NURSING
Chapter 8
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. An acutely presenting, erythematous, tender lump within the eyelid is called:
a. Blepharitis. c. Chalazion.
b. Hordeolum. d. Iritis.
____ 2. The clinician is seeing a patient complaining of red eye. The clinician suspects conjunctivitis. The presence of
mucopurulent discharge suggests which type of conjunctivitis?
a. Viral conjunctivitis c. Bacterial conjunctivitis
b. Keratoconjunctivitis d. Allergic conjunctivitis
____ 3. Which subtype of cataracts is characterized by significant nearsightedness and a slow indolent course?
a. Nuclear cataracts c. Posterior cataracts
b. Cortical cataracts d. Immature cataracts
____ 4. Which of the following statements is true concerning the use of bilberry as a complementary therapy for
cataracts?
a. The body converts bilberry to vitamin A, which helps to maintain a healthy lens.
b. Bilberry blocks an enzyme that leads to sorbitol accumulation that contributes to cataract
formation in diabetes.
c. Bilberry boosts oxygen and blood delivery to the eye.
d. Bilberry is a good choice for patients with diabetes as it does not interact with antidiabetic
drugs.
____ 5. A 65-year-old man presents to the clinician with complaints of increasing bilateral peripheral vision loss, poor
night vision, and frequent prescription changes that started 6 months previously. Recently, he has also been
seeing halos around lights. The clinician suspects chronic open-angle glaucoma. Which of the following
statements is true concerning the diagnosis of chronic open-angle glaucoma?
a. The presence of increased intraocular pressure measured by tonometry is definitive for the
diagnosis of open-angle glaucoma.
b. The clinician can definitively diagnosis open-angle glaucoma based on the subjective
complaints of the patient.
c. Physical diagnosis relies on goniscopic evaluation of the angle by an ophthalmologist.
d. Early diagnosis is essential in order to reverse any damage that has occurred to the optic
nerve.
____ 6. Acute angle-closure glaucoma involves a sudden severe rise in intraocular pressure. Which of the following
ranges represents normal intraocular pressure?
a. 0 to 7 mm Hg c. 22 to 40 mm Hg
b. 8 to 21 mm Hg d. 40 to 80 mm Hg
____ 7. As diabetic retinopathy progresses, the presence of “cotton wool” spots can be detected. Cotton wool spots
refer to:
a. Nerve fiber layer infarctions. c. Venous beading.
b. Blood vessel proliferation. d. Retinal hemorrhage.
____ 8. Which of the following is an example of sensorineural hearing loss?
a. Perforation of the tympanic membrane c. Cholesteatoma
b. Otosclerosis d. Presbycusis
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, ____ 9. 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
____ 10. A patient presents to the clinician complaining of ear pain. On examination, the clinician 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 which condition?
a. Otitis media c. Tinnitus
b. Meniere’s disease d. Otitis externa
____ 11. Otitis media is considered chronic when:
a. Inflammation persists more than 3 months with intermittent or persistent otic discharge.
b. There are more than six occurrences of otitis media in a 1-year period.
c. Otitis media does not resolve after two courses of antibiotics.
d. All of the above
____ 12. The most significant precipitating event leading to otitis media with effusion is:
a. Pharyngitis.
b. Allergies.
c. Viral upper respiratory infection (URI).
d. Perforation of the eardrum.
____ 13. Patients with acute otitis media should be referred to a specialist in which of the following situations?
a. Concurrent vertigo or ataxia
b. Failed closure of a ruptured tympanic membrane
c. If symptoms worsen after 3 or 4 days of treatment
d. All of the above
____ 14. Which immunoglobulin mediates the type 1 hypersensitivity reaction involved in allergic rhinitis?
a. IgA c. IgG
b. IgE d. IgM
____ 15. Fluctuations and reductions in estrogen may be a contributing factor in which type of rhinitis?
a. Vasomotor rhinitis c. Atrophic rhinitis
b. Rhinitis medicamentosum d. Viral rhinitis
____ 16. Sinusitis is considered chronic when there are episodes of prolonged inflammation with repeated or
inadequately treated acute infection lasting greater than:
a. 4 weeks. c. 12 weeks.
b. 8 weeks. d. 16 weeks.
____ 17. Which of the following antibiotics provides the best coverage in acute or chronic sinusitis when gram-
negative organisms are suspected?
a. Penicillin V c. Levofloxacin
b. Amoxicillin d. Clindamycin
____ 18. In which of the following situations would referral to a specialist be needed for sinusitis?
a. Recurrent sinusitis
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Chapter 8
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. An acutely presenting, erythematous, tender lump within the eyelid is called:
a. Blepharitis. c. Chalazion.
b. Hordeolum. d. Iritis.
____ 2. The clinician is seeing a patient complaining of red eye. The clinician suspects conjunctivitis. The presence of
mucopurulent discharge suggests which type of conjunctivitis?
a. Viral conjunctivitis c. Bacterial conjunctivitis
b. Keratoconjunctivitis d. Allergic conjunctivitis
____ 3. Which subtype of cataracts is characterized by significant nearsightedness and a slow indolent course?
a. Nuclear cataracts c. Posterior cataracts
b. Cortical cataracts d. Immature cataracts
____ 4. Which of the following statements is true concerning the use of bilberry as a complementary therapy for
cataracts?
a. The body converts bilberry to vitamin A, which helps to maintain a healthy lens.
b. Bilberry blocks an enzyme that leads to sorbitol accumulation that contributes to cataract
formation in diabetes.
c. Bilberry boosts oxygen and blood delivery to the eye.
d. Bilberry is a good choice for patients with diabetes as it does not interact with antidiabetic
drugs.
____ 5. A 65-year-old man presents to the clinician with complaints of increasing bilateral peripheral vision loss, poor
night vision, and frequent prescription changes that started 6 months previously. Recently, he has also been
seeing halos around lights. The clinician suspects chronic open-angle glaucoma. Which of the following
statements is true concerning the diagnosis of chronic open-angle glaucoma?
a. The presence of increased intraocular pressure measured by tonometry is definitive for the
diagnosis of open-angle glaucoma.
b. The clinician can definitively diagnosis open-angle glaucoma based on the subjective
complaints of the patient.
c. Physical diagnosis relies on goniscopic evaluation of the angle by an ophthalmologist.
d. Early diagnosis is essential in order to reverse any damage that has occurred to the optic
nerve.
____ 6. Acute angle-closure glaucoma involves a sudden severe rise in intraocular pressure. Which of the following
ranges represents normal intraocular pressure?
a. 0 to 7 mm Hg c. 22 to 40 mm Hg
b. 8 to 21 mm Hg d. 40 to 80 mm Hg
____ 7. As diabetic retinopathy progresses, the presence of “cotton wool” spots can be detected. Cotton wool spots
refer to:
a. Nerve fiber layer infarctions. c. Venous beading.
b. Blood vessel proliferation. d. Retinal hemorrhage.
____ 8. Which of the following is an example of sensorineural hearing loss?
a. Perforation of the tympanic membrane c. Cholesteatoma
b. Otosclerosis d. Presbycusis
This study source was downloaded by 100000839306532 from CourseHero.com on 06-17-2022 14:17:27 GMT -05:00
https://www.coursehero.com/file/15505724/Practice-Test-Exam-1/
, ____ 9. 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
____ 10. A patient presents to the clinician complaining of ear pain. On examination, the clinician 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 which condition?
a. Otitis media c. Tinnitus
b. Meniere’s disease d. Otitis externa
____ 11. Otitis media is considered chronic when:
a. Inflammation persists more than 3 months with intermittent or persistent otic discharge.
b. There are more than six occurrences of otitis media in a 1-year period.
c. Otitis media does not resolve after two courses of antibiotics.
d. All of the above
____ 12. The most significant precipitating event leading to otitis media with effusion is:
a. Pharyngitis.
b. Allergies.
c. Viral upper respiratory infection (URI).
d. Perforation of the eardrum.
____ 13. Patients with acute otitis media should be referred to a specialist in which of the following situations?
a. Concurrent vertigo or ataxia
b. Failed closure of a ruptured tympanic membrane
c. If symptoms worsen after 3 or 4 days of treatment
d. All of the above
____ 14. Which immunoglobulin mediates the type 1 hypersensitivity reaction involved in allergic rhinitis?
a. IgA c. IgG
b. IgE d. IgM
____ 15. Fluctuations and reductions in estrogen may be a contributing factor in which type of rhinitis?
a. Vasomotor rhinitis c. Atrophic rhinitis
b. Rhinitis medicamentosum d. Viral rhinitis
____ 16. Sinusitis is considered chronic when there are episodes of prolonged inflammation with repeated or
inadequately treated acute infection lasting greater than:
a. 4 weeks. c. 12 weeks.
b. 8 weeks. d. 16 weeks.
____ 17. Which of the following antibiotics provides the best coverage in acute or chronic sinusitis when gram-
negative organisms are suspected?
a. Penicillin V c. Levofloxacin
b. Amoxicillin d. Clindamycin
____ 18. In which of the following situations would referral to a specialist be needed for sinusitis?
a. Recurrent sinusitis
This study source was downloaded by 100000839306532 from CourseHero.com on 06-17-2022 14:17:27 GMT -05:00
https://www.coursehero.com/file/15505724/Practice-Test-Exam-1/
