WGU D115 OA Study Guide Unit 3
1. Conductive hearing loss involves what part of the ear?: Middle ear
2. A potential complication of streptococcal pharyngitis that leads to
contralateral uvular deviation, asymmetric tonsillar hypertrophy, muffled
voice on exam but no stridor, drooling, or dyspnea or dysphagia is
recognized as what?: Peritonsillar abscess
3. A 64 year old woman presents to the office with complains of vision loss.
Funduscopic examination reveals cupping of the optic nerve. Which
action should you take?: Send the pt to the ER
4. A 39 year old female presents with complaints of sudden onset of blurry
vision. She states that she sees flashing lights and it sensation that she is
"looking through a curtain." Which dx finding would the NP expect to find
in this patient?: Hemoglobin A1C of 12 Retinal detachment is a potential
outcome of retinopathy of diabetes
5. A 16 year old presents to the urgent care clinic after a hard hit in football
practice. During the physical exam, the NP observes "battle's sign" and
immediately refers the patient to the ED. Which dx is the NP concerned
about?: Basal skull fx
6. A 4 year old male is brought into a clinic with complaints of fever and sore
throat for 2 days. the NP suspects a peritonsilar abscess and refers the pt
to the ED. Which finding is most consistent with this dx?: Fever, sore
throat, dysphagia, drooling, "hot potato" voice
7. A 40 year old female presents with complaints of soreness when eating
spicy foods. The NP observes that the patient has a "geographic tongue."
What would be the most appropriate for the patient's plan of care?: Tell pt
to rinse with salt water and avoid spicy food until s/s resolve
8. A 2 year old boy presents to the clinic with a fever. During the physical
exam the NP observes Koplik's spots inside of his buccal mucosa. Which
would be the most important to assess on the pt to aid in an appropriate
dx?: Vaccination status Koplik spots are seen with measles: small white spots
on a reddened background that occur on the inside of the cheeks
9. A 26 year old presents to a clinic with complaints of left eye pain. the NP
performs fluorescent dye staining which reveals fern-like lines in the
corneal surface. Which would be the most appropriate hx question to ask
the pt?: have you ever had a cold sore?
, WGU D115 OA Study Guide Unit 3
10. A 17 year old female was dx with angular cheilitis. She had tx failure
after a course of topical abx, topical steroids, moisture barrier creams,
and antifungals were rxed. What would be the most appropriate next step
in the pt's plan of care?: Check vitamin B12 levels Most common cause is a
fungal infection but can be from vitamin B12 deficiency and bacterial infections
11. Which finding is most consistent with acute otitis externa?: Pruritis and
hx of recent swimming Otitis externa is referred to as "swimmers ear"
12. A 15 year old male pt presents to the clinic with abd pain and fatigue,
and is dx with mono. Which is the most important part of this patient's
plan of care?: Avoid contact sports for up to 4 weeks
Splenomegaly is a complication of mono. Contact sports increase risk of spleen
rupturing
13. A 20 year old female reports a hx of "cold symptoms" for 12 days. Her
physical exam reveals unilateral facial pain and purulent nasal discharge.
Which dx are these findings consistent with?: Acute bacterial rhinosinusitis
S/S are facial pain or pressure, postnasal drip, nasal congestion, upper jaw or
tooth pain, nasal discharge, fever, cough
14. Inflammation and swelling of the 7th cranial nerve with resultant
unilateral facial muscle paralysis is called?: Bell's Palsy
Caused by virus, sudden onset of facial paralysis usually resolves within 2 weeks
15. The NP caring for a pt with a recent TIA understands that?: Long-term
antiplatelet therapy is likely indicated-aspirin or clopidrogrel (plavix)
16. A 22 yr old woman has a new onset of panic disorder. As part of her
clinical presentation, you expect to find all of the following except?: Hx of
thought disorder
thought disorders are like schizophrenia
17. The NP is providing care for a pt with PTSD. The NP anticipates that all
of the following will be report except: Poor recall of the precipitating event
1. Conductive hearing loss involves what part of the ear?: Middle ear
2. A potential complication of streptococcal pharyngitis that leads to
contralateral uvular deviation, asymmetric tonsillar hypertrophy, muffled
voice on exam but no stridor, drooling, or dyspnea or dysphagia is
recognized as what?: Peritonsillar abscess
3. A 64 year old woman presents to the office with complains of vision loss.
Funduscopic examination reveals cupping of the optic nerve. Which
action should you take?: Send the pt to the ER
4. A 39 year old female presents with complaints of sudden onset of blurry
vision. She states that she sees flashing lights and it sensation that she is
"looking through a curtain." Which dx finding would the NP expect to find
in this patient?: Hemoglobin A1C of 12 Retinal detachment is a potential
outcome of retinopathy of diabetes
5. A 16 year old presents to the urgent care clinic after a hard hit in football
practice. During the physical exam, the NP observes "battle's sign" and
immediately refers the patient to the ED. Which dx is the NP concerned
about?: Basal skull fx
6. A 4 year old male is brought into a clinic with complaints of fever and sore
throat for 2 days. the NP suspects a peritonsilar abscess and refers the pt
to the ED. Which finding is most consistent with this dx?: Fever, sore
throat, dysphagia, drooling, "hot potato" voice
7. A 40 year old female presents with complaints of soreness when eating
spicy foods. The NP observes that the patient has a "geographic tongue."
What would be the most appropriate for the patient's plan of care?: Tell pt
to rinse with salt water and avoid spicy food until s/s resolve
8. A 2 year old boy presents to the clinic with a fever. During the physical
exam the NP observes Koplik's spots inside of his buccal mucosa. Which
would be the most important to assess on the pt to aid in an appropriate
dx?: Vaccination status Koplik spots are seen with measles: small white spots
on a reddened background that occur on the inside of the cheeks
9. A 26 year old presents to a clinic with complaints of left eye pain. the NP
performs fluorescent dye staining which reveals fern-like lines in the
corneal surface. Which would be the most appropriate hx question to ask
the pt?: have you ever had a cold sore?
, WGU D115 OA Study Guide Unit 3
10. A 17 year old female was dx with angular cheilitis. She had tx failure
after a course of topical abx, topical steroids, moisture barrier creams,
and antifungals were rxed. What would be the most appropriate next step
in the pt's plan of care?: Check vitamin B12 levels Most common cause is a
fungal infection but can be from vitamin B12 deficiency and bacterial infections
11. Which finding is most consistent with acute otitis externa?: Pruritis and
hx of recent swimming Otitis externa is referred to as "swimmers ear"
12. A 15 year old male pt presents to the clinic with abd pain and fatigue,
and is dx with mono. Which is the most important part of this patient's
plan of care?: Avoid contact sports for up to 4 weeks
Splenomegaly is a complication of mono. Contact sports increase risk of spleen
rupturing
13. A 20 year old female reports a hx of "cold symptoms" for 12 days. Her
physical exam reveals unilateral facial pain and purulent nasal discharge.
Which dx are these findings consistent with?: Acute bacterial rhinosinusitis
S/S are facial pain or pressure, postnasal drip, nasal congestion, upper jaw or
tooth pain, nasal discharge, fever, cough
14. Inflammation and swelling of the 7th cranial nerve with resultant
unilateral facial muscle paralysis is called?: Bell's Palsy
Caused by virus, sudden onset of facial paralysis usually resolves within 2 weeks
15. The NP caring for a pt with a recent TIA understands that?: Long-term
antiplatelet therapy is likely indicated-aspirin or clopidrogrel (plavix)
16. A 22 yr old woman has a new onset of panic disorder. As part of her
clinical presentation, you expect to find all of the following except?: Hx of
thought disorder
thought disorders are like schizophrenia
17. The NP is providing care for a pt with PTSD. The NP anticipates that all
of the following will be report except: Poor recall of the precipitating event
