6531 Final Deck 2, Questions and Answers (A+ Graded_2024)
100% correct
Sharon, age 29, is pregnant for the first time. She complains of nasal stuffiness and occasional
epistaxis. What do you do?
A. Order lab tests, such as a CBC with differential, hemoglobin and hematocrit
B. Prescribe an antihistamine
C. You do nothing except for client teaching
D. Refer the client to an ear, nose and throat specialist - CORRECT ANSWER-C. You do
nothing except for client teaching
- Can occur with pregnancy because of increased vascularization in the upper respiratory tract
David, age 32, states that he thinks he has an ear infection because he just flew back from a
business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next
action?
A. Prescribe nasal steroids and oral decongestants
B. Prescribe antibiotic eardrops
C. Prescribe systemic eardrops
D. Refer David to an ear, nose, and throat specialist - CORRECT ANSWER-A. Prescribe nasal
steroids and oral decongestants
A sexual history of oral-genital contact in a client presenting with pharyngitis is significant when
which of the following organisms is suspected?
A. Escherichia coli
B. Haemophilus influenzae
C. Neisseria gonorrhoeae
D. Streptococcus pneumoniae - CORRECT ANSWER-C. Neisseria gonorrhoeae
- Neisseria gonorrhoeae pharyngitis is a common sexually transmitted disease
The most common cause of sensoineural hearing loss is
A. Trauma
,B. Tympanic membrane sclerosis and scarring
C. Otosclerosis
D. Presbycusis - CORRECT ANSWER-D. Presbycusis
How do you describe the cervical lymphadenopathy associated with asymptomatic HIV
infection?
A. Movable, discrete, soft, and nontender lymph nodes
B. Enlarged, warm, tender, firm, but freely movable lymph nodes
C. Hard, unilateral, nontender, and fixed lymph nodes
D. Firm but not hard, nontender, and mobile lymph nodes - CORRECT ANSWER-D. Firm but
not hard, nontender, and mobile lymph nodes
You diagnose acute epiglottitis in Sally, age 5, and immediately send her to the local emergeny
room. Which of the following symptoms would indicate that an airway obstruction is imminent?
A. Reddened face
B. Screaming
C. Grabbing her throat
D. Stridor - CORRECT ANSWER-D. Stridor
Purulent matter in the anterior chamber of the eye is called
A. Hyphema
B. Hypopyon
C. Anisocoria
D. Pterygium - CORRECT ANSWER-B. Hypopyon
A 42 year old stockbroker comes to your office for evaluation of a pulsating headache over the
left temporal region and he rates the pain as an 8 on a scale of 1-10. The pain has been constant
for the past several hours and is accompanied by nausea and sensitivity to light. He has had
frequent headaches for many years but not as severe and they are usually relieved by over the
counter medicines. He is unclear as to a precipitating event but notes that he has had visual
,disturbances before each headache and has been under a lot of stress in his job. Based on this
description, what is the most likely diagnosis of this type of headaache?
A. Tension
B. Migraine
C. Cluster
D. Temporal arteritis - CORRECT ANSWER-B. Migraine
The trachea deviates toward the affected side in all of the following except
A. Aortic aneurysm
B. Unilateral thyroid lobe enlargement
C. Large atelectasis
D. Pneumothorax - CORRECT ANSWER-C. Large atelectasis
Matthew, age 52, has allergic rhinitis and would like some medicine to relieve his symptoms. He
is taking cimetidine (Tagamet) for gastroesophageal reflux disease. Which medication would you
not order?
A. A first-generation antihistamine
B. A second-generation antihistamine
C. A decongestant
D. A topical nasal corticosteroid - CORRECT ANSWER-B. A second-generation antihistamine
Jessica, an 8 year old third grader is broght to the office by her grandmother, who is the child's
babysitter. She has complained of fever and sore throat for the past 2 days. Five other children in
her class have been sick with sore throats. She denies difficulty swallowing and has been
drinking fluids but has no appetite. ROS reveals that she has clear nasal drainage, hoarseness,
and nonproductive cough. She denies vomiting but has had mild diarrhea. On examination she
has a temperature of 101.5 F, 3+ erythematous tonsils, and palpable, tender cervical lymph
nodes. Based on these findings, what is the most likely diagnosis?
A. Mono
B. Sinusitis
C. Strep pharyingitis
, D. Viral pharyngitis - CORRECT ANSWER-D. Viral pharyngitis
Marcia, age 4, is brought into the office by her mother. She has a sore throat, difficulty
swallowing, copious oral secretions, respiratory difficulty, stridor, and a temperature of 102 F
but no pharyngeal erythema or cough. What do you suspect?
A. Epiglottitis
B. Group A beta-hemolytic streptococcal infection pharyngitis
C. Tonsillitis
D. Diphtheria - CORRECT ANSWER-A. Epiglottitis
You note a completely split uvula in Noi, a 42 year old Asian. What is your next course of
action?
A. Do nothing
B. Refer Noi to a specialist
C. Perform a throat culture
D. Order a CBC - CORRECT ANSWER-A. Do nothing
Claude, age 78, is being treated with timolol maleate (Timoptic) drops for his chronic open-angle
glaucoma. While performing a new client history and physical, you note that he is taking other
medications. Which medication would you be most concerned about?
A. Apsirin therapy as prophylaxis for heart attack
B. Ranitidine (Zantac) for gastroesophageal reflux disease
C. Alprazolam (Xanax), an anxiolytic for anxiety
D. Atenolol (Tenormin), a beta blocker for high blood pressure - CORRECT ANSWER-D.
Atenolol (Tenormin), a beta blocker for high blood pressure
Harry, age 69, has had Meniere's disease for several years. He has some hearing loss but now has
persistent vertigo. What treatment might be instituted to relieve the vertigo?
A. A labyrinthectomy
B. Pharmacological therapy
100% correct
Sharon, age 29, is pregnant for the first time. She complains of nasal stuffiness and occasional
epistaxis. What do you do?
A. Order lab tests, such as a CBC with differential, hemoglobin and hematocrit
B. Prescribe an antihistamine
C. You do nothing except for client teaching
D. Refer the client to an ear, nose and throat specialist - CORRECT ANSWER-C. You do
nothing except for client teaching
- Can occur with pregnancy because of increased vascularization in the upper respiratory tract
David, age 32, states that he thinks he has an ear infection because he just flew back from a
business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next
action?
A. Prescribe nasal steroids and oral decongestants
B. Prescribe antibiotic eardrops
C. Prescribe systemic eardrops
D. Refer David to an ear, nose, and throat specialist - CORRECT ANSWER-A. Prescribe nasal
steroids and oral decongestants
A sexual history of oral-genital contact in a client presenting with pharyngitis is significant when
which of the following organisms is suspected?
A. Escherichia coli
B. Haemophilus influenzae
C. Neisseria gonorrhoeae
D. Streptococcus pneumoniae - CORRECT ANSWER-C. Neisseria gonorrhoeae
- Neisseria gonorrhoeae pharyngitis is a common sexually transmitted disease
The most common cause of sensoineural hearing loss is
A. Trauma
,B. Tympanic membrane sclerosis and scarring
C. Otosclerosis
D. Presbycusis - CORRECT ANSWER-D. Presbycusis
How do you describe the cervical lymphadenopathy associated with asymptomatic HIV
infection?
A. Movable, discrete, soft, and nontender lymph nodes
B. Enlarged, warm, tender, firm, but freely movable lymph nodes
C. Hard, unilateral, nontender, and fixed lymph nodes
D. Firm but not hard, nontender, and mobile lymph nodes - CORRECT ANSWER-D. Firm but
not hard, nontender, and mobile lymph nodes
You diagnose acute epiglottitis in Sally, age 5, and immediately send her to the local emergeny
room. Which of the following symptoms would indicate that an airway obstruction is imminent?
A. Reddened face
B. Screaming
C. Grabbing her throat
D. Stridor - CORRECT ANSWER-D. Stridor
Purulent matter in the anterior chamber of the eye is called
A. Hyphema
B. Hypopyon
C. Anisocoria
D. Pterygium - CORRECT ANSWER-B. Hypopyon
A 42 year old stockbroker comes to your office for evaluation of a pulsating headache over the
left temporal region and he rates the pain as an 8 on a scale of 1-10. The pain has been constant
for the past several hours and is accompanied by nausea and sensitivity to light. He has had
frequent headaches for many years but not as severe and they are usually relieved by over the
counter medicines. He is unclear as to a precipitating event but notes that he has had visual
,disturbances before each headache and has been under a lot of stress in his job. Based on this
description, what is the most likely diagnosis of this type of headaache?
A. Tension
B. Migraine
C. Cluster
D. Temporal arteritis - CORRECT ANSWER-B. Migraine
The trachea deviates toward the affected side in all of the following except
A. Aortic aneurysm
B. Unilateral thyroid lobe enlargement
C. Large atelectasis
D. Pneumothorax - CORRECT ANSWER-C. Large atelectasis
Matthew, age 52, has allergic rhinitis and would like some medicine to relieve his symptoms. He
is taking cimetidine (Tagamet) for gastroesophageal reflux disease. Which medication would you
not order?
A. A first-generation antihistamine
B. A second-generation antihistamine
C. A decongestant
D. A topical nasal corticosteroid - CORRECT ANSWER-B. A second-generation antihistamine
Jessica, an 8 year old third grader is broght to the office by her grandmother, who is the child's
babysitter. She has complained of fever and sore throat for the past 2 days. Five other children in
her class have been sick with sore throats. She denies difficulty swallowing and has been
drinking fluids but has no appetite. ROS reveals that she has clear nasal drainage, hoarseness,
and nonproductive cough. She denies vomiting but has had mild diarrhea. On examination she
has a temperature of 101.5 F, 3+ erythematous tonsils, and palpable, tender cervical lymph
nodes. Based on these findings, what is the most likely diagnosis?
A. Mono
B. Sinusitis
C. Strep pharyingitis
, D. Viral pharyngitis - CORRECT ANSWER-D. Viral pharyngitis
Marcia, age 4, is brought into the office by her mother. She has a sore throat, difficulty
swallowing, copious oral secretions, respiratory difficulty, stridor, and a temperature of 102 F
but no pharyngeal erythema or cough. What do you suspect?
A. Epiglottitis
B. Group A beta-hemolytic streptococcal infection pharyngitis
C. Tonsillitis
D. Diphtheria - CORRECT ANSWER-A. Epiglottitis
You note a completely split uvula in Noi, a 42 year old Asian. What is your next course of
action?
A. Do nothing
B. Refer Noi to a specialist
C. Perform a throat culture
D. Order a CBC - CORRECT ANSWER-A. Do nothing
Claude, age 78, is being treated with timolol maleate (Timoptic) drops for his chronic open-angle
glaucoma. While performing a new client history and physical, you note that he is taking other
medications. Which medication would you be most concerned about?
A. Apsirin therapy as prophylaxis for heart attack
B. Ranitidine (Zantac) for gastroesophageal reflux disease
C. Alprazolam (Xanax), an anxiolytic for anxiety
D. Atenolol (Tenormin), a beta blocker for high blood pressure - CORRECT ANSWER-D.
Atenolol (Tenormin), a beta blocker for high blood pressure
Harry, age 69, has had Meniere's disease for several years. He has some hearing loss but now has
persistent vertigo. What treatment might be instituted to relieve the vertigo?
A. A labyrinthectomy
B. Pharmacological therapy
