CHAMBERLAIN NR 511 MIDTERM QUESTIONS WITH
ACCURATE ANSWERS
__________ ___________ is a common condition found in the outpatient setting
that presents with inflammation of the auditory canal, benign and self-limiting but
painful. correct answer Otitis externa
____________ hearing loss is gradual and progressive, high frequency loss, and
deterioration of the cochlea. correct answer Sensorineural
*This deals with the inner ear and its components
____________ is the sensation of wound without an exogenous sound source.
What causes this sensation? correct answer 1. Tinnitis
2. Poorly understood, might be from chronic noise exposure that may damage the
cilia and auditory hair cells or spontaneous activity in individual auditory nerve
fibers.
____________ sign can help with the diagnosis of cholecystitis and is performed
by applying pressure at the subcostal region of the right upper quadrant on
inspiration. correct answer Murphy's
_____________ is age related hearing loss and is a form of sensorineural hearing
loss. correct answer presbycusis
_______________ is scarring after the tympanic membrane has ruptured and
healed. What might this scarring be caused from? correct answer Otosclerosis.
AOM or tympanovstomy tubes that are expelled.
,?Travel, dining locations, ABX history.. correct answer What are important parts
of a patient's history when AGE is suspected?
90% correct answer How effective is antibiotic prophylaxis for patients traveling
to high-risk areas?
Acute Gastroenteritis (AGE) correct answer most common cause of nausea and
vomiting
Acute infection of the middle ear may cause a relative ischemia in drum
concurrent with increased pressure in the middle ear space. What does this lead
to? correct answer Tear or rupture of the tympanic membrane.
Acute pancreatitis may be a result from what two physical circumstances? correct
answer 1. Injury to the acinar cells
2. Impaired secretion of proenzymes
Although diverticula con occur anywhere in the intestines, where is the most
common place for them to arise? correct answer Descending and sigmoid colon
As the autodigestion and bleeding occur in the pancreas, what is the end result?
correct answer Liquification of pancreatic tissues known as: liquefactive
hemorrhagic necrosis.
At what age should a colonoscopy begin to be a routine part of a physical exam?
correct answer 50 years old
,At what point are systemic antibiotics needed for acute otitis externa treatment?
What do these antibiotics need to cover? correct answer 1. With refractory cases
or auricle cellulitis
2. Pseudomonas and s. aureus.
At what point should a patient be referred to the hospital for dehydration?
correct answer Signs of hypovolemia such as hypotension, tachycardia, pallor, and
poor skin turgor.
At what severity are pharmacological measures taken in patients with IBS? Mild,
moderate, or severe? correct answer Moderate to severe
Bacteria eventually make their way through the gall bladder wall and into the
_____________ causing _____________. This results in ____________
tenderness. correct answer 1. peritoneum
2. peritonitis
3. rebound
bowel disorders under the Inflammatory Bowel Disease (IBD) umbrella correct
answer Ulcerative Colitis (UC) and Crohn's Disease
Common causes of constipation? correct answer 1. Idiopathic
2. Narcotics
3. Tricyclics antidepressants
4. Iron supplements
5. Anticholinergics
6. Antidiarrheals
, 7. Antipsychotics
8. Calcium supplements
9. Can be a symptom of colorectal cancer
common symptoms of IBS correct answer Changes in bowel habits such as
diarrhea (IBS-D), constipation (IBS-C), abdominal pain, bloating, rectal urgency
with diarrhea.
Crohn's Disease represents an abnormality in intestinal immune response. What
is the result of this abnormality with regard to the bowel tissue and subsequent
complications? correct answer 1. Causes fibrosis which thickens the bowel wall
2. Narrows the lumen of the bowel leading to obstructions, fistulas, and
ulcerations.
Describe acute pancreatitis in one sentence... correct answer Acute pancreatitis is
the sudden inflammation and hemorrhaging of the pancreas due to destruction
by its own digestive enzymes, also called auto digestion.
Describe IBS as it pertains to its effect on the bowels... correct answer Disordered
sensation or abnormal function of the small or large intestine.
Differential diagnosis for conductive hearing loss... correct answer 1. Cerumen
accumulation or impaction (ceruminosis)
2. Foreign body in the external canal
3. Otitis externa
4. Chroic otitis media
5. Middle ear effusion
ACCURATE ANSWERS
__________ ___________ is a common condition found in the outpatient setting
that presents with inflammation of the auditory canal, benign and self-limiting but
painful. correct answer Otitis externa
____________ hearing loss is gradual and progressive, high frequency loss, and
deterioration of the cochlea. correct answer Sensorineural
*This deals with the inner ear and its components
____________ is the sensation of wound without an exogenous sound source.
What causes this sensation? correct answer 1. Tinnitis
2. Poorly understood, might be from chronic noise exposure that may damage the
cilia and auditory hair cells or spontaneous activity in individual auditory nerve
fibers.
____________ sign can help with the diagnosis of cholecystitis and is performed
by applying pressure at the subcostal region of the right upper quadrant on
inspiration. correct answer Murphy's
_____________ is age related hearing loss and is a form of sensorineural hearing
loss. correct answer presbycusis
_______________ is scarring after the tympanic membrane has ruptured and
healed. What might this scarring be caused from? correct answer Otosclerosis.
AOM or tympanovstomy tubes that are expelled.
,?Travel, dining locations, ABX history.. correct answer What are important parts
of a patient's history when AGE is suspected?
90% correct answer How effective is antibiotic prophylaxis for patients traveling
to high-risk areas?
Acute Gastroenteritis (AGE) correct answer most common cause of nausea and
vomiting
Acute infection of the middle ear may cause a relative ischemia in drum
concurrent with increased pressure in the middle ear space. What does this lead
to? correct answer Tear or rupture of the tympanic membrane.
Acute pancreatitis may be a result from what two physical circumstances? correct
answer 1. Injury to the acinar cells
2. Impaired secretion of proenzymes
Although diverticula con occur anywhere in the intestines, where is the most
common place for them to arise? correct answer Descending and sigmoid colon
As the autodigestion and bleeding occur in the pancreas, what is the end result?
correct answer Liquification of pancreatic tissues known as: liquefactive
hemorrhagic necrosis.
At what age should a colonoscopy begin to be a routine part of a physical exam?
correct answer 50 years old
,At what point are systemic antibiotics needed for acute otitis externa treatment?
What do these antibiotics need to cover? correct answer 1. With refractory cases
or auricle cellulitis
2. Pseudomonas and s. aureus.
At what point should a patient be referred to the hospital for dehydration?
correct answer Signs of hypovolemia such as hypotension, tachycardia, pallor, and
poor skin turgor.
At what severity are pharmacological measures taken in patients with IBS? Mild,
moderate, or severe? correct answer Moderate to severe
Bacteria eventually make their way through the gall bladder wall and into the
_____________ causing _____________. This results in ____________
tenderness. correct answer 1. peritoneum
2. peritonitis
3. rebound
bowel disorders under the Inflammatory Bowel Disease (IBD) umbrella correct
answer Ulcerative Colitis (UC) and Crohn's Disease
Common causes of constipation? correct answer 1. Idiopathic
2. Narcotics
3. Tricyclics antidepressants
4. Iron supplements
5. Anticholinergics
6. Antidiarrheals
, 7. Antipsychotics
8. Calcium supplements
9. Can be a symptom of colorectal cancer
common symptoms of IBS correct answer Changes in bowel habits such as
diarrhea (IBS-D), constipation (IBS-C), abdominal pain, bloating, rectal urgency
with diarrhea.
Crohn's Disease represents an abnormality in intestinal immune response. What
is the result of this abnormality with regard to the bowel tissue and subsequent
complications? correct answer 1. Causes fibrosis which thickens the bowel wall
2. Narrows the lumen of the bowel leading to obstructions, fistulas, and
ulcerations.
Describe acute pancreatitis in one sentence... correct answer Acute pancreatitis is
the sudden inflammation and hemorrhaging of the pancreas due to destruction
by its own digestive enzymes, also called auto digestion.
Describe IBS as it pertains to its effect on the bowels... correct answer Disordered
sensation or abnormal function of the small or large intestine.
Differential diagnosis for conductive hearing loss... correct answer 1. Cerumen
accumulation or impaction (ceruminosis)
2. Foreign body in the external canal
3. Otitis externa
4. Chroic otitis media
5. Middle ear effusion
