was treated approximately 10
days ago at urgent care for a sinus infection, but two days ago the right side of her face started to
, hurt, and today she has significant swelling of the right orbit and eyelid. The eyelid is very edematous
and there is purulent drainage noted. The priority of care for this patient begins with: ✔Correct
Answer-Initiating antibiotic therapy to cover streptococcus pneumoniae for orbital cellulitis.
Antibx: Clindamycin or Bactrim PLUS Augmentin or Cefdinir
When evaluating a patient with epistaxis, which of the following signs or symptoms is suggestive of a
more serious etiology and posterior packing? ✔Correct Answer-Swallowing blood which indicates a
posterior bleed inaccessible by anterior nasal packing. Posterior packing will be required to stop
bleeding.
A 26-year-old female patient being evaluated for eye discharge. She says that for the last few days
she has developed this sticky, string-like discharge in both eyes. She denies any pain or visual
changes, but does admit to a sense of "something in my eyes" and that her eyes itch a lot. Physical
examination reveals injected conjunctiva, rope-like discharge bilaterally; pupil response is equal and
brisk in both eyes. Which factor in the patient's history would be supportive of the most likely
diagnosis? ✔Correct Answer-Symptoms occurring bilaterally supports the dx of allergic
conjunctivitis.
A 31-year-old male presents to urgent care because he has something in his eye. He was changing
the oil under his car and says that something dropped into his eye. He is not having any pain, in fact
he waited a day before coming in because he thought it would work itself out. Physical exam reveals
a black 1 mm foreign body visible on the corneal surface. The most appropriate intervention is to:
✔Correct Answer-Attempt to remove the foreign body with a saline soaked sterile swab since it is
visible on exam.
A 36-year-old male patient who presents for treatment of eye pain. He has no significant medical
history and does not take any daily or over-the-counter medications. His only recent history is
nighttime allergies for which he takes occasional diphenhydramine with good relief. He has had some
throbbing in his eye for the last few days on and off but just ignored it; today he says it is flat out
painful and he had to come to the emergency department. The eye is throbbing and painful, and he
reports generalized decreased vision. The pupil is dilated to 5 mm and non-reactive to light. The eye
conjunctiva is reddened. The next step in the diagnostic evaluation should be: ✔Correct Answer-
Assessment of intraocular pressure via tonometry to confirm angle closure glaucoma diagnosis.
A 30-year-old chef complains of pruritic hives over her chest and arms but denies difficulty
swallowing or breathing. She reports a family history of allergic rhinitis and asthma. Which of the
following interventions is most appropriate?
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID
C) Give an injection of epinephrine 1:1000 intramuscularly stat
D) Call 911 ✔Correct Answer-A) Perform a complete and thorough history
Prior to prescribing medications, a complete and thorough history must be performed to determine
possible causes of hives. The patient denied difficulty with swallowing and breathing, so there was
no medical emergency to require calling 911.
A 70-year-old male patient complains of a bright red spot in his left eye for 2 days. He denies eye
pain, visual changes, or headaches. He has a new onset of cough from a recent viral upper
respiratory infection. The only medicine he is on is Bayer aspirin 1 tablet a day. Which of the
following is most likely?
A) Corneal abrasion
B) Acute bacterial conjunctivitis
