NURS 5433 FAMILY 2 VIEW AHEAD EXAM
2026 TESTED QUESTIONS AND SOLUTIONS
⫸ 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? Answer:
allergic conjunctivitis
⫸ Treatment for allergic conjunctivitis Answer: Corticosteroid
ophthalmic drops
⫸ Treatment for viral conjunctivitis Answer: no drops needed
⫸ Common cause of anterior epistaxis Answer: localized nasal
mucosa trauma
⫸ 1st line intervention for epistaxis Answer: 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? Answer: 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?
Answer: Retinal detachment
⫸ Which of the following is most likely to be found on the
funduscopic exam in a patient with untreated POAG? Answer:
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? Answer: 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? Answer:
chalazion
⫸ What is an independent risk factor for oral cancer? Answer: human
papillomavirus type 16
⫸ What are top 3 causative pathogens for otitis externa? Answer:
Pseudomonas aeruginosa, proteus Enterobacteriaceae, and staph
aureus
,⫸ What is an appropriate antibiotic therapy for otitis externa with
accompanying cellulitis suitable for outpatient therapy? Answer:
fluoroquinolone
⫸ What are the top 3 causative pathogens for otitis media? Answer:
Strep pneumoniae, haemophilus influenzae, moraxella catarrhalis
⫸ What is expected finding in AOM? Answer: 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? Answer:
cefpodoxime
⫸ Drug resistant S. Pneumoniae is least likely to exhibit resistance to
which of the following microbial classes? Answer: respiratory
fluoroquinolones
⫸ What are characteristics of M catarrhalis? H. Influenzae? S.
pneumoniae? Answer: -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? Answer: -azithromycin
-Clarithromycin
-Clindamycin
⫸ What are the possible complications of GAS(Group A
Streptococcus)? Answer: Glomerulonephritis, rheumatic fever
⫸ What are the symptoms of Rheumatic Fever? Answer: Carditis and
arthritis
⫸ The rash associated with scarlet fever typically occurs how long
after the start of the symptomatic infection? Answer: 2 days
⫸ How do decongestants work? Answer: vasoconstriction
⫸ Which of the following medications is most appropriate for
allergic rhinitis therapy in an acutely symptomatic 24 year old
machine operator? Answer: Loratadine(Claritin)
⫸ According to Global Resources in Allergy (GLORIA) guidelines,
what is recommended for intervention in persistent allergic
conjunctivitis? Answer: Topical mast cell stabilizer with a topical
antihistamine
2026 TESTED QUESTIONS AND SOLUTIONS
⫸ 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? Answer:
allergic conjunctivitis
⫸ Treatment for allergic conjunctivitis Answer: Corticosteroid
ophthalmic drops
⫸ Treatment for viral conjunctivitis Answer: no drops needed
⫸ Common cause of anterior epistaxis Answer: localized nasal
mucosa trauma
⫸ 1st line intervention for epistaxis Answer: 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? Answer: 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?
Answer: Retinal detachment
⫸ Which of the following is most likely to be found on the
funduscopic exam in a patient with untreated POAG? Answer:
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? Answer: 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? Answer:
chalazion
⫸ What is an independent risk factor for oral cancer? Answer: human
papillomavirus type 16
⫸ What are top 3 causative pathogens for otitis externa? Answer:
Pseudomonas aeruginosa, proteus Enterobacteriaceae, and staph
aureus
,⫸ What is an appropriate antibiotic therapy for otitis externa with
accompanying cellulitis suitable for outpatient therapy? Answer:
fluoroquinolone
⫸ What are the top 3 causative pathogens for otitis media? Answer:
Strep pneumoniae, haemophilus influenzae, moraxella catarrhalis
⫸ What is expected finding in AOM? Answer: 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? Answer:
cefpodoxime
⫸ Drug resistant S. Pneumoniae is least likely to exhibit resistance to
which of the following microbial classes? Answer: respiratory
fluoroquinolones
⫸ What are characteristics of M catarrhalis? H. Influenzae? S.
pneumoniae? Answer: -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? Answer: -azithromycin
-Clarithromycin
-Clindamycin
⫸ What are the possible complications of GAS(Group A
Streptococcus)? Answer: Glomerulonephritis, rheumatic fever
⫸ What are the symptoms of Rheumatic Fever? Answer: Carditis and
arthritis
⫸ The rash associated with scarlet fever typically occurs how long
after the start of the symptomatic infection? Answer: 2 days
⫸ How do decongestants work? Answer: vasoconstriction
⫸ Which of the following medications is most appropriate for
allergic rhinitis therapy in an acutely symptomatic 24 year old
machine operator? Answer: Loratadine(Claritin)
⫸ According to Global Resources in Allergy (GLORIA) guidelines,
what is recommended for intervention in persistent allergic
conjunctivitis? Answer: Topical mast cell stabilizer with a topical
antihistamine
