NR576 / NR 576 Final Exam (2024 / 2025 Newly Updated): Differential Diagnosis in Adult-Gerontology Primary Care | Guide with Verified Answers - Chamberlain

Final Exam: NR576 / NR 576 Differential Diagnosis in Adult-Gerontology Primary Care Exam Review| Guide with Verified Answers (2024 / 2025 Newly Updated) Q: What is sensorineural hearing loss Answer: Results from deterioration of cochlea -Loss of hair cells form the organ of Corti -Gradual and progressive -Not correctable but preventable Q: What is conductive hearing loss Answer: Obstruction between middle and outer ear -Most types are reversible Q: Triad symptoms associated with Meniere's disease Answer: Sensory disorder of labyrinth (semi-circular canal system) and cochlea -S/S: -Vertigo -Hearing loss -Tinnitus Q: Symptoms associated with peritonsillar abscess Answer: Increasing unilateral ear and throat pain ipsilateral to the affected tonsil -Dysphagia -Drooling -Trismus -Erythema -Edema of the soft palate with fluctuance on palpation Q: Most common cause of viral pharyngitis Answer: Adenovirus: MOST common -RSV -Influenza A&B -Epstein-Barr -coxsackie -enteroviruses -herpes simplex Q: Most common cause of acute N/V Answer: Gastroenteritis Q: The importance of obtaining an abdominal xray to rule out perforation or obstruction even though the diagnosis of diverticulitis can be made clinically Answer: Abdominal xray films should be obtained on all patients with suspected diverticulitis to look for free air (indicating perforation), ileus, or obstruction Q: Discuss colon cancer screening recommendations relative to certain populations Answer: Anyone over age 50 should have a routine c-scope -African American's should start screenings at age 40 -Individuals with a single first-degree relative with CRC or advanced adenomas diagnosed at age ≥60 years can be screened like average-risk persons. **Red flag symptoms should be sent to GI - unintentional weight loss, rectal bleeding, diffuse lower abdomen pain, new onset diarrhea/constipation, early satiety, loss of appetite Q: Identify at least two disorders that are considered to be disorders related to conductive hearing loss Answer: -Chronic Otitis Media (OM) -middle ear effusion -mass -vascular anomaly -cholesteatoma - abnormal noncancerous skin growth in ear canal Q: Identify the most common bacterial cause of pharyngitis Answer: -Group A Beta Hemolytic Streptococcus (GABHS) -Absence of cough -Tonsillar exudates -History of fever -Tender anterior cervical adenopathy Q: Identify the clinical findings associated with mononucleosis Answer: -Fever -Malaise -Severe sore throat -Exudative tonsillitis (50% of cases) -Palatal petchiae -Rash -Anterior/posterior cervical lymphadenopathy -Splenic enlargement -POC Monospot test: (+) Q: Identify common characteristics in a rash caused be Group A Strep Answer: Sandpaper rash Fine, red, sparing hands & soles Q: Discuss that the diagnosis of streptococcal pharyngitis can be made clinically based on the Centor criteria Answer: -Absence of cough -Tonsillar exudates -History of fever -Tender anterior cervical adenopathy