Nurs 5433 Family 2 Module 1 EENT Questions And
Verified Answers
/. What are the 3 most common causative organisms for bacterial conjunctivitis? -
Answer-✅Strep pneumoniae, Haemophilus influenzae, Staphylococcus aureus
/.A 19 year old presents with a complaint of bilaterally itchy, red eyes with tearing that
occurs intermittently throughout the year and is often accompanied by a rope like eye
discharge and clear nasal discharge. This is most consistent with what diagnosis? -
Answer-✅allergic conjunctivitis
/.Treatment for allergic conjunctivitis - Answer-✅Corticosteroid ophthalmic drops
/.Treatment for viral conjunctivitis - Answer-✅no drops needed
/.Common cause of anterior epistaxis - Answer-✅localized nasal mucosa trauma
/.1st line intervention for epistaxis - Answer-✅Firm pressure to the area superior to the
nasal alar cartilage
/.Ms Murphy is a 58 year old woman presenting with a sudden left sided headache that
is most painful in her left eye. Her vision is blurred, and the left pupil is slightly dilated
and poorly reactive. The left conjunctiva is markedly injected, and the eyeball is firm.
Vision screen with the Snellen chart is 20/30 OD; and 20/90 OS. What is the most likely
diagnosis? - Answer-✅angle-closure glaucoma
/.Mrs. Allen is a 67 year old female with type 2 DM who complains of seeing flashing
lights and floaters, decreased visual acuity, and metamorphopsia in her left eye. What is
the most likely diagnosis? - Answer-✅Retinal detachment
/.Which of the following is most likely to be found on the funduscopic exam in a patient
with untreated POAG? - Answer-✅excessive cupping of the optic disk
/.A 22 year old female presents with a "pimple" on her right eyelid. Exam reveals a 2mm
pustule on the lateral border of the right eyelid margin. What is this most consistent
with? - Answer-✅Hordeolum
,/.A 22 year old female presents with a 'bump" on her right eyelid. Exam reveals a 2 mm
hard, nontender swelling on the lateral border of the right eyelid margin. What is this
most consistent with? - Answer-✅chalazion
/.What is an independent risk factor for oral cancer? - Answer-✅human papillomavirus
type 16
/.What are top 3 causative pathogens for otitis externa? - Answer-✅Pseudomonas
aeruginosa, proteus Enterobacteriaceae, and staph aureus
/.What is an appropriate antibiotic therapy for otitis externa with accompanying cellulitis
suitable for outpatient therapy? - Answer-✅fluoroquinolone
/.What are the top 3 causative pathogens for otitis media? - Answer-✅Strep
pneumoniae, haemophilus influenzae, moraxella catarrhalis
/.What is expected finding in AOM? - Answer-✅Tympanic membrane immobility
/.A 25 year old patient has a 3 day hx of left ear pain that began after one week of URI
symptoms. On physical exam, you find that she has AOM. She is allergic to PCN with a
flat pink rash only. She took an oral antimicrobial for the tx of a UTI 2 weeks ago. What
is the most appropriate oral antimicrobial option for this patient? - Answer-
✅cefpodoxime
/.Drug resistant S. Pneumoniae is least likely to exhibit resistance to which of the
following microbial classes? - Answer-✅respiratory fluoroquinolones
/.What are characteristics of M catarrhalis? H. Influenzae? S. pneumoniae? - Answer-
✅-M cat: high rate of beta-lactamase production
-H flu: some isolates exhibit antimicrobial resistance via production of beta-lactamase
-S. pneumo: mechanism of antimicrobial resistance usually via altered protein-binding
sites held within the microbe's cell
/.What are treatment options for streptococcal pharyngitis for a patient with PCN
allergy? - Answer-✅-azithromycin
-Clarithromycin
-Clindamycin
/.What are the possible complications of GAS(Group A Streptococcus)? - Answer-
✅Glomerulonephritis, rheumatic fever
/.What are the symptoms of Rheumatic Fever? - Answer-✅Carditis and arthritis
, /.The rash associated with scarlet fever typically occurs how long after the start of the
symptomatic infection? - Answer-✅2 days
/.How do decongestants work? - Answer-✅vasoconstriction
/.Which of the following medications is most appropriate for allergic rhinitis therapy in an
acutely symptomatic 24 year old machine operator? - Answer-✅Loratadine(Claritin)
/.According to Global Resources in Allergy (GLORIA) guidelines, what is recommended
for intervention in persistent allergic conjunctivitis? - Answer-✅Topical mast cell
stabilizer with a topical antihistamine
/.What s/s is most consistent with the diagnosis of acute bacerial rhinosinusitis (ABRS)?
- Answer-✅Upper respiratory tract infection symptoms persisting beyond 7-10 days
/.What is most common causative pathogen for bacerial rhinosinusitis (ABRS)? -
Answer-✅strep pneumoniae
/.Blepharitis patho - Answer-✅-inflammation of the eyelid
-nonulcerative causes: psoriasis seborrhea, eczema, allergies, lice, trisomy 21,
chemical or environmental irritants, eye makeup, and contact lenses
-ulcerative causes: lash follicle in meibomian glands of eyelid, pustules at base of hair
follicles that crust and bleed, lashes become thick and break easily
/.Blepharitis risk factors - Answer-✅dry eye, frequent hordeolum or chazalium, facial or
scalp seborrhea, immunocompromised, acne, diabetes, Retin-A use
/.Blepharitis differential diagnosis - Answer-✅-bacterial infections (impetigo)
-viral infections (herpes)
-parasitic (demodex folliculorum)
-immunologic (atopic dermatitis, discoid lupus)
-dermatoses (psoriasis)
-benign eyelid tumor (actinic keratosis, subcutaneous papilloma)
-malignant eyelid tumors (basal cell carcinoma, squamous cell carcinoma, melanoma)
-trauma (chemical, thermal, radiation, surgical)
-toxic conditions (medicamentosa)
-patients with unilateral symptoms should be screened for sebaceous carcinoma
/.Blepharitis diagnostic testing needed - Answer-✅-comprehensive eye history and
exam
-slit lamp exam (to distinguish between anterior and posterior blepharitis)
-microbiologic cultures of eyelide and conjunctiva, meibomian gland imaging, and
eyelash epilation for exam by light microscopy (identification of demodex folliculorum
infestation)
Verified Answers
/. What are the 3 most common causative organisms for bacterial conjunctivitis? -
Answer-✅Strep pneumoniae, Haemophilus influenzae, Staphylococcus aureus
/.A 19 year old presents with a complaint of bilaterally itchy, red eyes with tearing that
occurs intermittently throughout the year and is often accompanied by a rope like eye
discharge and clear nasal discharge. This is most consistent with what diagnosis? -
Answer-✅allergic conjunctivitis
/.Treatment for allergic conjunctivitis - Answer-✅Corticosteroid ophthalmic drops
/.Treatment for viral conjunctivitis - Answer-✅no drops needed
/.Common cause of anterior epistaxis - Answer-✅localized nasal mucosa trauma
/.1st line intervention for epistaxis - Answer-✅Firm pressure to the area superior to the
nasal alar cartilage
/.Ms Murphy is a 58 year old woman presenting with a sudden left sided headache that
is most painful in her left eye. Her vision is blurred, and the left pupil is slightly dilated
and poorly reactive. The left conjunctiva is markedly injected, and the eyeball is firm.
Vision screen with the Snellen chart is 20/30 OD; and 20/90 OS. What is the most likely
diagnosis? - Answer-✅angle-closure glaucoma
/.Mrs. Allen is a 67 year old female with type 2 DM who complains of seeing flashing
lights and floaters, decreased visual acuity, and metamorphopsia in her left eye. What is
the most likely diagnosis? - Answer-✅Retinal detachment
/.Which of the following is most likely to be found on the funduscopic exam in a patient
with untreated POAG? - Answer-✅excessive cupping of the optic disk
/.A 22 year old female presents with a "pimple" on her right eyelid. Exam reveals a 2mm
pustule on the lateral border of the right eyelid margin. What is this most consistent
with? - Answer-✅Hordeolum
,/.A 22 year old female presents with a 'bump" on her right eyelid. Exam reveals a 2 mm
hard, nontender swelling on the lateral border of the right eyelid margin. What is this
most consistent with? - Answer-✅chalazion
/.What is an independent risk factor for oral cancer? - Answer-✅human papillomavirus
type 16
/.What are top 3 causative pathogens for otitis externa? - Answer-✅Pseudomonas
aeruginosa, proteus Enterobacteriaceae, and staph aureus
/.What is an appropriate antibiotic therapy for otitis externa with accompanying cellulitis
suitable for outpatient therapy? - Answer-✅fluoroquinolone
/.What are the top 3 causative pathogens for otitis media? - Answer-✅Strep
pneumoniae, haemophilus influenzae, moraxella catarrhalis
/.What is expected finding in AOM? - Answer-✅Tympanic membrane immobility
/.A 25 year old patient has a 3 day hx of left ear pain that began after one week of URI
symptoms. On physical exam, you find that she has AOM. She is allergic to PCN with a
flat pink rash only. She took an oral antimicrobial for the tx of a UTI 2 weeks ago. What
is the most appropriate oral antimicrobial option for this patient? - Answer-
✅cefpodoxime
/.Drug resistant S. Pneumoniae is least likely to exhibit resistance to which of the
following microbial classes? - Answer-✅respiratory fluoroquinolones
/.What are characteristics of M catarrhalis? H. Influenzae? S. pneumoniae? - Answer-
✅-M cat: high rate of beta-lactamase production
-H flu: some isolates exhibit antimicrobial resistance via production of beta-lactamase
-S. pneumo: mechanism of antimicrobial resistance usually via altered protein-binding
sites held within the microbe's cell
/.What are treatment options for streptococcal pharyngitis for a patient with PCN
allergy? - Answer-✅-azithromycin
-Clarithromycin
-Clindamycin
/.What are the possible complications of GAS(Group A Streptococcus)? - Answer-
✅Glomerulonephritis, rheumatic fever
/.What are the symptoms of Rheumatic Fever? - Answer-✅Carditis and arthritis
, /.The rash associated with scarlet fever typically occurs how long after the start of the
symptomatic infection? - Answer-✅2 days
/.How do decongestants work? - Answer-✅vasoconstriction
/.Which of the following medications is most appropriate for allergic rhinitis therapy in an
acutely symptomatic 24 year old machine operator? - Answer-✅Loratadine(Claritin)
/.According to Global Resources in Allergy (GLORIA) guidelines, what is recommended
for intervention in persistent allergic conjunctivitis? - Answer-✅Topical mast cell
stabilizer with a topical antihistamine
/.What s/s is most consistent with the diagnosis of acute bacerial rhinosinusitis (ABRS)?
- Answer-✅Upper respiratory tract infection symptoms persisting beyond 7-10 days
/.What is most common causative pathogen for bacerial rhinosinusitis (ABRS)? -
Answer-✅strep pneumoniae
/.Blepharitis patho - Answer-✅-inflammation of the eyelid
-nonulcerative causes: psoriasis seborrhea, eczema, allergies, lice, trisomy 21,
chemical or environmental irritants, eye makeup, and contact lenses
-ulcerative causes: lash follicle in meibomian glands of eyelid, pustules at base of hair
follicles that crust and bleed, lashes become thick and break easily
/.Blepharitis risk factors - Answer-✅dry eye, frequent hordeolum or chazalium, facial or
scalp seborrhea, immunocompromised, acne, diabetes, Retin-A use
/.Blepharitis differential diagnosis - Answer-✅-bacterial infections (impetigo)
-viral infections (herpes)
-parasitic (demodex folliculorum)
-immunologic (atopic dermatitis, discoid lupus)
-dermatoses (psoriasis)
-benign eyelid tumor (actinic keratosis, subcutaneous papilloma)
-malignant eyelid tumors (basal cell carcinoma, squamous cell carcinoma, melanoma)
-trauma (chemical, thermal, radiation, surgical)
-toxic conditions (medicamentosa)
-patients with unilateral symptoms should be screened for sebaceous carcinoma
/.Blepharitis diagnostic testing needed - Answer-✅-comprehensive eye history and
exam
-slit lamp exam (to distinguish between anterior and posterior blepharitis)
-microbiologic cultures of eyelide and conjunctiva, meibomian gland imaging, and
eyelash epilation for exam by light microscopy (identification of demodex folliculorum
infestation)
