NGR 6201: Primary Care of Adults 1 Module 2B: HEENT,
CSA #2 Questions With Complete Solutions
1. A patient has recurrent sneezing, alterations in taste and
smell, watery, itchy eyes, and thin, clear nasal secretions. The
provider notes puffiness around the eyes. The patient's vital
signs are normal. What is the most likely diagnosis for this
patient?
b. Allergic rhinitis
2. A patient has seasonal rhinitis symptoms and allergy testing
reveals sensitivity to various trees and grasses. What is the first-
line treatment for this patient?
c. Intranasal steroids
3. A patient is concerned about frequent nasal stuffiness and
congestion that begins shortly after getting out of bed in the
morning. The patient denies itching and sneezing. A physical
examination reveals erythematous nasal mucosa with scant
watery discharge. What treatment will the provider recommend
for this patient?
b. Daily intranasal steroids
1. A patient presenting with nasal congestion, fever, purulent
nasal discharge, headache, and facial pain begins treatment with
amoxicillin-clavulanate. At a follow-up visit 10 days after
initiation of treatment, the patient continues to have purulent
discharge, congestion, and facial pain without fever. What is the
next course of action for this patient?
,c. An antibiotic based on likely resistant organism
2. A patient with allergic rhinitis develops acute sinusitis and
begins treatment with an antibiotic. Which measure may help
with symptomatic relief for patients with underlying
allergicrhinitis?
a. Intranasal steroids
1. Which are potential complications of chronic or recurrent
sinusitis? (Select all that apply.)
c. Meningitis
d. Orbital infection
e. Osteomyelitis
1. A patient reports tooth pain in a lower molar and the provider
notes a mobile tooth with erythema and edema of the
surrounding tissues without discharge. Which is the initial
course of action by the provider?
b. Prescribe amoxicillin and refer to a dentist in 2 to 3 days.
2. A patient has been taking amoxicillin for treatment of a dental
abscess. In a follow-up visit, the provider notes edema of the
eyelids and conjunctivae. What is the next action?
a. Hospitalize the patient for an endodontist consultation.
1. A patient reports painful swelling in the mouth with increased
pain at mealtimes. The provider notes a mass in the salivary
gland region. What is the likely cause of these symptoms?
b. Sialolithiasis
, 2. A patient has a chronic swelling of the parotid gland that is
unresponsive to antibiotics and which has not increased in size.
Which diagnostic test is indicated?
b. Fine-needle aspiration
3. A patient has parotitis and cultures are positive for
actinomycosis. What is the initial treatment for this condition?
a. Intravenous (IV) penicillin
1. The provider sees a child with a history of high fever and sore
throat. When entering the exam room, the provider finds the
child sitting in the tripod position and notes stridor, drooling,
and anxiety. What is the initial action for this patient?
c. Obtain an immediate consultation with an otolaryngologist.
2. An adult patient is seen in clinic with fever, sore throat, and
dysphagia. Which diagnostic test will the provider order to
confirm a diagnosis of epiglottitis?
c. Fiberoptic nasopharyngoscopy
3. An adult patient is diagnosed with epiglottitis secondary to a
chemical burn. Which medication will be given initially to
prevent complications?
c. Dexamethasone
1. A patient reports painful oral lesions 3 days after feeling pain
and tingling in the mouth. The provider notes vesicles and
ulcerative lesions on the buccal mucosa. What is the most likely
cause of these symptoms?
c. Herpes simplex virus (HSV)
CSA #2 Questions With Complete Solutions
1. A patient has recurrent sneezing, alterations in taste and
smell, watery, itchy eyes, and thin, clear nasal secretions. The
provider notes puffiness around the eyes. The patient's vital
signs are normal. What is the most likely diagnosis for this
patient?
b. Allergic rhinitis
2. A patient has seasonal rhinitis symptoms and allergy testing
reveals sensitivity to various trees and grasses. What is the first-
line treatment for this patient?
c. Intranasal steroids
3. A patient is concerned about frequent nasal stuffiness and
congestion that begins shortly after getting out of bed in the
morning. The patient denies itching and sneezing. A physical
examination reveals erythematous nasal mucosa with scant
watery discharge. What treatment will the provider recommend
for this patient?
b. Daily intranasal steroids
1. A patient presenting with nasal congestion, fever, purulent
nasal discharge, headache, and facial pain begins treatment with
amoxicillin-clavulanate. At a follow-up visit 10 days after
initiation of treatment, the patient continues to have purulent
discharge, congestion, and facial pain without fever. What is the
next course of action for this patient?
,c. An antibiotic based on likely resistant organism
2. A patient with allergic rhinitis develops acute sinusitis and
begins treatment with an antibiotic. Which measure may help
with symptomatic relief for patients with underlying
allergicrhinitis?
a. Intranasal steroids
1. Which are potential complications of chronic or recurrent
sinusitis? (Select all that apply.)
c. Meningitis
d. Orbital infection
e. Osteomyelitis
1. A patient reports tooth pain in a lower molar and the provider
notes a mobile tooth with erythema and edema of the
surrounding tissues without discharge. Which is the initial
course of action by the provider?
b. Prescribe amoxicillin and refer to a dentist in 2 to 3 days.
2. A patient has been taking amoxicillin for treatment of a dental
abscess. In a follow-up visit, the provider notes edema of the
eyelids and conjunctivae. What is the next action?
a. Hospitalize the patient for an endodontist consultation.
1. A patient reports painful swelling in the mouth with increased
pain at mealtimes. The provider notes a mass in the salivary
gland region. What is the likely cause of these symptoms?
b. Sialolithiasis
, 2. A patient has a chronic swelling of the parotid gland that is
unresponsive to antibiotics and which has not increased in size.
Which diagnostic test is indicated?
b. Fine-needle aspiration
3. A patient has parotitis and cultures are positive for
actinomycosis. What is the initial treatment for this condition?
a. Intravenous (IV) penicillin
1. The provider sees a child with a history of high fever and sore
throat. When entering the exam room, the provider finds the
child sitting in the tripod position and notes stridor, drooling,
and anxiety. What is the initial action for this patient?
c. Obtain an immediate consultation with an otolaryngologist.
2. An adult patient is seen in clinic with fever, sore throat, and
dysphagia. Which diagnostic test will the provider order to
confirm a diagnosis of epiglottitis?
c. Fiberoptic nasopharyngoscopy
3. An adult patient is diagnosed with epiglottitis secondary to a
chemical burn. Which medication will be given initially to
prevent complications?
c. Dexamethasone
1. A patient reports painful oral lesions 3 days after feeling pain
and tingling in the mouth. The provider notes vesicles and
ulcerative lesions on the buccal mucosa. What is the most likely
cause of these symptoms?
c. Herpes simplex virus (HSV)
