NURS 676 ADVANCED PHARMACOLOGY FINAL
EXAM REVIEW / QUESTIONS AND CORRECT
ANSWERS 2023/2024 GRADED A+.
A patient reports recurrent chest pain that occurs regardless of activity and is not
relieved by rest. The provider administers one NG tablet which does not relieve the
pain. What is the next action? - ANSWER Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of acute ST
segment elevation MI (STEMI). The nearest hospiral that can perform a PCI is three
hours away, what is the initial treatment for this patient. - ANSWER Initiate
fibrinolytic therapy
A patient reports a feeling of fullness and pain in both ears and the practitioner elicits
pain when manipulating the ear structures, what is likely the diagnosis? - ANSWER
acute otitis externa
Which are risk factors for developing otitis externa? - ANSWER having underlying
DM, use of ear plugs or hearing aids, vigorous external hygiene
A patient has an initial episode of otitis external associated with swimming. the
patient's ear canal is mildly inflamed and the TM is not involved. Which medication
will be ordered? - ANSWER Cipro HC
Which symptoms in children are evlauated using a parent-reported scoring system to
determine the severity of pain in children with OM? - ANSWER Appetite, Difficulty
sleeping, and tugging on ears.
Which patient may be given symptomatic treatment with 24 hours follow-up
assessment without initial antibiotic therapy? - ANSWER A 36 month old with fever
of 38.5, mild otalgia, and red, non-bulging TM
A pediatric patient has otalgia, fever of 38.8, and recent history of URI. the examiner
is unable to visualize the TM in the right ear because of the presence of cerumen.
The left TM is dull gray with fluid levels present. What is the correct action? -
ANSWER Remove the cerumen and visualize the TM
A patient reports ear pain and difficulty hearing. An otoscope examination reveals a
small tear in the TM of the affected ear with purulent d/c. What is the initial treatment
for this patient? - ANSWER Prescribe antibiotic ear drops
A patient reports ear pain after being hit in the head with a baseball. The provider
notes a perforated TM. What is recommended treatment? - ANSWER Refer the
patient to an Otolaryngologist for eval
, An adolescent has fever, chills, and a severe sore throat. On exam, the provider
notes foul-smelling breath and a muffled voice with marked edema and erythema of
the peritonsillar tissue. What should you do? - ANSWER Perform a rapid strep and
throat culture.
A patient has a sore throat, and temp of 38.5, tonsillar exudates, and cervical
lymphadenopathy. What will the provider do next to manage this patient's symptoms.
- ANSWER Perform a RADT
A patient reports a sudden onset of sore throat, fever, malaise, and cough. the
provider notes mild erythema of the pharynx and clear rhinorrhea without cervical
lymphadnopathy. what is most likely cause? - ANSWER viral pharyngitis
A school-aged child has 5 episodes of tonsillitis in the past year and 2 episodes the
previous year. The child's parents ask the provider if the child needs a tonsillectomy.
What will the provider say? - ANSWER Current recommendations do not support
tonsillectomy for this child
A patient with EBV-IM also has GAS pharyngitis and is being treated with
Amoxicillin. On the third day of treatment, the patient develops a rash. A urinalysis is
normal. what does this indicate? - ANSWER A reaction to the amoxicillin
An adolescent who plays football in high school is diagnosed with Infectious Mono
and is noted to have splenomegaly. What will the provider recommend to this patient
about returning to sports? - ANSWER ABD US are recommended to determines
safety
An adolescent patient has a fever, pharyngitis, and cervical lymphadenopathy and
has negative GAS culture. A cbc shows absolute lymphocytosis, but a heterophil
antibody test is negative for EBV. What will the provider tell the patient? - ANSWER
The likelihood of EBV is still high
A patient reports persistent nasal blockage, discharge and facial pain lasting on the
right side for 4 months. There is no hx of sneezing or eye involvement, The patient
has a hx of seasonal allergies and takes a non-sedating antihistamine. What does
the provider suspect is the cause of these symptoms? - ANSWER chronic
rhinosinusitis
A provider determines that a patient has chronic rhinosinusitis without nasal polyps.
What is first-line treatment? - ANSWER Intranasal corticosteroids
A patient has recurrent sneezing, alterations in taste and smell, watery, itchy eyes,
and thin, clear nasal secretions. The provider notes puffiness around the eyes. The
patient;s vital signs are normal. What is likely diagnosis? - ANSWER allergic
rhinitis
A patient has seasonal rhinitis symptoms and allergy testing reveals sensativity to
trees and grasses. What is first line treatment for this patient? - ANSWER
intranasal steroids
EXAM REVIEW / QUESTIONS AND CORRECT
ANSWERS 2023/2024 GRADED A+.
A patient reports recurrent chest pain that occurs regardless of activity and is not
relieved by rest. The provider administers one NG tablet which does not relieve the
pain. What is the next action? - ANSWER Give the patient a beta blocker
A patient is brought to an emergency department with symptoms of acute ST
segment elevation MI (STEMI). The nearest hospiral that can perform a PCI is three
hours away, what is the initial treatment for this patient. - ANSWER Initiate
fibrinolytic therapy
A patient reports a feeling of fullness and pain in both ears and the practitioner elicits
pain when manipulating the ear structures, what is likely the diagnosis? - ANSWER
acute otitis externa
Which are risk factors for developing otitis externa? - ANSWER having underlying
DM, use of ear plugs or hearing aids, vigorous external hygiene
A patient has an initial episode of otitis external associated with swimming. the
patient's ear canal is mildly inflamed and the TM is not involved. Which medication
will be ordered? - ANSWER Cipro HC
Which symptoms in children are evlauated using a parent-reported scoring system to
determine the severity of pain in children with OM? - ANSWER Appetite, Difficulty
sleeping, and tugging on ears.
Which patient may be given symptomatic treatment with 24 hours follow-up
assessment without initial antibiotic therapy? - ANSWER A 36 month old with fever
of 38.5, mild otalgia, and red, non-bulging TM
A pediatric patient has otalgia, fever of 38.8, and recent history of URI. the examiner
is unable to visualize the TM in the right ear because of the presence of cerumen.
The left TM is dull gray with fluid levels present. What is the correct action? -
ANSWER Remove the cerumen and visualize the TM
A patient reports ear pain and difficulty hearing. An otoscope examination reveals a
small tear in the TM of the affected ear with purulent d/c. What is the initial treatment
for this patient? - ANSWER Prescribe antibiotic ear drops
A patient reports ear pain after being hit in the head with a baseball. The provider
notes a perforated TM. What is recommended treatment? - ANSWER Refer the
patient to an Otolaryngologist for eval
, An adolescent has fever, chills, and a severe sore throat. On exam, the provider
notes foul-smelling breath and a muffled voice with marked edema and erythema of
the peritonsillar tissue. What should you do? - ANSWER Perform a rapid strep and
throat culture.
A patient has a sore throat, and temp of 38.5, tonsillar exudates, and cervical
lymphadenopathy. What will the provider do next to manage this patient's symptoms.
- ANSWER Perform a RADT
A patient reports a sudden onset of sore throat, fever, malaise, and cough. the
provider notes mild erythema of the pharynx and clear rhinorrhea without cervical
lymphadnopathy. what is most likely cause? - ANSWER viral pharyngitis
A school-aged child has 5 episodes of tonsillitis in the past year and 2 episodes the
previous year. The child's parents ask the provider if the child needs a tonsillectomy.
What will the provider say? - ANSWER Current recommendations do not support
tonsillectomy for this child
A patient with EBV-IM also has GAS pharyngitis and is being treated with
Amoxicillin. On the third day of treatment, the patient develops a rash. A urinalysis is
normal. what does this indicate? - ANSWER A reaction to the amoxicillin
An adolescent who plays football in high school is diagnosed with Infectious Mono
and is noted to have splenomegaly. What will the provider recommend to this patient
about returning to sports? - ANSWER ABD US are recommended to determines
safety
An adolescent patient has a fever, pharyngitis, and cervical lymphadenopathy and
has negative GAS culture. A cbc shows absolute lymphocytosis, but a heterophil
antibody test is negative for EBV. What will the provider tell the patient? - ANSWER
The likelihood of EBV is still high
A patient reports persistent nasal blockage, discharge and facial pain lasting on the
right side for 4 months. There is no hx of sneezing or eye involvement, The patient
has a hx of seasonal allergies and takes a non-sedating antihistamine. What does
the provider suspect is the cause of these symptoms? - ANSWER chronic
rhinosinusitis
A provider determines that a patient has chronic rhinosinusitis without nasal polyps.
What is first-line treatment? - ANSWER Intranasal corticosteroids
A patient has recurrent sneezing, alterations in taste and smell, watery, itchy eyes,
and thin, clear nasal secretions. The provider notes puffiness around the eyes. The
patient;s vital signs are normal. What is likely diagnosis? - ANSWER allergic
rhinitis
A patient has seasonal rhinitis symptoms and allergy testing reveals sensativity to
trees and grasses. What is first line treatment for this patient? - ANSWER
intranasal steroids
