NM703 EXAM 3 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
18 yo girl has a cold. is congested. right ear throbbing. denies problems. last ear
infection was as a baby. hearing seems muffled, no ringing in ears. has h/a, sore
throat, nasal congestion for 3-4 days. vitals WNL except temp, which is 101.0.
what physical assessment should you do?
examine mouth, eyes, nose for lesions, appearance, hydration status. Palpate frontal
and maxillary sinuses. Palpate pre and post auricular lymph nodes and cervical nodes.
Perform an otoscopic exam of ears and assess the TM position, translucency, mobility,
color, and fluid level. SUSPECT OTITIS MEDIA
Rebecca S has bilateral red eye. problem started 2 days after her son sent home
w/ pink eye. eyes are red, esp at corners, watering, and w/o purulent drainage.
DX?
viral conjunctivitis
Sudden and severe pain in right eye. Eyes were dilated the day before for a vision
exam. You see her eye is red, a rainbow like halo around pupil with a cloudy
cornea. You recommend the following
urgent referral to ophthalmologist
1st line abx therapy for an adult with NKDA and suspected group A beta
hemolytic streptococcal pharyngitis is:
PCN
Nosebleed instructions:
,sit upright w head tilted froward, apply firm continuous pressure for at least 15 min to
the anterior aspect of affected nostril. Following nosebleed, vigorous exercise, aspirin,
spicy foods, and tobacco should be avoid, as well as nasal trauma/nose picking
treatment for allergic rhinitis
first gen antihistamines, 2nd gen antihistamines, and intranasal steroids
TX of bacterial conjunctivitis
topical antibiotic, like trimethoprim-polymyxin B and fluoroquinolone drops, QID for 1
week
Pt comes in c/o eye irritation in right eye. states eye was pasted shut in the AM
when she woke up, and has purulent discharge which makes seeing difficult.
denies allergies or similar conditions. What is this?
bacterial conjunctivitis
40 year old comes in c/o frontal h/a, nasal congestion, sore throat, yellowish
nasal drainage, and temp of 100.0. sx began a week ago after she noticed cold sx,
have steadily worsens. headache worsens as she bends forward. what is this?
acute sinusitis
mono differs from strep throat in that
sx such as fatigue and anorexia occur prior to sore throat onset
Pt comes in w/ a sore throat. C/o h/a, cough, watery eyes and runny nose. Achy
all over this AM. temp of 100.8. What is the best dx?
viral pharyngitis
Viral conjunctivitis management- plan?
, discuss hand hygiene, use of cold compresses, and wearing glasses until sx have
subsided
14 year old seen for sore throat, temp of 102. C/o throat hurting after school
yesterday, has gotten steadily worse. Had fevers and chills last night, mom gives
tylenol. Chief complaint is sore throat, which makes swallowing difficult. DX?
bacterial pharyngitis
best treatment for seborrheic cause blepharitis?
dilute baby shampoo for lid cleansing and warm moist soaks
Pt with seborrhea, inflammation of eyelids taht affects only the eyelash hair
follicles. No ulceration or masses in eyelids and the pre auricular nodes are non
palpable. DX?
blepharitis
Management plan for infected piercing?
topical abx ointment applied after cleansing with alcohol at least daily
64 yo has railed crusted lesion surrounding a center ulcer on top right ear. Is fair
skin and has had lot of sun exposure over the years. DX?
squamous cell carcinoma
What to tell pt with suspected squamous cell carcinoma?
your suspicions, educate her on characteristics of it, typical process of dx, tx, and
course of disease. Make her an appt for a biopsy and follow up before she leaves the
office.
45 yo fair skinned woman works outside without a hat. Has a spot on her face for
3 mo, is enlarging. Lesion is round, 1/2 cm on side of nose w/ a raised center,
COMPLETE SOLUTIONS VERIFIED
18 yo girl has a cold. is congested. right ear throbbing. denies problems. last ear
infection was as a baby. hearing seems muffled, no ringing in ears. has h/a, sore
throat, nasal congestion for 3-4 days. vitals WNL except temp, which is 101.0.
what physical assessment should you do?
examine mouth, eyes, nose for lesions, appearance, hydration status. Palpate frontal
and maxillary sinuses. Palpate pre and post auricular lymph nodes and cervical nodes.
Perform an otoscopic exam of ears and assess the TM position, translucency, mobility,
color, and fluid level. SUSPECT OTITIS MEDIA
Rebecca S has bilateral red eye. problem started 2 days after her son sent home
w/ pink eye. eyes are red, esp at corners, watering, and w/o purulent drainage.
DX?
viral conjunctivitis
Sudden and severe pain in right eye. Eyes were dilated the day before for a vision
exam. You see her eye is red, a rainbow like halo around pupil with a cloudy
cornea. You recommend the following
urgent referral to ophthalmologist
1st line abx therapy for an adult with NKDA and suspected group A beta
hemolytic streptococcal pharyngitis is:
PCN
Nosebleed instructions:
,sit upright w head tilted froward, apply firm continuous pressure for at least 15 min to
the anterior aspect of affected nostril. Following nosebleed, vigorous exercise, aspirin,
spicy foods, and tobacco should be avoid, as well as nasal trauma/nose picking
treatment for allergic rhinitis
first gen antihistamines, 2nd gen antihistamines, and intranasal steroids
TX of bacterial conjunctivitis
topical antibiotic, like trimethoprim-polymyxin B and fluoroquinolone drops, QID for 1
week
Pt comes in c/o eye irritation in right eye. states eye was pasted shut in the AM
when she woke up, and has purulent discharge which makes seeing difficult.
denies allergies or similar conditions. What is this?
bacterial conjunctivitis
40 year old comes in c/o frontal h/a, nasal congestion, sore throat, yellowish
nasal drainage, and temp of 100.0. sx began a week ago after she noticed cold sx,
have steadily worsens. headache worsens as she bends forward. what is this?
acute sinusitis
mono differs from strep throat in that
sx such as fatigue and anorexia occur prior to sore throat onset
Pt comes in w/ a sore throat. C/o h/a, cough, watery eyes and runny nose. Achy
all over this AM. temp of 100.8. What is the best dx?
viral pharyngitis
Viral conjunctivitis management- plan?
, discuss hand hygiene, use of cold compresses, and wearing glasses until sx have
subsided
14 year old seen for sore throat, temp of 102. C/o throat hurting after school
yesterday, has gotten steadily worse. Had fevers and chills last night, mom gives
tylenol. Chief complaint is sore throat, which makes swallowing difficult. DX?
bacterial pharyngitis
best treatment for seborrheic cause blepharitis?
dilute baby shampoo for lid cleansing and warm moist soaks
Pt with seborrhea, inflammation of eyelids taht affects only the eyelash hair
follicles. No ulceration or masses in eyelids and the pre auricular nodes are non
palpable. DX?
blepharitis
Management plan for infected piercing?
topical abx ointment applied after cleansing with alcohol at least daily
64 yo has railed crusted lesion surrounding a center ulcer on top right ear. Is fair
skin and has had lot of sun exposure over the years. DX?
squamous cell carcinoma
What to tell pt with suspected squamous cell carcinoma?
your suspicions, educate her on characteristics of it, typical process of dx, tx, and
course of disease. Make her an appt for a biopsy and follow up before she leaves the
office.
45 yo fair skinned woman works outside without a hat. Has a spot on her face for
3 mo, is enlarging. Lesion is round, 1/2 cm on side of nose w/ a raised center,
