N675 FINAL EXAM
Acute Care Exam 1
Week 1 – EENT
A primary care provider notes painless, hard lesions on a patient’s external ears that
expel a white crystalline substance when pressed. What diagnostic test is indicated?
Rheumatoid
factor Endocrine
studies Biopsy of
the lesions
Uric aci...
n675 final exam acute care exam 1 week 1 – eent a primary care provider notes painless
hard lesions on a patient’s external ears that expel a white crystalline substance when pressed what diagnostic
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N675 FINAL EXAM
Acute Care Exam 1
Week 1 – EENT
A primary care provider notes painless, hard lesions on a patient’s external ears that
expel a white crystalline substance when pressed. What diagnostic test is indicated?
Rheumatoid
factor Endocrine
studies Biopsy of
the lesions
Uric acid chemical profile
A patient has painful oral lesions and the provider notes several white, verrucous
lesions in clusters throughout the mouth. What is the recommended treatment for this
patient?
Oral hygiene
measures Nystatin
oral suspension
Surgical excision
Oral acyclovir
A patient has sore throat, a temperature of 38.5° C, tonsillar exudates, and cervical
lymphadenopathy. What will the provider do next to manage this patient’s symptoms?
Prescribe empiric penicillin
Perform a rapid antigen
detection test Refer to an
otolaryngologist
Order an antistreptolysin O titer
A 61 year old male presents with a 12 hour history of extremely painful left red eye.
The patient complains of blurred vision, haloes around lights, and vomiting. It began
yesterday evening. On exam, the eye is red, tender and inflamed. The cornea is hazy
and pupil reacts poorly to light. The most likely diagnosis in this patient is:
Macular
degeneration
Acute angle
glaucoma
Increased intracranial
pressure Detached cornea
A patient has recurrent epistaxis without localized signs of irritation. Which laboratory
,tests may be performed to evaluate this condition? (Select all that apply.)
CBC with platelets
,BUN and
creatinine PT
and PTT
Liver function
tests PT/INR
A patient reports a feeling of fullness and pain in both ears and the practitioner elicits
exquisite pain when manipulating the external ear structures. What is the likely
diagnosis?
Chronic otitis
externa Acute
otitis externa
Otitis media with
effusion Acute otitis
media
Patient has been diagnosed with acute rhinosinusitis. Symptoms began 3 days ago.
Based on the most likely etiology, how should this patient be managed?
Azithromycin and
decongestant
Decongestant and
analgesic Levofloxacin
Amoxicillin with clavulanate
The vast majority of rhinosinusitis is of viral etiology, antibiotics would not be
helpful and would only lead to continued antibacterial resistance. If symptoms
persist for longer than 10 days, reevaluation is necessary with possible
antibiotics at that time
A 20-year-old male of Hispanic descent who reports a history of a cold that resolved 2
weeks ago except for a dry cough and pain over his right cheek that worsens when he
bends down. The patient denies fever. The patient tells you that he is very allergic to
Keflex and erythromycin. Vital signs are stable except temperature is 99.2°F. Which
showed the following conditions is most likely?
Fever secondary to previous
viral URI Acute sinusitis
Acute
bronchitis
Hay fever
Patient's symptoms match most closely to acute sinusitis which includes cough,
facial pain, low- grade fever
An adult patient has epiglottitis secondary to a chemical burn. Which medication will be
given initially to prevent complications?
, Chloramphenicol biopsyrecu
Dexamethasone
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