NUR 621 FINAL EXAM QUESTIONS
& A+ GRADED ANSWERS
Patient complains of unilateral progressive hearing loss and frequent headaches. What is the
most likely diagnosis?
a. acoustic neuroma
b. menieres disease
c. prebycusis
d. conductive hearing loss - correct answer ✔✔Acoustic neuroma
What might be the diagnosis for a patient that is experiencing fluctuating, unilateral, hearing
loss and feels dizzy - correct answer ✔✔meniere's disease
Which of the following are causes of sensorineural hearing loss?
a. cerumen impaction
b. presbycusis
c. acustic neuroma
d.otosclerosis
e. aminoglycoside induced hearing loss
f.congential abnormalities - correct answer ✔✔b. presbycusis
c. acustic neuroma
e. aminoglycoside induced hearing loss
All others are conductive hearing loss
, Patient presents with sudden, sensorineural hearing loss. What is the next step for the
provider? - correct answer ✔✔refer to otorhinolaryngologist
What else should be included in the assessment of patients with presbycusis? - correct answer
✔✔Mental health assessment. high risk for suicide
Which type of hearing loss is considered reversible? Sensorineural or conductive? - correct
answer ✔✔Conductive
What is the best treatment for acute attack of menieres disease? - correct answer ✔✔resting
with the eyes closed and protection from falling.
A patient with Meniere's disease has sound lateralization to the non affected ear when a tuning
fork is placed midline on the top of the head. What is the name of this test? - correct answer
✔✔Weber test
What are two medications safe to prescribe in patients with bacterial otitis externa and
perforated tympanic membrane? - correct answer ✔✔1. ciprofloxacin drops
2. ofloxacin drops
A patient with otitis externa asks when they can return to swimming. How would you advise? -
correct answer ✔✔The ear must be kept dry without being submerged in water for 4-6 weeks.
Medications of choice for a pediatric patient with AOM and has a hx of an anaphylaxis reaction
to penicillin? (3) - correct answer ✔✔clarithromycin, bactrim, or azithromycin
Pediatric patient recently completed course of amoxicillin but continues to have symptoms of
AOM. What is the next step? - correct answer ✔✔Augmentin
& A+ GRADED ANSWERS
Patient complains of unilateral progressive hearing loss and frequent headaches. What is the
most likely diagnosis?
a. acoustic neuroma
b. menieres disease
c. prebycusis
d. conductive hearing loss - correct answer ✔✔Acoustic neuroma
What might be the diagnosis for a patient that is experiencing fluctuating, unilateral, hearing
loss and feels dizzy - correct answer ✔✔meniere's disease
Which of the following are causes of sensorineural hearing loss?
a. cerumen impaction
b. presbycusis
c. acustic neuroma
d.otosclerosis
e. aminoglycoside induced hearing loss
f.congential abnormalities - correct answer ✔✔b. presbycusis
c. acustic neuroma
e. aminoglycoside induced hearing loss
All others are conductive hearing loss
, Patient presents with sudden, sensorineural hearing loss. What is the next step for the
provider? - correct answer ✔✔refer to otorhinolaryngologist
What else should be included in the assessment of patients with presbycusis? - correct answer
✔✔Mental health assessment. high risk for suicide
Which type of hearing loss is considered reversible? Sensorineural or conductive? - correct
answer ✔✔Conductive
What is the best treatment for acute attack of menieres disease? - correct answer ✔✔resting
with the eyes closed and protection from falling.
A patient with Meniere's disease has sound lateralization to the non affected ear when a tuning
fork is placed midline on the top of the head. What is the name of this test? - correct answer
✔✔Weber test
What are two medications safe to prescribe in patients with bacterial otitis externa and
perforated tympanic membrane? - correct answer ✔✔1. ciprofloxacin drops
2. ofloxacin drops
A patient with otitis externa asks when they can return to swimming. How would you advise? -
correct answer ✔✔The ear must be kept dry without being submerged in water for 4-6 weeks.
Medications of choice for a pediatric patient with AOM and has a hx of an anaphylaxis reaction
to penicillin? (3) - correct answer ✔✔clarithromycin, bactrim, or azithromycin
Pediatric patient recently completed course of amoxicillin but continues to have symptoms of
AOM. What is the next step? - correct answer ✔✔Augmentin
