CMN 568 unit 1 Study Questions And Answers
Verified 100% Correct
A 75 yo pt c/o intense eye pain and generalized HA, after watching a
movie in the theater. The NP records the following findings OD with red
sclera and dilated pupil, OD > OS, decreased VA OD, OS WNL, no
temporal tenderness. These findings are most appropriately suggest: A.
Acute glaucoma,
B. Open angle glaucoma,
C. Temporal arteritis,
D. retinal detachment - ANSWER acute glaucoma
A NP suspects that a scratchy feeling in a pt's eye is a corneal abrasion.
There is photophobia and erythema, but no drainage or change in visual
acuity. PERRLA is noted. An appropriate NP intervention at this time
would include:
A. immediate referral
B. instillation of anesthetic ocular drops,
C. opthalmic antibiotic gtts and patching the eye
D. instillation of mydriatic gtts - ANSWER instillation of anesthetic ocular
drops
A pt is suspected to have bacterial conjunctivitis OU. The NP performs
flourescein test and notes a dendritic appearance on the cornea. This is
probably:
A. glaucoma,
B herpes,
C a neisseria gonorrhea infection
D. hyphema - ANSWER herpes
On exam of a pt with epistaxis the NP note that there is oozing of blood
from the Kisselbach's plexus. This is:
A. often managed by pinching the nasal ala together for 10 minutes
while the pt leans backward
,B. can be managed with pheylephrine 0.125-1% solution 1 or 2 sprays
C. requires immediate ENT consult
D. signaling an intrinsic coagulation defect - ANSWER can be managed
w/phenylephrine 0.125-1% solution 1 or 2 sprays
pt complains of worsening nasal congestion. he reports symptoms started
to get worse a few days after he ran of phenylephrine nasal spray, which
he has been using for the past couple of weeks. what is the probable
cause? - ANSWER rhinitis medicamentosa (rebound congestion due o
using phenylephrine nasal spray longer than the recommended 3 days)
what is the significance of the triad of asthmas (Samter triad) and
what should be avoided? - ANSWER bronchospasm, aspirin
should be avoided as it may precipitate severe bronchospasms
due to an immunologic salicylate sensitivity
Treatment for allergic rhinitis is most appropriately:
A. Bactrim DS
B. dextromethorpan,
C. intranasal corticosteroid
D. amoxicillin - ANSWER intranasal corticosteroid
During examination of the posterior pharynx of an adult pt, the NP notes a
thick exudative purulent pharyngitis with petechiae on the mucous
membranes of the mouth. The most likely cause is:
A. diptheria
B. group a beta-hemolytic strep,
C. Coxsackie virus A
D. Neisseria gonorrhea - ANSWER b. group a beta-hemolytic strep
The medical term used to refer to pain on swallowing:
A. Odynophagia,
B. Dysphagia ,
C. Dysarthria,
, D. otalgia - ANSWER odynophagia
in assessing the hearing of an elderly pt the NP notes the Weber
lateralizes to the right. this could signify that:
A. it is normal
B. there is a sensorineural deficit in the right ear
C. there is a conduction loss in the right ear
D. there is conduction loss in the left ear - ANSWER there is a
conduction loss in the right ear
during the otoscopic examination of the right ear, the NP notes that the
short process of the malleus at:
A. 12 o'clock
B. 9 o'clock,
C. 7 o'clock,
D. 5 o'clock - ANSWER a. 12 o'clock
in order to make a diagnosis of Meniere's disease the NP should note in
the hx or assessment: A. loss of high frequency sounds,
B. loss of low frequency sounds,
C. constant episodes without relief
D. normal audiography - ANSWER loss of low frequency of sounds
Serous otitis media is suspected on examination when:
A. Bulging of the TM with loss of bony landmarks
B. Air bubbles are behind the TM
C. Increased cone of light is seen
D. A history of otorrhea is obtained - ANSWER b. Air bubbles are behind
the TM
The test used to check for corneal light reflex in each eye, and its
symmetry is called the:
A. cover/uncover test
B. Hirshberg test
C. EOMs
Verified 100% Correct
A 75 yo pt c/o intense eye pain and generalized HA, after watching a
movie in the theater. The NP records the following findings OD with red
sclera and dilated pupil, OD > OS, decreased VA OD, OS WNL, no
temporal tenderness. These findings are most appropriately suggest: A.
Acute glaucoma,
B. Open angle glaucoma,
C. Temporal arteritis,
D. retinal detachment - ANSWER acute glaucoma
A NP suspects that a scratchy feeling in a pt's eye is a corneal abrasion.
There is photophobia and erythema, but no drainage or change in visual
acuity. PERRLA is noted. An appropriate NP intervention at this time
would include:
A. immediate referral
B. instillation of anesthetic ocular drops,
C. opthalmic antibiotic gtts and patching the eye
D. instillation of mydriatic gtts - ANSWER instillation of anesthetic ocular
drops
A pt is suspected to have bacterial conjunctivitis OU. The NP performs
flourescein test and notes a dendritic appearance on the cornea. This is
probably:
A. glaucoma,
B herpes,
C a neisseria gonorrhea infection
D. hyphema - ANSWER herpes
On exam of a pt with epistaxis the NP note that there is oozing of blood
from the Kisselbach's plexus. This is:
A. often managed by pinching the nasal ala together for 10 minutes
while the pt leans backward
,B. can be managed with pheylephrine 0.125-1% solution 1 or 2 sprays
C. requires immediate ENT consult
D. signaling an intrinsic coagulation defect - ANSWER can be managed
w/phenylephrine 0.125-1% solution 1 or 2 sprays
pt complains of worsening nasal congestion. he reports symptoms started
to get worse a few days after he ran of phenylephrine nasal spray, which
he has been using for the past couple of weeks. what is the probable
cause? - ANSWER rhinitis medicamentosa (rebound congestion due o
using phenylephrine nasal spray longer than the recommended 3 days)
what is the significance of the triad of asthmas (Samter triad) and
what should be avoided? - ANSWER bronchospasm, aspirin
should be avoided as it may precipitate severe bronchospasms
due to an immunologic salicylate sensitivity
Treatment for allergic rhinitis is most appropriately:
A. Bactrim DS
B. dextromethorpan,
C. intranasal corticosteroid
D. amoxicillin - ANSWER intranasal corticosteroid
During examination of the posterior pharynx of an adult pt, the NP notes a
thick exudative purulent pharyngitis with petechiae on the mucous
membranes of the mouth. The most likely cause is:
A. diptheria
B. group a beta-hemolytic strep,
C. Coxsackie virus A
D. Neisseria gonorrhea - ANSWER b. group a beta-hemolytic strep
The medical term used to refer to pain on swallowing:
A. Odynophagia,
B. Dysphagia ,
C. Dysarthria,
, D. otalgia - ANSWER odynophagia
in assessing the hearing of an elderly pt the NP notes the Weber
lateralizes to the right. this could signify that:
A. it is normal
B. there is a sensorineural deficit in the right ear
C. there is a conduction loss in the right ear
D. there is conduction loss in the left ear - ANSWER there is a
conduction loss in the right ear
during the otoscopic examination of the right ear, the NP notes that the
short process of the malleus at:
A. 12 o'clock
B. 9 o'clock,
C. 7 o'clock,
D. 5 o'clock - ANSWER a. 12 o'clock
in order to make a diagnosis of Meniere's disease the NP should note in
the hx or assessment: A. loss of high frequency sounds,
B. loss of low frequency sounds,
C. constant episodes without relief
D. normal audiography - ANSWER loss of low frequency of sounds
Serous otitis media is suspected on examination when:
A. Bulging of the TM with loss of bony landmarks
B. Air bubbles are behind the TM
C. Increased cone of light is seen
D. A history of otorrhea is obtained - ANSWER b. Air bubbles are behind
the TM
The test used to check for corneal light reflex in each eye, and its
symmetry is called the:
A. cover/uncover test
B. Hirshberg test
C. EOMs
