MN 566 Final Exam
2023
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 fadesaway, the fork is
placed without restriking it over the external auditory meatus.
The patient is asked to let the clinical know when the sound fades away. This is anexample of
which type of test?
a. Weber Test
b. Schwabach Test
c. Rinne Test
d. Auditory brainstem response (ABR) test - ANSWER c. Rinne Test
Fluctuations and reductions in estrogen may be a contributing factor in whichtype of
rhinitis?
a. Vasomotor Rhinitis
b. Rhinitis medicamentosa
c. Atrophic Rhinitis
d. Viral Rhinitis - ANSWER a. Vasomotor Rhinitis
You have a patient who is a positive for strep on rapid antigen testing (rapid streptest).
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(101.5F in office). You
also note significant lymphadenopathy, most notably in theposterior and anterior cervical
chains, some heptosplenomegaly, 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
antibiotic
c. That his antibiotic dosage is not sufficient and should be changed
d. That he possibly has mononucleosis concurrent with his strep infection -
ANSWER d. That he possibly has mononucleosis concurrent with his strep
,infection
A patient present with nonvesicular lesions that are 2 to 10mm, symmetrical, andscattered
on the oropharynx and mouth. What is their most likely diagnosis?
a. Corynebacterium diphtheriae
b. Primary Syphilis
c. Candida infection
d. Secondary syphilis - ANSWER b. Secondary Syphilis
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 - ANSWER a. Fungal Infection
Which of the following medications for temporomandibular disorder has thewarning
that patients should NOT drive while taking it?
a. Flexeril
b. Naprosyn
c. Tylenol
d. Elavil - ANSWER a. Flexeril
Which type of stomatitis is caused by continual exposure to chewing tobacco?
a. Aphthous stomatitis
b. Herpetic stomatitis
c. Nicotinic stomatitis
d. Allergic stomatitis - ANSWER c. Nicotinic stomatitis
, What is the initial treatment for uncomplicated anterior epistaxis?
a. Tilting the head back so the blood does not run out the nose
b. Applying firm and continuous pressure superior to the nasal alar cartilage for 10to 15
minutes
c. Applying firm and continuous pressure to the nostril for 5 minutes
d. Letting the nose bleed blot and and leaning the head forward - ANSWER b.
Applying firm and continuous pressure superior to the nasal alar cartilages for 10to 15
minutes
Which of the following is an example of sensorineural hearing loss?
a. Perforation of the tympanic membrane
b. Otosclerosis
c. Cholesteatoma
d. Presbycusis - ANSWER d. Presbycusis
A provider is examining a patient with temporomandibular joint disease (TMJ).Which of
the following results would the provider expect from the exam?
a. The mandibular opening is 40 mm
b. There are no sounds elicited from the exam
c. The mandible deviates to the left side
d. The patient is able to open the mouth without pain or sound - ANSWER c. The
mandible deviates to the left side
A patient presents to the clinician complaining of ear pain. On examination, theclinician
finds that the patient has tenderness on traction of the pinna as well as when applying
pressure over the tragus. These findings are classic signs of whichcondition?
2023
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 fadesaway, the fork is
placed without restriking it over the external auditory meatus.
The patient is asked to let the clinical know when the sound fades away. This is anexample of
which type of test?
a. Weber Test
b. Schwabach Test
c. Rinne Test
d. Auditory brainstem response (ABR) test - ANSWER c. Rinne Test
Fluctuations and reductions in estrogen may be a contributing factor in whichtype of
rhinitis?
a. Vasomotor Rhinitis
b. Rhinitis medicamentosa
c. Atrophic Rhinitis
d. Viral Rhinitis - ANSWER a. Vasomotor Rhinitis
You have a patient who is a positive for strep on rapid antigen testing (rapid streptest).
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(101.5F in office). You
also note significant lymphadenopathy, most notably in theposterior and anterior cervical
chains, some heptosplenomegaly, 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
antibiotic
c. That his antibiotic dosage is not sufficient and should be changed
d. That he possibly has mononucleosis concurrent with his strep infection -
ANSWER d. That he possibly has mononucleosis concurrent with his strep
,infection
A patient present with nonvesicular lesions that are 2 to 10mm, symmetrical, andscattered
on the oropharynx and mouth. What is their most likely diagnosis?
a. Corynebacterium diphtheriae
b. Primary Syphilis
c. Candida infection
d. Secondary syphilis - ANSWER b. Secondary Syphilis
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 - ANSWER a. Fungal Infection
Which of the following medications for temporomandibular disorder has thewarning
that patients should NOT drive while taking it?
a. Flexeril
b. Naprosyn
c. Tylenol
d. Elavil - ANSWER a. Flexeril
Which type of stomatitis is caused by continual exposure to chewing tobacco?
a. Aphthous stomatitis
b. Herpetic stomatitis
c. Nicotinic stomatitis
d. Allergic stomatitis - ANSWER c. Nicotinic stomatitis
, What is the initial treatment for uncomplicated anterior epistaxis?
a. Tilting the head back so the blood does not run out the nose
b. Applying firm and continuous pressure superior to the nasal alar cartilage for 10to 15
minutes
c. Applying firm and continuous pressure to the nostril for 5 minutes
d. Letting the nose bleed blot and and leaning the head forward - ANSWER b.
Applying firm and continuous pressure superior to the nasal alar cartilages for 10to 15
minutes
Which of the following is an example of sensorineural hearing loss?
a. Perforation of the tympanic membrane
b. Otosclerosis
c. Cholesteatoma
d. Presbycusis - ANSWER d. Presbycusis
A provider is examining a patient with temporomandibular joint disease (TMJ).Which of
the following results would the provider expect from the exam?
a. The mandibular opening is 40 mm
b. There are no sounds elicited from the exam
c. The mandible deviates to the left side
d. The patient is able to open the mouth without pain or sound - ANSWER c. The
mandible deviates to the left side
A patient presents to the clinician complaining of ear pain. On examination, theclinician
finds that the patient has tenderness on traction of the pinna as well as when applying
pressure over the tragus. These findings are classic signs of whichcondition?
