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2024 NSG 6001 U2 SECTION 4 EAR, NOSE, AND THROAT PROBLEMS EXAM WITH CORRECT ANSWERS
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2024 NSG 6001 U2 SECTION 4 EAR, NOSE, AND THROAT PROBLEMS EXAM WITH CORRECT ANSWERS
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2024 NSG 6001 U2 SECTION 4EAR, NOSE, AND THROAT
PROBLEMS EXAM WITH CORRECT
ANSWERS
Which of the following is a disorder of infectious etiology?
A. Tonsillitis
B. Kawasaki's syndrome
C. Pharyngitis related to allergies
D. Pemphigus - CORRECT-ANSWERSA. Tonsillitis
A patient presents with the following signs and symptoms: gradual onset of
low-grade fever, marked fatigue, severe sore throat, and posterior cervical
lymphadenopathy. Based on the signs and symptoms alone, which of the
following conditions is most likely the cause?
A. Gonorrhea
B. Mononucleosis
C. Influenza
D. Herpes zoster - CORRECT-ANSWERSB. Mononucleosis
. A patient presents with nonvesicular lesions that are 2 to 10 mm,
symmetrical, and scattered on the oropharynx and mouth. What is their most
likely diagnosis?
A. Corynebacterium diphtheriae
B. Primary syphilis
C. Candida infection
D. Secondary syphilis - CORRECT-ANSWERSD. Secondary syphilis
A patient presents to the clinician with a sore throat, fever of 100.7°F, and
tender anterior cervical lymphadenopathy. The clinician suspects strep
throat and performs a rapid strep test that is negative. What would the next
step be?
A. The patient should be instructed to rest and increase fluid intake, as the
infection is most likely viral and will resolve without antibiotic treatment.
B. Because the patient does not have strep throat, the clinician should start
broad-spectrum antibiotics in order to cover the offending pathogen.
C. A throat culture should be performed to confirm the results of the rapid
strep test.
, D. The patient should be treated with antibiotics for strep throat, as the rapid
strep test is not very sensitive. - CORRECT-ANSWERSC. A throat culture
should be performed to confirm the results of the rapid strep test.
Jean has acute otitis externa with fluid that is black and malodorous. Which
of the following is responsible for the infection?
A. Fungal infection
B. Staphylococcus infection
C. Pseudomonas infection
D. Allergic reaction - CORRECT-ANSWERSA. Fungal infection
You have a patient who is a positive for strep on rapid antigen testing (rapid
strep test). You order amoxicillin after checking for drug allergies (patient is
negative) but he returns 3 days later, reporting that his temperature has
gone up, not down (101.5°F in office). You also note significant
lymphadenopathy, most notably in the posterior and anterior cervical chains,
some hepatosplenomegaly, and a diffuse rash. You decide:
A. To refer the patient
B. That he is having an allergic response and needs to be changed to a
macrolide antibiotic
C. That his antibiotic dosage is not sufficient and should be changed
D. That he possibly has mononucleosis concurrent with his strep infection -
CORRECT-ANSWERSD. That he possibly has mononucleosis concurrent with
his strep infection
Which of the following medications is safe to use when an adult patient has a
perforated tympanic membrane?
A. Chloroxylenol 1 mg, 4 to 5 drops in the affected ear three times per day
for 7 days
B. Floxin otic 10 drops in affected ear for 7 days
C. Pramoxine HCL 10 mg, 4 to 5 drops in affected ear three times per day for
7 days
D. Hydrocortisone 10 mg/mL, 3 drops in affected ear three times per day for
7 days - CORRECT-ANSWERSB. Floxin otic 10 drops in affected ear for 7 days
Betty presents with tenderness on traction of the pinna in her right ear and
when the provider places pressure on her right tragus, she expresses she is
in pain. The clinician does not suspect a tympanic membrane rupture, but
would like to make Betty more comfortable during the exam. Which of the
following solutions should the clinician administer before attempting an
examination?
A. Normal saline
B. Auralgan
C. Lidocaine
D. Distilled water - CORRECT-ANSWERSB. Auralgan
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