NURS 5433 FAMILY 2 MODULE 1 EENT| COMPLETE QUESTIONS AND ANSWERS |
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What are the 3 most common causative organisms for bacterial conjunctivitis? - (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? - (Answer)allergic conjunctivitis
Treatment for allergic conjunctivitis - (Answer)Corticosteroid ophthalmic drops
Treatment for viral conjunctivitis - (Answer)no drops needed
Common cause of anterior epistaxis - (Answer)localized nasal mucosa trauma
1st line intervention for epistaxis - (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? - (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? - (Answer)Retinal detachment
Which of the following is most likely to be found on the funduscopic exam in a patient with
untreated POAG? - (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? -
(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? - (Answer)chalazion
,What is an independent risk factor for oral cancer? - (Answer)human papillomavirus type 16
What are top 3 causative pathogens for otitis externa? - (Answer)Pseudomonas aeruginosa, proteus
Enterobacteriaceae, and staph aureus
What is an appropriate antibiotic therapy for otitis externa with accompanying cellulitis suitable for
outpatient therapy? - (Answer)fluoroquinolone
What are the top 3 causative pathogens for otitis media? - (Answer)Strep pneumoniae, haemophilus
influenzae, moraxella catarrhalis
What is expected finding in AOM? - (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? - (Answer)cefpodoxime
, Drug resistant S. Pneumoniae is least likely to exhibit resistance to which of the following microbial
classes? - (Answer)respiratory fluoroquinolones
What are characteristics of M catarrhalis? H. Influenzae? S. pneumoniae? - (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? - (Answer)-
azithromycin
-Clarithromycin
-Clindamycin
What are the possible complications of GAS(Group A Streptococcus)? -
(Answer)Glomerulonephritis, rheumatic fever
What are the symptoms of Rheumatic Fever? - (Answer)Carditis and arthritis
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What are the 3 most common causative organisms for bacterial conjunctivitis? - (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? - (Answer)allergic conjunctivitis
Treatment for allergic conjunctivitis - (Answer)Corticosteroid ophthalmic drops
Treatment for viral conjunctivitis - (Answer)no drops needed
Common cause of anterior epistaxis - (Answer)localized nasal mucosa trauma
1st line intervention for epistaxis - (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? - (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? - (Answer)Retinal detachment
Which of the following is most likely to be found on the funduscopic exam in a patient with
untreated POAG? - (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? -
(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? - (Answer)chalazion
,What is an independent risk factor for oral cancer? - (Answer)human papillomavirus type 16
What are top 3 causative pathogens for otitis externa? - (Answer)Pseudomonas aeruginosa, proteus
Enterobacteriaceae, and staph aureus
What is an appropriate antibiotic therapy for otitis externa with accompanying cellulitis suitable for
outpatient therapy? - (Answer)fluoroquinolone
What are the top 3 causative pathogens for otitis media? - (Answer)Strep pneumoniae, haemophilus
influenzae, moraxella catarrhalis
What is expected finding in AOM? - (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? - (Answer)cefpodoxime
, Drug resistant S. Pneumoniae is least likely to exhibit resistance to which of the following microbial
classes? - (Answer)respiratory fluoroquinolones
What are characteristics of M catarrhalis? H. Influenzae? S. pneumoniae? - (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? - (Answer)-
azithromycin
-Clarithromycin
-Clindamycin
What are the possible complications of GAS(Group A Streptococcus)? -
(Answer)Glomerulonephritis, rheumatic fever
What are the symptoms of Rheumatic Fever? - (Answer)Carditis and arthritis
