N675 Practice Quizzes with correct answers
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A patient reports a sudden onset of sore throat, fever, malaise,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and cough. The provider notes mild erythema of the pharynx and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clear rhinorrhea without cervical lymphadenopathy. What is the
|\ |\ |\ |\ |\ |\ |\ |\ |\
most likely cause of these symptoms? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Viral pharyngitis |\
What are factors associated with acute suppurative parotitis?
|\ |\ |\ |\ |\ |\ |\ |\
(Select all that apply.) - CORRECT ANSWERS ✔✔Anticholinergic
|\ |\ |\ |\ |\ |\ |\ |\
medications
|\
Diabetes mellitus |\
Group A strep pharyngitis: - CORRECT ANSWERS ✔✔Can be
|\ |\ |\ |\ |\ |\ |\ |\ |\
accompanied by abdominal pain |\ |\ |\
A 61 year old male presents with a 12 hour history of extremely
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
painful left red eye. The patient complains of blurred vision, halos
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
around lights, and vomiting. It began yesterday evening. On
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
exam, the eye is red, tender and inflamed. The cornea is hazy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and pupil reacts poorly to light. The most likely diagnosis in this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient is: - CORRECT ANSWERS ✔✔Acute angle glaucoma
|\ |\ |\ |\ |\ |\ |\
A patient has an initial episode otitis external associated with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
swimming. The patient's ear canal is mildly inflamed and the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tympanic membrane is not involved. Which medication will be
|\ |\ |\ |\ |\ |\ |\ |\ |\
ordered? - CORRECT ANSWERS ✔✔Cipro HC |\ |\ |\ |\ |\
,Which physical examination finding suggests viral rather than
|\ |\ |\ |\ |\ |\ |\ |\
bacterial parotitis? - CORRECT ANSWERS ✔✔Clear discharge from
|\ |\ |\ |\ |\ |\ |\
Stensen's duct
|\ |\
A patient presents with findings of pain, warmth, redness, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
swelling below the inner canthus toward nose. Tearing is present
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and when pressure is applied to the lacrimal sac, purulent
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
discharge from the puncta is noted. This is suggestive of: -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Dacryocystitis |\ |\
Pt has painful oral lesions and the provider notes several white
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
verrucous lesions in clusters throughout the mouth. What is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recommended treatment for this? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\
✔✔Surgical incision. |\
A Pt is concerned about frequent nasal stuffiness and congestions
|\ |\ |\ |\ |\ |\ |\ |\ |\
that begins shortly after getting out of bed in the morning. Pt
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
denies itching, sneezing. A physical exam reveals erythematous
|\ |\ |\ |\ |\ |\ |\ |\
nasal mucosa with scant watery discharge. What treatment will
|\ |\ |\ |\ |\ |\ |\ |\ |\
the provider recommend? - CORRECT ANSWERS ✔✔Daily
|\ |\ |\ |\ |\ |\ |\
intranasal steroid. |\
A pediatric Pt has otalgia, fever 38.8C & recent h/o of URI. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
examiner is unable to visualize the tympanic membrane in the Rt
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ear b/c of cerumen in the ear canal. The Lt ear tympanic is dull
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gray w/ fluid present. What is correct course of action? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Remove cerumen & visualize tympanic |\ |\ |\ |\ |\ |\ |\
membrane.
,A 70 yr old male Pt c/o a bright red spot that has been present
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on his Lt eye for 2 days. He denies eye pain, or visual changes or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
HA's. He has new onset of cough from recent UPR & he takes 1
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ASA a day. - CORRECT ANSWERS ✔✔Advise the Pt that the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
condition is benign and will resolve spontaneously. This question
|\ |\ |\ |\ |\ |\ |\ |\ |\
was on both practice quizzes.
|\ |\ |\ |\
During an eye exam of 50-year-old with HTN, Pt c/o severe HA.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The borders of the disc margins on both eyes are blurred. What is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the name of this clinical finding? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Papilledema
Child is hit w/ baseball bat during game & sustains injury to nose
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
along w/ transient loss of consciousness. A healthcare provider at
|\ |\ |\ |\ |\ |\ |\ |\ |\
the game notes bleeding from nose & displacement of septum.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
What is the most important intervention at this time? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Immobilize the child's head and call 911. |\ |\ |\ |\ |\ |\ |\
A Pt has nasal congestion, fever, purulent nasal d/c, HA, fever &
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pain and begins treatment with Amox-Clav. At f/u 10-days later,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Pt still has purulent d/c, congestion & pain but no fever. What is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
next course of action? - CORRECT ANSWERS ✔✔2nd course of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Amox-Clav.
A Pt has recurrent epistaxis without signs of localized irritation.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which lab tests may be performed at this time to evaluate his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
condition? - CORRECT ANSWERS ✔✔PT, PTT, PT/INR, CBC |\ |\ |\ |\ |\ |\ |\ |\
Platelets.
, A 32-yr-old is newly dx DM, She has developed a sinus infection.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
She has had symptoms for 10 days. 6-weeks ago she got
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
amoxicillin for URI. It was cleared up without incident. What's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
next? - CORRECT ANSWERS ✔✔Prescribe Amoxicillin-Clavulanate
|\ |\ |\ |\ |\ |\
today.
Swimmer's ear question on practice test - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Prescribe Cipro HC |\ |\
A Pt reports severe episodes of vertigo with some lasting up to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
an hour, the episodes are associated with nausea & vomiting.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
What is part of the initial diagnostic workup? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Audiogram & MRI. |\ |\ |\
A Pt reports a feeling of fullness & pain in both ears & the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
practitioner elicits pain when manipulating the external ear |\ |\ |\ |\ |\ |\ |\ |\
structures. What is likely diagnosis? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\
✔✔Acute otitis externa. |\ |\
During a routine physical exam a provider notes a shiny irregular
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
painless lesion on top of one ear auricle & suspects skin cancer.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
What will the the provider tell the patient about this lesion? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔A biopsy should be performed. |\ |\ |\ |\ |\ |\
Which symptoms in children are evaluated using a parent-
|\ |\ |\ |\ |\ |\ |\ |\
reported scoring system to determine the severity of pain in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
children with otitis media? - CORRECT ANSWERS ✔✔Tugging on
|\ |\ |\ |\ |\ |\ |\ |\ |\
ears, difficulty sleeping, and appetite.
|\ |\ |\ |\
|\ |\ |\ |\ |\
A patient reports a sudden onset of sore throat, fever, malaise,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and cough. The provider notes mild erythema of the pharynx and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clear rhinorrhea without cervical lymphadenopathy. What is the
|\ |\ |\ |\ |\ |\ |\ |\ |\
most likely cause of these symptoms? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Viral pharyngitis |\
What are factors associated with acute suppurative parotitis?
|\ |\ |\ |\ |\ |\ |\ |\
(Select all that apply.) - CORRECT ANSWERS ✔✔Anticholinergic
|\ |\ |\ |\ |\ |\ |\ |\
medications
|\
Diabetes mellitus |\
Group A strep pharyngitis: - CORRECT ANSWERS ✔✔Can be
|\ |\ |\ |\ |\ |\ |\ |\ |\
accompanied by abdominal pain |\ |\ |\
A 61 year old male presents with a 12 hour history of extremely
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
painful left red eye. The patient complains of blurred vision, halos
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
around lights, and vomiting. It began yesterday evening. On
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
exam, the eye is red, tender and inflamed. The cornea is hazy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and pupil reacts poorly to light. The most likely diagnosis in this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient is: - CORRECT ANSWERS ✔✔Acute angle glaucoma
|\ |\ |\ |\ |\ |\ |\
A patient has an initial episode otitis external associated with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
swimming. The patient's ear canal is mildly inflamed and the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tympanic membrane is not involved. Which medication will be
|\ |\ |\ |\ |\ |\ |\ |\ |\
ordered? - CORRECT ANSWERS ✔✔Cipro HC |\ |\ |\ |\ |\
,Which physical examination finding suggests viral rather than
|\ |\ |\ |\ |\ |\ |\ |\
bacterial parotitis? - CORRECT ANSWERS ✔✔Clear discharge from
|\ |\ |\ |\ |\ |\ |\
Stensen's duct
|\ |\
A patient presents with findings of pain, warmth, redness, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
swelling below the inner canthus toward nose. Tearing is present
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and when pressure is applied to the lacrimal sac, purulent
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
discharge from the puncta is noted. This is suggestive of: -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Dacryocystitis |\ |\
Pt has painful oral lesions and the provider notes several white
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
verrucous lesions in clusters throughout the mouth. What is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recommended treatment for this? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\
✔✔Surgical incision. |\
A Pt is concerned about frequent nasal stuffiness and congestions
|\ |\ |\ |\ |\ |\ |\ |\ |\
that begins shortly after getting out of bed in the morning. Pt
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
denies itching, sneezing. A physical exam reveals erythematous
|\ |\ |\ |\ |\ |\ |\ |\
nasal mucosa with scant watery discharge. What treatment will
|\ |\ |\ |\ |\ |\ |\ |\ |\
the provider recommend? - CORRECT ANSWERS ✔✔Daily
|\ |\ |\ |\ |\ |\ |\
intranasal steroid. |\
A pediatric Pt has otalgia, fever 38.8C & recent h/o of URI. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
examiner is unable to visualize the tympanic membrane in the Rt
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ear b/c of cerumen in the ear canal. The Lt ear tympanic is dull
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gray w/ fluid present. What is correct course of action? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Remove cerumen & visualize tympanic |\ |\ |\ |\ |\ |\ |\
membrane.
,A 70 yr old male Pt c/o a bright red spot that has been present
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on his Lt eye for 2 days. He denies eye pain, or visual changes or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
HA's. He has new onset of cough from recent UPR & he takes 1
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ASA a day. - CORRECT ANSWERS ✔✔Advise the Pt that the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
condition is benign and will resolve spontaneously. This question
|\ |\ |\ |\ |\ |\ |\ |\ |\
was on both practice quizzes.
|\ |\ |\ |\
During an eye exam of 50-year-old with HTN, Pt c/o severe HA.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The borders of the disc margins on both eyes are blurred. What is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the name of this clinical finding? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Papilledema
Child is hit w/ baseball bat during game & sustains injury to nose
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
along w/ transient loss of consciousness. A healthcare provider at
|\ |\ |\ |\ |\ |\ |\ |\ |\
the game notes bleeding from nose & displacement of septum.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
What is the most important intervention at this time? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Immobilize the child's head and call 911. |\ |\ |\ |\ |\ |\ |\
A Pt has nasal congestion, fever, purulent nasal d/c, HA, fever &
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pain and begins treatment with Amox-Clav. At f/u 10-days later,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Pt still has purulent d/c, congestion & pain but no fever. What is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
next course of action? - CORRECT ANSWERS ✔✔2nd course of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Amox-Clav.
A Pt has recurrent epistaxis without signs of localized irritation.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which lab tests may be performed at this time to evaluate his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
condition? - CORRECT ANSWERS ✔✔PT, PTT, PT/INR, CBC |\ |\ |\ |\ |\ |\ |\ |\
Platelets.
, A 32-yr-old is newly dx DM, She has developed a sinus infection.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
She has had symptoms for 10 days. 6-weeks ago she got
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
amoxicillin for URI. It was cleared up without incident. What's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
next? - CORRECT ANSWERS ✔✔Prescribe Amoxicillin-Clavulanate
|\ |\ |\ |\ |\ |\
today.
Swimmer's ear question on practice test - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Prescribe Cipro HC |\ |\
A Pt reports severe episodes of vertigo with some lasting up to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
an hour, the episodes are associated with nausea & vomiting.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
What is part of the initial diagnostic workup? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Audiogram & MRI. |\ |\ |\
A Pt reports a feeling of fullness & pain in both ears & the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
practitioner elicits pain when manipulating the external ear |\ |\ |\ |\ |\ |\ |\ |\
structures. What is likely diagnosis? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\
✔✔Acute otitis externa. |\ |\
During a routine physical exam a provider notes a shiny irregular
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
painless lesion on top of one ear auricle & suspects skin cancer.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
What will the the provider tell the patient about this lesion? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔A biopsy should be performed. |\ |\ |\ |\ |\ |\
Which symptoms in children are evaluated using a parent-
|\ |\ |\ |\ |\ |\ |\ |\
reported scoring system to determine the severity of pain in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
children with otitis media? - CORRECT ANSWERS ✔✔Tugging on
|\ |\ |\ |\ |\ |\ |\ |\ |\
ears, difficulty sleeping, and appetite.
|\ |\ |\ |\
