NU 518 PROFESSIONAL GRADUATE PREP
QUESTIONS AND ACCURATE ANSWERS
GRADED A+
●● A 29-year-old computer programmer comes to your office for
evaluation of a headache. The tightening sensation is located all over the
head and is of moderate intensity. It used to last minutes, but this time it
has lasted for 5 days. He denies photophobia and nausea. He spends
several hours each day at a computer monitor/keyboard. He has tried
over-the-counter medication; it has dulled the pain but not taken it away.
Based on this description, what is your
most likely diagnosis?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound
Answer: A
●● Which of the following is a symptom involving the eye?
A) Scotomas
B) Tinnitus
C) Dysphagia
D) Rhinorrhea
,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
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 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
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
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
B) Exophthalmos
C) Ectropion
D) Epicanthus
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
Answer: C
●● A 15-year-old high school sophomore presents to the emergency
room with his mother for evaluation of an area of blood in the left eye.
QUESTIONS AND ACCURATE ANSWERS
GRADED A+
●● A 29-year-old computer programmer comes to your office for
evaluation of a headache. The tightening sensation is located all over the
head and is of moderate intensity. It used to last minutes, but this time it
has lasted for 5 days. He denies photophobia and nausea. He spends
several hours each day at a computer monitor/keyboard. He has tried
over-the-counter medication; it has dulled the pain but not taken it away.
Based on this description, what is your
most likely diagnosis?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound
Answer: A
●● Which of the following is a symptom involving the eye?
A) Scotomas
B) Tinnitus
C) Dysphagia
D) Rhinorrhea
,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
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 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
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
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
B) Exophthalmos
C) Ectropion
D) Epicanthus
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
Answer: C
●● A 15-year-old high school sophomore presents to the emergency
room with his mother for evaluation of an area of blood in the left eye.
