NURS 6531 Board Vitals Quiz

NURS 6531 HEENT Board Vitals Quiz: When examining the eyes, the nurse practitioner determines that the pupils change size when the client focuses from a close object to a distant object. This is interpreted as: A 21-year-old man presents to his health care provider for a 2-week history of ear pain and pruritus. On further questioning, he reports ear fullness and trouble hearing. He is a senior in college on a swimming scholarship. He has had these episodes in the past but not to this extent. On physical exam, his TM is difficult to visualize, but it is mobile without any inflammation. There is pain on palpation of the tragus. Pain is also elicited with traction of the pinna. Which of the following treatments should be prescribed for this patient? An elderly client presents to the nurse practitioner’s office with fever and complaints of right facial pain, copious yellow nasal drainage, and acute pain and headache when bending over. The symptoms have been occurring for about 5 days. There is not trans illumination of the right maxillary sinus and that area is very tender to palpation. The client’s diagnosis is: Which of the following organisms is least likely to cause otitis media? An adult make client is being evaluated at an EENT clinic for a complaint of a sore throat. He has difficulty swallowing and has some mouth pain. On exam the nurse practitioner finds that the clients’ mouth, tongue, and pharynx are coated with white curd-like plaques that are difficult to remove and leave a red surface when scraped with a tongue blade. What would be the best action for the nurse practitioner to take at this time? A 19-year-old female presents with a one-week of red and itchy eyes. She mentions that she’s noticed a stringy white discharge and extra tearing from both eyes. She reports that her vision is unchanged and denies pain. She denies any recent illnesses or use of contact lenses. Based on her history, what is the most likely diagnosis? A geriatric client is given a diagnosis of chronic open-angle glaucoma. She has a history of bradycardia and first degree AV block. In consideration of her treatment, what medication should be avoided? Which of the following antibiotics if first line recommendation for outpatient treatment of acute bacterial Rhinosinusitis in a patient without any drug allergies and no recent antibiotic use? Which structure of the eye is responsible for the color vision? Which of the following clinical findings is associated with bacterial streptococcal pharyngitis? A 43 year old woman with a history of hypertension and gestational diabetes presents to your office for treatment of her upper respiratory infection (URI) symptoms. What medications do you teach her to avoid when choosing for symptomatic treatment? What is the best test for diagnosing congenital glaucoma? What vaccine does not help prevent acute otitis media (AOM)? A 65 year old patient presents with complaints of a bright red spot in his right eye for the last few days. He denies pain or visual changes. He does not report any headaches but has had a recent upper respiratory infection with cough. His only routine medications are aspirin daily. How would you diagnose and treat this patient? On ophthalmic examination, there appears to be a narrowing or blocking of the vein at the point where an arteriole crosses over it. The significance of this finding is: A fleshy wedge shaped growth extending to the cornea on the nasal side that may impair vision or eye movement best describes which eye condition? A 49-year-old man presents to your clinic with left eye pain that started this morning. He also has been seeing halos around light since the start of the symptoms and is nauseated but denies vomiting or diarrhea. He denies any discharge or crusting. He denies any history of eye injury or foreign body in eye and does not use corrective lenses. He has no history for migraines. On exam: left eye conjunctiva is injected, left pupil I slightly more deflated and not reactive to light. Screening with the Snellen chart is 20/80 OS and 20/20 OD. He is not able to complete the field of vision testing due to pain. His neuro exam is normal, limited eye movement on the right side. Normal bowel sounds in all four quadrants and no abdominal pain with palpation. What is your plan based on this patient’s presentation? Laryngeal neoplasia has been associated with which of the following infections? The most common pathogen seen in an otitis media infection is: