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NU 528 EXAM 2 PRACTICE TEST QUESTIONS
AND ANSWERS LATEST EXAM UPDATE
GRADED A+ TESTED AND UPDATE
Which of the following is a symptom involving the eye?
A) Scotomas
B) Tinnitus
C) Dysphagia
D) Rhinorrhea - CORRECT ANSWER>>A
A 49-year-old administrative assistant comes to your office for evaluation of
dizziness. You elicit the information that the dizziness is a spinning sensation of
sudden onset, worse with head position changes. The episodes last a few seconds
and then go away, and they are accompanied by intense nausea. She has vomited
one time. She denies tinnitus. You perform a physical examination of the head and
neck and note that the patient's hearing is intact to Weber and Rinne and that there
is nystagmus. Her gait is normal. Based on this description, what is the most likely
diagnosis? A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma - CORRECT ANSWER>>A
A 55-year-old bank teller comes to your office for persistent episodes of dizziness.
The first episode started suddenly and lasted 3 to 4 hours. He experienced a lot of
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nausea with vomiting; the episode resolved spontaneously. He has had five
episodes in the past 1½ weeks. He does note
some tinnitus that comes and goes. Upon physical examination, you note that he
has a normal gait. The Weber localizes to the right side and the air conduction is
equal to the bone conduction in the right ear. Nystagmus is present. Based on this
description, what is the most likely diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma - CORRECT ANSWER>>C
A 73-year-old nurse comes to your office for evaluation of new onset of tremors.
She is not on any medications and does not take herbs or supplements. She has no
chronic medical conditions. She does not smoke or drink alcohol. She walks into
the examination room with slow movements and shuffling steps. She has decreased
facial mobility and a blunt expression, without any changes in hair distribution on
her face. Based on this description, what is the most likely reason for the patient's
symptoms?
A) Cushing's syndrome
B) Nephrotic syndrome
C) Myxedema
D) Parkinson's disease - CORRECT ANSWER>>D
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On
observation, the right eyeball appears to be protruding forward. Based on this
description, what is the most likely diagnosis? A) Ptosis
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B) Exophthalmos
C) Ectropion
D) Epicanthus - CORRECT ANSWER>>B
A 12-year-old presents to the clinic with his father for evaluation of a painful
lump in the left eye. It started this morning. He denies any trauma or injury.
There is no visual disturbance. Upon physical examination, there is a red raised
area at the margin of the eyelid that is tender to palpation; no tearing occurs with
palpation of the lesion. Based on this description, what is the most likely
diagnosis?
A) Dacryocystitis
B) Chalazion
C) Hordeolum
D) Xanthelasma - CORRECT ANSWER>>C
A young man is concerned about a hard mass he has just noticed in the midline of
his palate. On examination, it is indeed hard and in the midline. There are no
mucosal abnormalities associated with this lesion. He is experiencing no other
symptoms. What will you tell him is the most likely diagnosis? A) Leukoplakia
B) Torus palatinus
C) Thrush (candidiasis)
D) Kaposi's sarcoma - CORRECT ANSWER>>B
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A patient is examined with the ophthalmoscope and found to have red reflexes
bilaterally. Which of the following have you essentially excluded from your
differential?
A) Retinoblastoma
B) Cataract
C) Artificial eye
D) Hypertensive retinopathy - CORRECT ANSWER>>D
A patient presents with ear pain. She is an avid swimmer. The history includes pain
and drainage from the left ear. On examination, she has pain when the ear is
manipulated, including manipulation of the tragus. The canal is narrowed and
erythematous, with some white debris in the canal. The rest of the examination is
normal. What diagnosis would you assign this patient? A) Otitis media
B) External otitis
C) Perforation of the tympanum
D) Cholesteatoma - CORRECT ANSWER>>B
A patient with hearing loss by whisper test is further examined with a tuning fork,
using the Weber and Rinne maneuvers. The abnormal results are as follows: bone
conduction is greater than air on the left, and the patient hears the sound of the
tuning fork better on the left. Which of the following is most likely?
A) Otosclerosis of the left ear
B) Exposure to chronic loud noise of the right ear
C) Otitis media of the right ear
D) Perforation of the right eardrum - CORRECT ANSWER>>A
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NU 528 EXAM 2 PRACTICE TEST QUESTIONS
AND ANSWERS LATEST EXAM UPDATE
GRADED A+ TESTED AND UPDATE
Which of the following is a symptom involving the eye?
A) Scotomas
B) Tinnitus
C) Dysphagia
D) Rhinorrhea - CORRECT ANSWER>>A
A 49-year-old administrative assistant comes to your office for evaluation of
dizziness. You elicit the information that the dizziness is a spinning sensation of
sudden onset, worse with head position changes. The episodes last a few seconds
and then go away, and they are accompanied by intense nausea. She has vomited
one time. She denies tinnitus. You perform a physical examination of the head and
neck and note that the patient's hearing is intact to Weber and Rinne and that there
is nystagmus. Her gait is normal. Based on this description, what is the most likely
diagnosis? A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma - CORRECT ANSWER>>A
A 55-year-old bank teller comes to your office for persistent episodes of dizziness.
The first episode started suddenly and lasted 3 to 4 hours. He experienced a lot of
Page 1 of 147
,2
nausea with vomiting; the episode resolved spontaneously. He has had five
episodes in the past 1½ weeks. He does note
some tinnitus that comes and goes. Upon physical examination, you note that he
has a normal gait. The Weber localizes to the right side and the air conduction is
equal to the bone conduction in the right ear. Nystagmus is present. Based on this
description, what is the most likely diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma - CORRECT ANSWER>>C
A 73-year-old nurse comes to your office for evaluation of new onset of tremors.
She is not on any medications and does not take herbs or supplements. She has no
chronic medical conditions. She does not smoke or drink alcohol. She walks into
the examination room with slow movements and shuffling steps. She has decreased
facial mobility and a blunt expression, without any changes in hair distribution on
her face. Based on this description, what is the most likely reason for the patient's
symptoms?
A) Cushing's syndrome
B) Nephrotic syndrome
C) Myxedema
D) Parkinson's disease - CORRECT ANSWER>>D
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On
observation, the right eyeball appears to be protruding forward. Based on this
description, what is the most likely diagnosis? A) Ptosis
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B) Exophthalmos
C) Ectropion
D) Epicanthus - CORRECT ANSWER>>B
A 12-year-old presents to the clinic with his father for evaluation of a painful
lump in the left eye. It started this morning. He denies any trauma or injury.
There is no visual disturbance. Upon physical examination, there is a red raised
area at the margin of the eyelid that is tender to palpation; no tearing occurs with
palpation of the lesion. Based on this description, what is the most likely
diagnosis?
A) Dacryocystitis
B) Chalazion
C) Hordeolum
D) Xanthelasma - CORRECT ANSWER>>C
A young man is concerned about a hard mass he has just noticed in the midline of
his palate. On examination, it is indeed hard and in the midline. There are no
mucosal abnormalities associated with this lesion. He is experiencing no other
symptoms. What will you tell him is the most likely diagnosis? A) Leukoplakia
B) Torus palatinus
C) Thrush (candidiasis)
D) Kaposi's sarcoma - CORRECT ANSWER>>B
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, 4
A patient is examined with the ophthalmoscope and found to have red reflexes
bilaterally. Which of the following have you essentially excluded from your
differential?
A) Retinoblastoma
B) Cataract
C) Artificial eye
D) Hypertensive retinopathy - CORRECT ANSWER>>D
A patient presents with ear pain. She is an avid swimmer. The history includes pain
and drainage from the left ear. On examination, she has pain when the ear is
manipulated, including manipulation of the tragus. The canal is narrowed and
erythematous, with some white debris in the canal. The rest of the examination is
normal. What diagnosis would you assign this patient? A) Otitis media
B) External otitis
C) Perforation of the tympanum
D) Cholesteatoma - CORRECT ANSWER>>B
A patient with hearing loss by whisper test is further examined with a tuning fork,
using the Weber and Rinne maneuvers. The abnormal results are as follows: bone
conduction is greater than air on the left, and the patient hears the sound of the
tuning fork better on the left. Which of the following is most likely?
A) Otosclerosis of the left ear
B) Exposure to chronic loud noise of the right ear
C) Otitis media of the right ear
D) Perforation of the right eardrum - CORRECT ANSWER>>A
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