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