Nurs 5433 Family 2: Module 1 - EENT Questions
with Detailed Verified Answers
What are the 3 most common causative organisms for bacterial conjunctivitis? Ans:
Strep pneumoniae, Haemophilus influenzae, Staphylococcus aureus
A 19 year old presents with a complaint of bilaterally itchy, red eyes with tearing that
occurs intermittently throughout the year and is often accompanied by a rope like eye
discharge and clear nasal discharge. This is most consistent with what diagnosis? Ans:
allergic conjunctivitis
Treatment for allergic conjunctivitis Ans: Corticosteroid ophthalmic drops
Treatment for viral conjunctivitis Ans: no drops needed
Common cause of anterior epistaxis Ans: localized nasal mucosa trauma
1st line intervention for epistaxis Ans: Firm pressure to the area superior to the nasal
alar cartilage
Ms Murphy is a 58 year old woman presenting with a sudden left sided headache that is
most painful in her left eye. Her vision is blurred, and the left pupil is slightly dilated
and poorly reactive. The left conjunctiva is markedly injected, and the eyeball is firm.
Vision screen with the Snellen chart is 20/30 OD; and 20/90 OS. What is the most
likely diagnosis? Ans: angle-closure glaucoma
Mrs. Allen is a 67 year old female with type 2 DM who complains of seeing flashing
lights and floaters, decreased visual acuity, and metamorphopsia in her left eye. What is
the most likely diagnosis? Ans: Retinal detachment
Which of the following is most likely to be found on the funduscopic exam in a patient
with untreated POAG? Ans: excessive cupping of the optic disk
A 22 year old female presents with a "pimple" on her right eyelid. Exam reveals a 2mm
pustule on the lateral border of the right eyelid margin. What is this most consistent
with? Ans: Hordeolum
,A 22 year old female presents with a 'bump" on her right eyelid. Exam reveals a 2 mm
hard, nontender swelling on the lateral border of the right eyelid margin. What is this
most consistent with? Ans: chalazion
What is an independent risk factor for oral cancer? Ans: human papillomavirus type 16
What are top 3 causative pathogens for otitis externa? Ans: Pseudomonas aeruginosa,
proteus Enterobacteriaceae, and staph aureus
What is an appropriate antibiotic therapy for otitis externa with accompanying cellulitis
suitable for outpatient therapy? Ans: fluoroquinolone
What are the top 3 causative pathogens for otitis media? Ans: Strep pneumoniae,
haemophilus influenzae, moraxella catarrhalis
What is expected finding in AOM? Ans: Tympanic membrane immobility
A 25 year old patient has a 3 day hx of left ear pain that began after one week of URI
symptoms. On physical exam, you find that she has AOM. She is allergic to PCN with a
flat pink rash only. She took an oral antimicrobial for the tx of a UTI 2 weeks ago.
What is the most appropriate oral antimicrobial option for this patient? Ans:
cefpodoxime
Drug resistant S. Pneumoniae is least likely to exhibit resistance to which of the
following microbial classes? Ans: respiratory fluoroquinolones
What are characteristics of M catarrhalis? H. Influenzae? S. pneumoniae? Ans: -M cat:
high rate of beta-lactamase production
-H flu: some isolates exhibit antimicrobial resistance via production of beta-lactamase
-S. pneumo: mechanism of antimicrobial resistance usually via altered protein-binding
sites held within the microbe's cell
What are treatment options for streptococcal pharyngitis for a patient with PCN
allergy? Ans: -azithromycin
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, -Clarithromycin
-Clindamycin
What are the possible complications of GAS(Group A Streptococcus)? Ans:
Glomerulonephritis, rheumatic fever
What are the symptoms of Rheumatic Fever? Ans: Carditis and arthritis
The rash associated with scarlet fever typically occurs how long after the start of the
symptomatic infection? Ans: 2 days
How do decongestants work? Ans: vasoconstriction
Which of the following medications is most appropriate for allergic rhinitis therapy in
an acutely symptomatic 24 year old machine operator? Ans: Loratadine(Claritin)
According to Global Resources in Allergy (GLORIA) guidelines, what is recommended
for intervention in persistent allergic conjunctivitis? Ans: Topical mast cell stabilizer
with a topical antihistamine
What s/s is most consistent with the diagnosis of acute bacerial rhinosinusitis (ABRS)?
Ans: Upper respiratory tract infection symptoms persisting beyond 7-10 days
What is most common causative pathogen for bacerial rhinosinusitis (ABRS)? Ans:
strep pneumoniae
Blepharitis patho Ans: -inflammation of the eyelid
-nonulcerative causes: psoriasis seborrhea, eczema, allergies, lice, trisomy 21, chemical
or environmental irritants, eye makeup, and contact lenses
-ulcerative causes: lash follicle in meibomian glands of eyelid, pustules at base of hair
follicles that crust and bleed, lashes become thick and break easily
© Get it right 2025 Getaway - Stuvia US All rights reserved
with Detailed Verified Answers
What are the 3 most common causative organisms for bacterial conjunctivitis? Ans:
Strep pneumoniae, Haemophilus influenzae, Staphylococcus aureus
A 19 year old presents with a complaint of bilaterally itchy, red eyes with tearing that
occurs intermittently throughout the year and is often accompanied by a rope like eye
discharge and clear nasal discharge. This is most consistent with what diagnosis? Ans:
allergic conjunctivitis
Treatment for allergic conjunctivitis Ans: Corticosteroid ophthalmic drops
Treatment for viral conjunctivitis Ans: no drops needed
Common cause of anterior epistaxis Ans: localized nasal mucosa trauma
1st line intervention for epistaxis Ans: Firm pressure to the area superior to the nasal
alar cartilage
Ms Murphy is a 58 year old woman presenting with a sudden left sided headache that is
most painful in her left eye. Her vision is blurred, and the left pupil is slightly dilated
and poorly reactive. The left conjunctiva is markedly injected, and the eyeball is firm.
Vision screen with the Snellen chart is 20/30 OD; and 20/90 OS. What is the most
likely diagnosis? Ans: angle-closure glaucoma
Mrs. Allen is a 67 year old female with type 2 DM who complains of seeing flashing
lights and floaters, decreased visual acuity, and metamorphopsia in her left eye. What is
the most likely diagnosis? Ans: Retinal detachment
Which of the following is most likely to be found on the funduscopic exam in a patient
with untreated POAG? Ans: excessive cupping of the optic disk
A 22 year old female presents with a "pimple" on her right eyelid. Exam reveals a 2mm
pustule on the lateral border of the right eyelid margin. What is this most consistent
with? Ans: Hordeolum
,A 22 year old female presents with a 'bump" on her right eyelid. Exam reveals a 2 mm
hard, nontender swelling on the lateral border of the right eyelid margin. What is this
most consistent with? Ans: chalazion
What is an independent risk factor for oral cancer? Ans: human papillomavirus type 16
What are top 3 causative pathogens for otitis externa? Ans: Pseudomonas aeruginosa,
proteus Enterobacteriaceae, and staph aureus
What is an appropriate antibiotic therapy for otitis externa with accompanying cellulitis
suitable for outpatient therapy? Ans: fluoroquinolone
What are the top 3 causative pathogens for otitis media? Ans: Strep pneumoniae,
haemophilus influenzae, moraxella catarrhalis
What is expected finding in AOM? Ans: Tympanic membrane immobility
A 25 year old patient has a 3 day hx of left ear pain that began after one week of URI
symptoms. On physical exam, you find that she has AOM. She is allergic to PCN with a
flat pink rash only. She took an oral antimicrobial for the tx of a UTI 2 weeks ago.
What is the most appropriate oral antimicrobial option for this patient? Ans:
cefpodoxime
Drug resistant S. Pneumoniae is least likely to exhibit resistance to which of the
following microbial classes? Ans: respiratory fluoroquinolones
What are characteristics of M catarrhalis? H. Influenzae? S. pneumoniae? Ans: -M cat:
high rate of beta-lactamase production
-H flu: some isolates exhibit antimicrobial resistance via production of beta-lactamase
-S. pneumo: mechanism of antimicrobial resistance usually via altered protein-binding
sites held within the microbe's cell
What are treatment options for streptococcal pharyngitis for a patient with PCN
allergy? Ans: -azithromycin
© Get it right 2025 Getaway - Stuvia US All rights reserved
, -Clarithromycin
-Clindamycin
What are the possible complications of GAS(Group A Streptococcus)? Ans:
Glomerulonephritis, rheumatic fever
What are the symptoms of Rheumatic Fever? Ans: Carditis and arthritis
The rash associated with scarlet fever typically occurs how long after the start of the
symptomatic infection? Ans: 2 days
How do decongestants work? Ans: vasoconstriction
Which of the following medications is most appropriate for allergic rhinitis therapy in
an acutely symptomatic 24 year old machine operator? Ans: Loratadine(Claritin)
According to Global Resources in Allergy (GLORIA) guidelines, what is recommended
for intervention in persistent allergic conjunctivitis? Ans: Topical mast cell stabilizer
with a topical antihistamine
What s/s is most consistent with the diagnosis of acute bacerial rhinosinusitis (ABRS)?
Ans: Upper respiratory tract infection symptoms persisting beyond 7-10 days
What is most common causative pathogen for bacerial rhinosinusitis (ABRS)? Ans:
strep pneumoniae
Blepharitis patho Ans: -inflammation of the eyelid
-nonulcerative causes: psoriasis seborrhea, eczema, allergies, lice, trisomy 21, chemical
or environmental irritants, eye makeup, and contact lenses
-ulcerative causes: lash follicle in meibomian glands of eyelid, pustules at base of hair
follicles that crust and bleed, lashes become thick and break easily
© Get it right 2025 Getaway - Stuvia US All rights reserved
