FNP-652 Quiz 1 With Correct Detailed
Answers the Latest Update.
Already Graded A+
QUESTIONS AND ANSWERS
Hearing Loss in the elderly. ANSWER - Conductive- usually caused by problems in
the external or middle ear that interfere with transmitting sound and its conversion
to mechanical vibrations (IE Cerumen impaction, perforated membrane)
Sensoineural- involves problems converting mechanical vibrations to electrical
potential in the cochlea and/or in auditory nerve transmission to the brain. It is
usually caused by permanent damage in the organ of Corti. (Age related hearing loss;
noise trauma)
Hearing Loss in the elderly. ANSWER - Affects 60-80% of 70 yr +. Start with
Whisper and Rinne tests. Refer patients for Adiometric testing if there is no obvious
occlusion.
Differential Diagnoses: Cerumen impaction, foreign object, tumors.
Vision Screening in <1 year old. ANSWER - As part of each well-child visit, eye
health, vision development, and alignment of the eyes should be checked.
Findings that merit watchful waiting: Chemical conjunctivitis in neonates
Referral considering age of patient: Eye alignment, not making eye contact
Tympanogram results. ANSWER - Tympanometry measures the capacity of the
middle ear to transfer sound energy.
What do they indicate:
Type A: Normal Tympanogram is shaped like a tent
Type B: Abnormal; needs medical attention (flat)
, Type C: Almost normal but not right (may be too peaked);refers to a middle ear with
negative pressure. A child with this type of tympanogram should be monitored and
may need medical attention. Such a tympanogram may be caused by retraction of the
eardrum or blockage of the Eustachian tube.
Group A hemolytic strep. ANSWER - Illnesses it can cause: Strep throat, Rheumatic
Fever, Scarlet Fever, Post-Streptococcal Glomerularnephritis. It is spread by nasal
or oral secretions and the incubation period of 2-5 days.
Presentation: often pharyngitis is the very first symptom. Suspect Group A strep if:
Sudden-onset of sore throat
Odynophagia
Fever
Evaluation:
Pharyngeal and tonsillar erythema
Tonsillar hypertrophy with or without exudates
Palatal petechiae
Anterior cervical lymphadenopathy
Scarlatiniform rash
Diagnosis:
The diagnosis of group A strep pharyngitis is confirmed by either a rapid antigen
detection test (RADT) or a throat culture.
Treatment:Penicillin or amoxicillin is the antibiotic of choice to treat group A strep
pharyngitis.
Management of Allergic Rhinitis. ANSWER - Allergic rhinitis: inflammation of the
nasal membranes in response to known or unknown allergens
Answers the Latest Update.
Already Graded A+
QUESTIONS AND ANSWERS
Hearing Loss in the elderly. ANSWER - Conductive- usually caused by problems in
the external or middle ear that interfere with transmitting sound and its conversion
to mechanical vibrations (IE Cerumen impaction, perforated membrane)
Sensoineural- involves problems converting mechanical vibrations to electrical
potential in the cochlea and/or in auditory nerve transmission to the brain. It is
usually caused by permanent damage in the organ of Corti. (Age related hearing loss;
noise trauma)
Hearing Loss in the elderly. ANSWER - Affects 60-80% of 70 yr +. Start with
Whisper and Rinne tests. Refer patients for Adiometric testing if there is no obvious
occlusion.
Differential Diagnoses: Cerumen impaction, foreign object, tumors.
Vision Screening in <1 year old. ANSWER - As part of each well-child visit, eye
health, vision development, and alignment of the eyes should be checked.
Findings that merit watchful waiting: Chemical conjunctivitis in neonates
Referral considering age of patient: Eye alignment, not making eye contact
Tympanogram results. ANSWER - Tympanometry measures the capacity of the
middle ear to transfer sound energy.
What do they indicate:
Type A: Normal Tympanogram is shaped like a tent
Type B: Abnormal; needs medical attention (flat)
, Type C: Almost normal but not right (may be too peaked);refers to a middle ear with
negative pressure. A child with this type of tympanogram should be monitored and
may need medical attention. Such a tympanogram may be caused by retraction of the
eardrum or blockage of the Eustachian tube.
Group A hemolytic strep. ANSWER - Illnesses it can cause: Strep throat, Rheumatic
Fever, Scarlet Fever, Post-Streptococcal Glomerularnephritis. It is spread by nasal
or oral secretions and the incubation period of 2-5 days.
Presentation: often pharyngitis is the very first symptom. Suspect Group A strep if:
Sudden-onset of sore throat
Odynophagia
Fever
Evaluation:
Pharyngeal and tonsillar erythema
Tonsillar hypertrophy with or without exudates
Palatal petechiae
Anterior cervical lymphadenopathy
Scarlatiniform rash
Diagnosis:
The diagnosis of group A strep pharyngitis is confirmed by either a rapid antigen
detection test (RADT) or a throat culture.
Treatment:Penicillin or amoxicillin is the antibiotic of choice to treat group A strep
pharyngitis.
Management of Allergic Rhinitis. ANSWER - Allergic rhinitis: inflammation of the
nasal membranes in response to known or unknown allergens
