MN566 Final Exam 2026/2027 | Questions
with Verified Answers and Detailed
Rationales Grade A
Question 1
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
B. Schwabach Test
C. Rinne Test
D. Auditory brainstem response (ABR) test
Correct Answer: C. Rinne Test
Rationale: The Rinne test compares bone conduction to air conduction by placing
the tuning fork on the mastoid process and then near the ear canal.
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Question 2
Fluctuations and reductions in estrogen may be a contributing factor in which
type of rhinitis?
A. Vasomotor Rhinitis
B. Rhinitis medicamentosa
C. Atrophic Rhinitis
D. Viral Rhinitis
Correct Answer: A. Vasomotor Rhinitis
Rationale: Hormonal fluctuations, including changes in estrogen levels, can trigger
vasomotor rhinitis.
Question 3
You have a patient who is positive for strep on rapid antigen testing (rapid
strep test). You order amoxicillin after checking for drug allergies (patient is
negative) but he returns 3 days later, reporting that his temperature has gone
up, not down (101.5°F in office). You also note significant lymphadenopathy,
most notably in the posterior and anterior cervical chains, some
hepatosplenomegaly, and a diffuse rash. You decide:
A. To refer the patient
B. That he is having an allergic response and needs to be changed to a macrolide
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antibiotic
C. That his antibiotic dosage is not sufficient and should be changed
D. That he possibly has mononucleosis concurrent with his strep infection
Correct Answer: D. That he possibly has mononucleosis concurrent with
his strep infection
Rationale: The presentation of worsening symptoms with lymphadenopathy,
hepatosplenomegaly, and rash despite antibiotics suggests concurrent
mononucleosis.
Question 4
A patient presents with nonvesicular lesions that are 2 to 10 mm,
symmetrical, and scattered on the oropharynx and mouth. What is their most
likely diagnosis?
A. Corynebacterium diphtheriae
B. Primary Syphilis
C. Candida infection
D. Secondary syphilis
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Correct Answer: B. Secondary Syphilis
Rationale: Secondary syphilis presents with symmetrical, nonvesicular mucous
membrane lesions (mucous patches) in the oropharynx.
Question 5
Jean has acute otitis externa with fluid that is black and malodorous. Which of
the following is responsible for the infection?
A. Fungal Infection
B. Staphylococcus Infection
C. Pseudomonas Infection
D. Allergic Reaction
Correct Answer: A. Fungal Infection
Rationale: Black, malodorous drainage in otitis externa suggests fungal infection
(otomycosis), often caused by Aspergillus species.
Question 6
Which of the following medications for temporomandibular disorder has the
warning that patients should NOT drive while taking it?
A. Flexeril