Maryville NURS 620 Adult 1 EXAM 1
if rapid strep test is negative what is the first thing you should do? Correct Answer- send out culture
when examining lab from a person with mono what would the NP expect to find? Correct Answer-
Lymphocytosis
EBV is transmitted through which route? Correct Answer- oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? Correct Answer- 30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to avoid
Correct Answer- beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion with
induration what do you suspect Correct Answer- oral cancer
which vision sx is common in open angel glaucoma Correct Answer- peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step Correct Answer-
refer to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid Correct Answer- Hordeolum (stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling on the
eyelid Correct Answer- Chalazion
what maneuver can be performed to help manage sx of vertigo? Correct Answer- Epley maneuver
What can help diagnose vertigo Correct Answer- Dix-Hallpack test
, A pt is started on antibiotics for strep a few days later the mono spot comes back positive what is the
first thing to do? Correct Answer- discontinue antibiotics
peripheral vision loss that has worsened over the last few months Correct Answer- open-angle glaucoma
(peripheral loss over time)
Risk factor for otitis externa? Correct Answer- Exposure to water, excessive use of headphones, Q-tips,
impacted cerumen and earplugs
Risk factor for otitis media? Correct Answer- Young children, allergies, craniofacial abnormalities,
smokers, hx of URI, acid reflux, immunodeficiency
A red flag for pt complaining of red eye? Correct Answer- severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with treatment failure
after 7 days of 1st line abx (PCN)? Correct Answer- Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore throat; exam
shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99, most appropriate
treatment plan Correct Answer- saline nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and red border Correct Answer-
canker sore
what symptoms are most indicative of mono Correct Answer- gradual onset of fatigue/malaise
POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad breath, swollen
puffy receding gums that are tender and bleed easily Correct Answer- gingivitis
toothache, bad breath, pus, fever, swollen lymph nodes Correct Answer- Dental abscess
if rapid strep test is negative what is the first thing you should do? Correct Answer- send out culture
when examining lab from a person with mono what would the NP expect to find? Correct Answer-
Lymphocytosis
EBV is transmitted through which route? Correct Answer- oral pharyngeal secretions (saliva)
Sx of mono usually present how many days after initially infected? Correct Answer- 30-50 days
if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to avoid
Correct Answer- beta-lactam
60 yr old concerned over a painless fixed oral sore on exam there is a white ulcerated lesion with
induration what do you suspect Correct Answer- oral cancer
which vision sx is common in open angel glaucoma Correct Answer- peripheral vision loss
pt presents with sudden vision changes with floaters and flashes, what is next step Correct Answer-
refer to eye dr (retinal detachment)
An acutely presenting, erythematous, tender lump within the eyelid Correct Answer- Hordeolum (stye)
A granulomatous infection of a Meibomian gland, presenting in the form of painless swelling on the
eyelid Correct Answer- Chalazion
what maneuver can be performed to help manage sx of vertigo? Correct Answer- Epley maneuver
What can help diagnose vertigo Correct Answer- Dix-Hallpack test
, A pt is started on antibiotics for strep a few days later the mono spot comes back positive what is the
first thing to do? Correct Answer- discontinue antibiotics
peripheral vision loss that has worsened over the last few months Correct Answer- open-angle glaucoma
(peripheral loss over time)
Risk factor for otitis externa? Correct Answer- Exposure to water, excessive use of headphones, Q-tips,
impacted cerumen and earplugs
Risk factor for otitis media? Correct Answer- Young children, allergies, craniofacial abnormalities,
smokers, hx of URI, acid reflux, immunodeficiency
A red flag for pt complaining of red eye? Correct Answer- severe headache
therapeutic option for acute rhino-sinusitis in pt with no recent antimicrobial care with treatment failure
after 7 days of 1st line abx (PCN)? Correct Answer- Doxycycline
previously healthy pt comes in with 3 days post nasal drainage, cough, sneezing, and sore throat; exam
shows pharyngeal erythema, pale swollen turbinates, clear rhinorrhea; T 99, most appropriate
treatment plan Correct Answer- saline nasal spray and clariton
painful ulcer in mouth that is round or oval with white or yellow center and red border Correct Answer-
canker sore
what symptoms are most indicative of mono Correct Answer- gradual onset of fatigue/malaise
POSTERIOR CERVICAL ADENOPATHY, fever and sore throat
excess salivation, necrotic ulceration with purulent gray exudate, bleeding gums, bad breath, swollen
puffy receding gums that are tender and bleed easily Correct Answer- gingivitis
toothache, bad breath, pus, fever, swollen lymph nodes Correct Answer- Dental abscess
