NURS 652 - Module 1-2: Think like an FNP & HEENT
Questions With Complete Solutions
Ptosis is commonly the first sign of:
A. Stevens-Johnson syndrome
B. Hyperthyroidism
C. Temporal arteritis
D. Myasthenia gravis
ANS: D
Ptosis, or drooping of an eyelid, can be related to simple aging,
with natural loss of elasticity and lid drooping, or it can result
from a variety of other causes. The causes of ptosis are often
categorized as congenital and acquired.
Causes occurring after birth include trauma, conditions adding
mass to the eyelid, and conditions that affect the nerves or
muscles controlling the lid's position. In 75% of the cases, the
first manifestation of myasthenia gravis is ptosis.
A 9-month-old patient presents with fever and large areas of
redness and bullae over the trunk, palms, legs, and sole of
the feet. There is redness and swelling of the conjunctiva and
lips. The clinician should recognize this condition as:
,A. Giant cell arteritis
B. Stevens-Johnson syndrome
C. Botulism
D. Myasthenia gravis
ANS: B
Stevens-Johnson syndrome, also called erythema multiforme,
involves inflammation of the mucous membranes and skin. It is
often related to an infection or can be due to almost any
medication. Often, no specific cause is identified. The condition
can be fatal. It is important to immediately recognize and treat.
The patient appears acutely ill and has systemic symptoms:
malaise
fever
arthralgias
Conjunctival bullae and ulcerations may develop. Patients
develop erythematous lesions and bullae over the skin and
hemorrhagic lesions of the mucous membranes.
In addition to the eye tissue, the palms, soles, anus, vagina, nose,
and mouth are commonly affected.
,In assessing the eyes, which of the following is considered a
"red flag" finding when associated with eye redness?
A. History of prior red-eye episodes
B. Grossly visible corneal defect
C. Exophthalmos
D. Photophobia
ANS: B
Red flag warnings for eye redness include pain (not discomfort
or irritation), decreased vision, profuse discharge, and corneal
defect grossly visible.
Upon physical examination of a 1-year-old patient, you
note abnormal placement of the ears, hypertelorism, and
strabismus. These are often signs of:
A. Genetic conditions
B. Deafness
C. Birth injury
D. Physical abuse
, ANS: A
Facial dysmorphism often indicates:
a genetic disorder. These features include:
-microcephal
-brachycephaly
-hypertelorism
-upslanting palpebral fissures
-strabismus
-broad nasal bridge
-wide anterior fontanalle
-anteverted nares
-high arched palate
-microretrognathia
-low-set dysmorphic ears
-short neck.
A patient presents to the emergency department due to head
trauma related to a motorcycle accident. On physical
examination, you note clear, serous discharge from the ear.
This is commonly a sign of:
A. Basilar skull fracture
B. Injury of the auricle
C. Otitis discharge
Questions With Complete Solutions
Ptosis is commonly the first sign of:
A. Stevens-Johnson syndrome
B. Hyperthyroidism
C. Temporal arteritis
D. Myasthenia gravis
ANS: D
Ptosis, or drooping of an eyelid, can be related to simple aging,
with natural loss of elasticity and lid drooping, or it can result
from a variety of other causes. The causes of ptosis are often
categorized as congenital and acquired.
Causes occurring after birth include trauma, conditions adding
mass to the eyelid, and conditions that affect the nerves or
muscles controlling the lid's position. In 75% of the cases, the
first manifestation of myasthenia gravis is ptosis.
A 9-month-old patient presents with fever and large areas of
redness and bullae over the trunk, palms, legs, and sole of
the feet. There is redness and swelling of the conjunctiva and
lips. The clinician should recognize this condition as:
,A. Giant cell arteritis
B. Stevens-Johnson syndrome
C. Botulism
D. Myasthenia gravis
ANS: B
Stevens-Johnson syndrome, also called erythema multiforme,
involves inflammation of the mucous membranes and skin. It is
often related to an infection or can be due to almost any
medication. Often, no specific cause is identified. The condition
can be fatal. It is important to immediately recognize and treat.
The patient appears acutely ill and has systemic symptoms:
malaise
fever
arthralgias
Conjunctival bullae and ulcerations may develop. Patients
develop erythematous lesions and bullae over the skin and
hemorrhagic lesions of the mucous membranes.
In addition to the eye tissue, the palms, soles, anus, vagina, nose,
and mouth are commonly affected.
,In assessing the eyes, which of the following is considered a
"red flag" finding when associated with eye redness?
A. History of prior red-eye episodes
B. Grossly visible corneal defect
C. Exophthalmos
D. Photophobia
ANS: B
Red flag warnings for eye redness include pain (not discomfort
or irritation), decreased vision, profuse discharge, and corneal
defect grossly visible.
Upon physical examination of a 1-year-old patient, you
note abnormal placement of the ears, hypertelorism, and
strabismus. These are often signs of:
A. Genetic conditions
B. Deafness
C. Birth injury
D. Physical abuse
, ANS: A
Facial dysmorphism often indicates:
a genetic disorder. These features include:
-microcephal
-brachycephaly
-hypertelorism
-upslanting palpebral fissures
-strabismus
-broad nasal bridge
-wide anterior fontanalle
-anteverted nares
-high arched palate
-microretrognathia
-low-set dysmorphic ears
-short neck.
A patient presents to the emergency department due to head
trauma related to a motorcycle accident. On physical
examination, you note clear, serous discharge from the ear.
This is commonly a sign of:
A. Basilar skull fracture
B. Injury of the auricle
C. Otitis discharge
