NSG 6420 WEEK 2 QUIZ| ANSWERED AND GRADED A+

NSG 6420 WEEK 2 QUIZ| ANSWERED AND GRADED A+ 1. An 86 year old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to possible hearing aid malfunction, this condition is often due to - Cerumen impaction 2. In examination of the nose, the clinician observes gray pale mucuous membranes with clear, serous discharge. This is most likely indicative of - Allergic rhinitis 3. A 45 year old patient presents with sore throat and fever for one week. After a quick strep screen you determine the patient has strep throat. You know that streptococcal pharyngitis should be treated with antibiotics to prevent complications and to shorten the course of disease. Which of the following antibiotics should be considered when a patient is allergic to penicillin - EES erythromycin 4. Presbycusis is the hearing impairment that is associated with - Physiological aging 5. Epistaxis can be a symptom of - Over anticoagulation, hematologic malignancy, cocaine abuse 6. A 26 year old patient presents with cough and general malaise for 3 days. They note that their eyes have been watering clear fluid and a runny nose since yesterday. They note they feel miserable and demand something to make them feel better. What would be the best first plan of treatment - Saline nasal spray for congestion and acetaminophen as needed for pain 7. Dizziness that is described as lightheaded or like im going to faint is usually caused by inadequate cerebral perfusion and is classified as - Presyncope 8. It is important not to dilate eyes if what is suspected - Closed angle glaucoma 9. Which of the following findings should trigger an urgent referral to cardiologist or neurologist - History of transient and painless monocular loss of vision 10. Your patient has ben using chewing tobacco for 10 year. on physical exam you observe a white ulceration surrounded by erythematous base on the side of his tongue. The clinician should recognize this very often this is - Squamous cell carcinoma 11. Mr. GC presents to the clinic with nausea and vomiting for 2 days prior to that time he reports occasional dizziness that got better with change in position. He denies a recent history of URI or any history of headaches or migraines. What would the most likely diagnosis be - Benign paroxysmal positional vertigo 12. A patient presents with eye redness, scant discharge and a gritty sensation. Your exam reveals the palpable pre auricular nodes which are most likely - Viral conjunctivitis 13. Which of the following patient with vertigo would require neurological imaging - A 68 year old woman with a history of hypertension and sudden acute onset constant vertigo. She has right nystagmus that changes direction with gaze and that does not disappear when she focuses 14. In assessing eyes which of the following is considered a red flag finding when associated with eye redness - Grossly visible corneal defect 15. A 64 year old male presents with erythema of the sclera, tearing, and bilateral pruritis of the eyes. The symptoms occur intermittently throughout the year and he has associated clear nasal discharge. Which of the following is mostly likely because of inflammation - Allergen 16. Patient that have atopic disorders are mediated by the production of immunoglobin E IGE will have histamine stimulated as an immediate phase response. This release of histamine results in which of the following - Bronchospasm, vascular permeability, and vasodilation 17. In examining the mouth of an older adult with a history of smoking, the NP finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the most common oral precancerous lesion - Leukoplakia 18. Rheumatic hear disease is a complication that can arise from which type of infection - Group A beta hemolytic streptococcus 19. You have a patient complaining of vertigo and want to know what could be the causae. Knowing there are many causes for vertigo you question the length of time the sensation lasts. She tells you several hours to days and is accompanied by tinnitus and hearing loss. You suspect which of the following condition - Menieres disease 20. A patient complains of fever, fatigue and pharyngitis. On physical examination there is a pronounced cervical lymphadenopathy. Which of the following diagnostic tests should be considere d - Mono spot - Strep - Throat - Al of the above Quizlet 1. In AR disorders, carriers have: Two mutated genes; two from one parent that cause disease A mutation on a sex chromosome that causes a disease A single gene mutation that causes the disease One copy of a gene mutation but not the disease - One copy of a gene mutation but not the disease - 2. A 76-year-old patient with a 200-pack year smoking history presents with complaints of chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The physical exam reveals decreased breath sounds and dullness to percussion over the left lower lung field. The chest X-ray demonstrates shift of the mediastinum and trachea to the left. These are classic signs of: Lung cancer