PRIMARY CARE ART AND SCIENCE OF
ADVANCED PRACTICE SOLUTION 2026
COMPLETE QUESTIONS WITH ANSWERS
GRADED A+
◉ The clinician is seeing a patient complaining of red eye. The
clinician suspects conjunctivitis. The presence of mucopurulent
discharge suggests which type of conjunctivitis?
a. Viral conjunctivitis c. Bacterial conjunctivitis
b. Keratoconjunctivitis d. Allergic conjunctivitis Answer: c. Bacterial
conjunctivitis
◉ Which subtype of cataracts is characterized by significant
nearsightedness and a slow indolent course?
a. Nuclear cataracts c. Posterior cataracts
b. Cortical cataracts d. Immature cataracts Answer: a. Nuclear
cataracts
◉ Which of the following statements is true concerning the use of
bilberry as a complementary therapy for cataracts?
a. The body converts bilberry to vitamin A, which helps to maintain a
healthy lens.
,b. Bilberry blocks an enzyme that leads to sorbitol accumulation that
contributes to cataract formation in diabetes.
c. Bilberry boosts oxygen and blood delivery to the eye.
d. Bilberry is a good choice for patients with diabetes as it does not
interact with antidiabetic drugs. Answer: c. Bilberry boosts oxygen
and blood delivery to the eye.
◉ A 65-year-old man presents to the clinician with complaints of
increasing bilateral peripheral vision loss, poor night vision, and
frequent prescription changes that started 6 months previously.
Recently, he has also been seeing halos around lights. The clinician
suspects chronic open-angle glaucoma. Which of the following
statements is true concerning the diagnosis of chronic open-angle
glaucoma?
a. The presence of increased intraocular pressure measured by
tonometry is definitive for the diagnosis of open-angle glaucoma.
b. The clinician can definitively diagnosis open-angle glaucoma
based on the subjective complaints of the patient.
c. Physical diagnosis relies on goniscopic evaluation of the angle by
an ophthalmologist.
d. Early diagnosis is essential in order to reverse any damage that
has occurred to the optic nerve. Answer: c. Physical diagnosis relies
on goniscopic evaluation of the angle by an ophthalmologist.
, ◉ 6. Acute angle-closure glaucoma involves a sudden severe rise in
intraocular pressure. Which of the following ranges represents
normal intraocular pressure?
a. 0 to 7 mm Hg c. 22 to 40 mm Hg
b. 8 to 21 mm Hg d. 40 to 80 mm Hg Answer: b. 8 to 21 mm Hg
◉ As diabetic retinopathy progresses, the presence of "cotton wool"
spots can be detected. Cotton wool spots refer to:
a. Nerve fiber layer infarctions. c. Venous beading.
b. Blood vessel proliferation. d. Retinal hemorrhage. Answer: a.
Nerve fiber layer infarctions.
◉ Which of the following is an example of sensorineural hearing
loss?
a. Perforation of the tympanic membrane c. Cholesteatoma
b. Otosclerosis d. Presbycusis Answer: d. Presbycusis
◉ The clinician is assessing a patient complaining of hearing loss.
The clinician places a tuning fork over the patient's mastoid process,
and when the sound fades away, the fork is placed without restriking
it over the external auditory meatus. The patient is asked to let the
clinician know when the sound fades away. This is an example of
which type of test?
a. Weber test
ADVANCED PRACTICE SOLUTION 2026
COMPLETE QUESTIONS WITH ANSWERS
GRADED A+
◉ The clinician is seeing a patient complaining of red eye. The
clinician suspects conjunctivitis. The presence of mucopurulent
discharge suggests which type of conjunctivitis?
a. Viral conjunctivitis c. Bacterial conjunctivitis
b. Keratoconjunctivitis d. Allergic conjunctivitis Answer: c. Bacterial
conjunctivitis
◉ Which subtype of cataracts is characterized by significant
nearsightedness and a slow indolent course?
a. Nuclear cataracts c. Posterior cataracts
b. Cortical cataracts d. Immature cataracts Answer: a. Nuclear
cataracts
◉ Which of the following statements is true concerning the use of
bilberry as a complementary therapy for cataracts?
a. The body converts bilberry to vitamin A, which helps to maintain a
healthy lens.
,b. Bilberry blocks an enzyme that leads to sorbitol accumulation that
contributes to cataract formation in diabetes.
c. Bilberry boosts oxygen and blood delivery to the eye.
d. Bilberry is a good choice for patients with diabetes as it does not
interact with antidiabetic drugs. Answer: c. Bilberry boosts oxygen
and blood delivery to the eye.
◉ A 65-year-old man presents to the clinician with complaints of
increasing bilateral peripheral vision loss, poor night vision, and
frequent prescription changes that started 6 months previously.
Recently, he has also been seeing halos around lights. The clinician
suspects chronic open-angle glaucoma. Which of the following
statements is true concerning the diagnosis of chronic open-angle
glaucoma?
a. The presence of increased intraocular pressure measured by
tonometry is definitive for the diagnosis of open-angle glaucoma.
b. The clinician can definitively diagnosis open-angle glaucoma
based on the subjective complaints of the patient.
c. Physical diagnosis relies on goniscopic evaluation of the angle by
an ophthalmologist.
d. Early diagnosis is essential in order to reverse any damage that
has occurred to the optic nerve. Answer: c. Physical diagnosis relies
on goniscopic evaluation of the angle by an ophthalmologist.
, ◉ 6. Acute angle-closure glaucoma involves a sudden severe rise in
intraocular pressure. Which of the following ranges represents
normal intraocular pressure?
a. 0 to 7 mm Hg c. 22 to 40 mm Hg
b. 8 to 21 mm Hg d. 40 to 80 mm Hg Answer: b. 8 to 21 mm Hg
◉ As diabetic retinopathy progresses, the presence of "cotton wool"
spots can be detected. Cotton wool spots refer to:
a. Nerve fiber layer infarctions. c. Venous beading.
b. Blood vessel proliferation. d. Retinal hemorrhage. Answer: a.
Nerve fiber layer infarctions.
◉ Which of the following is an example of sensorineural hearing
loss?
a. Perforation of the tympanic membrane c. Cholesteatoma
b. Otosclerosis d. Presbycusis Answer: d. Presbycusis
◉ The clinician is assessing a patient complaining of hearing loss.
The clinician places a tuning fork over the patient's mastoid process,
and when the sound fades away, the fork is placed without restriking
it over the external auditory meatus. The patient is asked to let the
clinician know when the sound fades away. This is an example of
which type of test?
a. Weber test
