N675 Exam Ques ons and answers Latest 2025/2026
New!! 100% PASS
A pa ent 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? - Ans Viral pharyngi s
What are factors associated with acute suppura ve paro s? (Select all that apply.) - Ans
An cholinergic medica ons
Diabetes mellitus
Group A strep pharyngi s: - Ans Can be accompanied by abdominal pain
A 61 year old male presents with a 12 hour history of extremely painful le, red eye. The pa ent
complains of blurred vision, halos around lights, and vomi ng. 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 pa ent is: - Ans Acute angle glaucoma
A pa ent has an ini al episode o s external associated with swimming. The pa ent's ear
canal is mildly inflamed and the tympanic membrane is not involved. Which medica on will be
ordered? - Ans Cipro HC
Which physical examina on finding suggests viral rather than bacterial paro s? - Ans Clear
discharge from Stensen's duct
A pa ent 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 sugges ve of: - Ans Dacryocys s
, 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? - Ans Surgical incision.
A Pt is concerned about frequent nasal stuffiness and conges ons that begins shortly a,er
ge7ng 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? - Ans 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 ac on? - Ans 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. - Ans Advise the Pt that the condi on is benign and will resolve
spontaneously. This ques on was on both prac ce 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? - Ans 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 interven on at this me? - Ans Immobilize the child's
head and call 911.
A Pt has nasal conges on, fever, purulent nasal d/c, HA, fever & pain and begins treatment with
Amox-Clav. At f/u 10-days later, Pt s ll has purulent d/c, conges on & pain but no fever. What is
next course of ac on? - Ans 2nd course of Amox-Clav.
,A Pt has recurrent epistaxis without signs of localized irrita on. Which lab tests may be
performed at this me to evaluate his condi on? - Ans PT, PTT, PT/INR, CBC Platelets.
A 32-yr-old is newly dx DM, She has developed a sinus infec on. She has had symptoms for 10
days. 6-weeks ago she got amoxicillin for URI. It was cleared up without incident. What's next? -
Ans Prescribe Amoxicillin-Clavulanate today.
Swimmer's ear ques on on prac ce test - Ans Prescribe Cipro HC
A Pt reports severe episodes of ver go with some las ng up to an hour, the episodes are
associated with nausea & vomi ng. What is part of the ini al diagnos c workup? - Ans
Audiogram & MRI.
A Pt reports a feeling of fullness & pain in both ears & the prac oner elicits pain when
manipula ng the external ear structures. What is likely diagnosis? - Ans Acute o s externa.
During a rou ne 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 pa ent about this lesion? -
Ans 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 o s media? - Ans Tugging on ears, difficulty
sleeping, and appe te.
A 70 year old male has a yellowish, triangular nodule near the iris this is probably a - Ans
pinguecula.
A 20 year old make of hispanic descent who reports a history of cold that resolved 2 weeks ago
except for a dry cough and pain over right cheek that worsens when he bends down. The
, pa ent denies fever. The Pt tells you he is very allergic to keflex, and erythromycin. VSS except
temp is 99.2 F. - Ans Acute sinusi s.
During rou ne physical exam of an elderly woman, a triangular thickening of the bulbar
conjunc va on the temporal side is noted to be encroaching on the cornea. She denies any eye
pain or visual changes. Which of the following is most likely? - Ans Pterygium.
Previous quiz ques on about 32 diabe c pa ent w/ sinus infec on. - Ans Prescribe
Amoxicillin-Clavulanate today. Ra onale: Amoxicillin is not indicated when a beta-lactamase
producing organism and suspected, this is the case as pa ent took an bio cs 6 weeks ago.
Amoxicillin-clavulanate is a good choice as it covers a beta-lactamase producers. And bacteria
e ology is suspected as symptoms have persisted for 10 days. A decongestant can be added,
however this does not subs tute an bio cs in this case
A 12-year-old complains of itching in his right ear and pain when the pinna is pulled or the
tragus is pushed. Examina on reveals slight redness in the ear canal with a clear odorless fluid.
This is sugges ve of: - Ans O s Externa.
A pa ent reports a feeling of fullness and pain in both ears and the prac oner elicits exquisite
pain when manipula ng the external ear structures. What is the likely diagnosis? - Ans Acute
O s Externa
A pa ent has painful oral lesions and the provider notes several white, verrucous lesions in
clusters throughout the mouth. What is the recommended treatment for this pa ent? - Ans
Surgical excision
A pa ent reports ear pain a,er being hit in the head with a baseball. The provider notes a large
perforated tympanic membrane. What is the recommended treatment? - Ans Refer pa ent to
an otolaryngologist for evalua on
New!! 100% PASS
A pa ent 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? - Ans Viral pharyngi s
What are factors associated with acute suppura ve paro s? (Select all that apply.) - Ans
An cholinergic medica ons
Diabetes mellitus
Group A strep pharyngi s: - Ans Can be accompanied by abdominal pain
A 61 year old male presents with a 12 hour history of extremely painful le, red eye. The pa ent
complains of blurred vision, halos around lights, and vomi ng. 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 pa ent is: - Ans Acute angle glaucoma
A pa ent has an ini al episode o s external associated with swimming. The pa ent's ear
canal is mildly inflamed and the tympanic membrane is not involved. Which medica on will be
ordered? - Ans Cipro HC
Which physical examina on finding suggests viral rather than bacterial paro s? - Ans Clear
discharge from Stensen's duct
A pa ent 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 sugges ve of: - Ans Dacryocys s
, 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? - Ans Surgical incision.
A Pt is concerned about frequent nasal stuffiness and conges ons that begins shortly a,er
ge7ng 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? - Ans 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 ac on? - Ans 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. - Ans Advise the Pt that the condi on is benign and will resolve
spontaneously. This ques on was on both prac ce 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? - Ans 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 interven on at this me? - Ans Immobilize the child's
head and call 911.
A Pt has nasal conges on, fever, purulent nasal d/c, HA, fever & pain and begins treatment with
Amox-Clav. At f/u 10-days later, Pt s ll has purulent d/c, conges on & pain but no fever. What is
next course of ac on? - Ans 2nd course of Amox-Clav.
,A Pt has recurrent epistaxis without signs of localized irrita on. Which lab tests may be
performed at this me to evaluate his condi on? - Ans PT, PTT, PT/INR, CBC Platelets.
A 32-yr-old is newly dx DM, She has developed a sinus infec on. She has had symptoms for 10
days. 6-weeks ago she got amoxicillin for URI. It was cleared up without incident. What's next? -
Ans Prescribe Amoxicillin-Clavulanate today.
Swimmer's ear ques on on prac ce test - Ans Prescribe Cipro HC
A Pt reports severe episodes of ver go with some las ng up to an hour, the episodes are
associated with nausea & vomi ng. What is part of the ini al diagnos c workup? - Ans
Audiogram & MRI.
A Pt reports a feeling of fullness & pain in both ears & the prac oner elicits pain when
manipula ng the external ear structures. What is likely diagnosis? - Ans Acute o s externa.
During a rou ne 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 pa ent about this lesion? -
Ans 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 o s media? - Ans Tugging on ears, difficulty
sleeping, and appe te.
A 70 year old male has a yellowish, triangular nodule near the iris this is probably a - Ans
pinguecula.
A 20 year old make of hispanic descent who reports a history of cold that resolved 2 weeks ago
except for a dry cough and pain over right cheek that worsens when he bends down. The
, pa ent denies fever. The Pt tells you he is very allergic to keflex, and erythromycin. VSS except
temp is 99.2 F. - Ans Acute sinusi s.
During rou ne physical exam of an elderly woman, a triangular thickening of the bulbar
conjunc va on the temporal side is noted to be encroaching on the cornea. She denies any eye
pain or visual changes. Which of the following is most likely? - Ans Pterygium.
Previous quiz ques on about 32 diabe c pa ent w/ sinus infec on. - Ans Prescribe
Amoxicillin-Clavulanate today. Ra onale: Amoxicillin is not indicated when a beta-lactamase
producing organism and suspected, this is the case as pa ent took an bio cs 6 weeks ago.
Amoxicillin-clavulanate is a good choice as it covers a beta-lactamase producers. And bacteria
e ology is suspected as symptoms have persisted for 10 days. A decongestant can be added,
however this does not subs tute an bio cs in this case
A 12-year-old complains of itching in his right ear and pain when the pinna is pulled or the
tragus is pushed. Examina on reveals slight redness in the ear canal with a clear odorless fluid.
This is sugges ve of: - Ans O s Externa.
A pa ent reports a feeling of fullness and pain in both ears and the prac oner elicits exquisite
pain when manipula ng the external ear structures. What is the likely diagnosis? - Ans Acute
O s Externa
A pa ent has painful oral lesions and the provider notes several white, verrucous lesions in
clusters throughout the mouth. What is the recommended treatment for this pa ent? - Ans
Surgical excision
A pa ent reports ear pain a,er being hit in the head with a baseball. The provider notes a large
perforated tympanic membrane. What is the recommended treatment? - Ans Refer pa ent to
an otolaryngologist for evalua on
