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M4 Dunphy Questions with Complete Solutions

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M4 Dunphy Questions with Complete Solutions Jonathan, age 19, has just been given a diagnosis of mononucleosis. Which of the following statements is true? Jonathan should avoid contact sports and heavy lifting Samantha, age 12, presents with ear pain. When you begin to assess her ear, you tug on her normal-appearing auricle, eliciting severe pain. This leads you to suspect: Otitis externa

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M4 Dunphy Questions with Complete
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Jonathan, age 19, has just been given a diagnosis of mononucleosis. Which of the following

statements is true? Jonathan should avoid contact sports and heavy lifting




Samantha, age 12, presents with ear pain. When you begin to assess her ear, you tug on her

normal-appearing auricle, eliciting severe pain. This leads you to suspect: Otitis externa




A 20-year-old male presents to your primary care clinic. This patient is a college student. He

complains of fatigue, sore throat, and low-grade fever for 3 days. On physical exam, he has a

temperature of 100.7°F. His ear exam is normal. His nose and throat exam shows mild erythema

of the nasal mucosa and edematous, enlarged tonsils bilaterally, with erythema of the pharyngeal

wall and tonsillar exudates. He has inflamed posterior cervical lymph nodes. He has a mild

nonproductive cough and clear lung exam. What is his most likely diagnosis?

Mononucleosis




What is the most common bacterial pathogen associated with acute otitis media?

Streptococcus pneumoniae

,Marlene, a 57-year-old cashier, comes to the clinic because she is unable to differentiate between

sharp and dull stimulation on both sides of her face. You suspect: A lesion affecting the

trigeminal nerve




Sally, age 19, presents with pain and pressure over her cheeks and discolored nasal discharge.

You cannot transilluminate the sinuses. You suspect which sinus to be affected? Maxillary

sinus




Mr. Johnson, age 69, has had Meniere disease for several years. He has some hearing loss but

now has persistent vertigo. What treatment might be instituted to relieve the vertigo? A

vestibular neurectomy




Cataracts are a common occurrence in patients over 60 years of age. You counsel your patient

that the best cure for cataracts is: Corrective lens surgery




Which of the following is not a complication of untreated group A streptococcal pharyngitis?

Hemolytic anemia

, Sharon, a 47-year-old bank teller, is seen by the nurse practitioner in the office for a red eye. You

are trying to decide between a diagnosis of conjunctivitis and iritis. One distinguishing

characteristic between the two is: A ciliary flush




Kathleen, age 54, has persistent pruritus of the external auditory canal. External otitis and

dermatological conditions, such as seborrheic dermatitis and psoriasis, have been ruled out. What

can you advise her to do? Apply mineral oil to counteract dryness




An 80-year-old woman comes in to the office with complaints of a rash on the left side of her

face that is blistered and painful and accompanied by left-sided eye pain. The rash broke out 2

days ago, and she remembers being very tired and feeling feverish for a week before the rash

appeared. On examination, the rash follows the trigeminal nerve on the left, and she has some

scleral injection and tearing. You suspect herpes zoster ophthalmicus. Based on what you know

to be complications of this disease, you explain to her that she needs: Ophthalmological

consultation




Ellen, a 56-year-old social worker, is seen by the nurse practitioner for complaints of fever; left-

sided facial pain; moderate amounts of purulent, malodorous nasal discharge; and pain and

headache when bending forward. The symptoms have been occurring for approximately 6 days.

On physical assessment, there is marked redness and swelling of the nasal passages and

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Subido en
27 de marzo de 2025
Número de páginas
16
Escrito en
2024/2025
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