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D&M Exam 1 Questions 100% Solved.

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D&M Exam 1 Questions 100% Solved. The best test for diagnosing congenital glaucoma is which of the following? A) Fluorescein staining B) Tonometry C) Snellen vision exam D) The refractive index - answerB) Tonometry A tonometer is used to measure the intraocular pressure (IOP) of the eye to sc...

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  • October 16, 2024
  • 51
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • D&M
  • D&M
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM



D&M Exam 1 Questions 100% Solved.


The best test for diagnosing congenital glaucoma is which of the following?




A) Fluorescein staining

B) Tonometry

C) Snellen vision exam


D) The refractive index - answer✔B) Tonometry




A tonometer is used to measure the intraocular pressure (IOP) of the eye to screen for glaucoma.

Normal range IOP is 10-22 mm Hg.

A mother brings in her 4-year-old daughter who just started attending preschool. She tells the

nurse practitioner that her child is complaining of burning and itching in both eyes along with a

runny nose. During the physical exam, the child's eyes appear injected bilaterally. The throat is

red and her inferior nasal turbinates are swollen. Which of the following is most likely?

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


A) Herpes keratitis

B) Corneal ulcer

C) Viral conjunctivitis


D) Bacterial conjunctivitis - answer✔C) Viral conjunctivitis




Viral conjunctivitis is inflammation of the conjunctiva with common complaints of red, itchy

eyes, without signs of infection.

Which of the following is used to screen for color blindness in a 7-year-old boy?




A) Snellen chart

B) Ishihara chart

C) Cover/uncover test


D) Red reflex - answer✔B) Ishihara chart




The Ishihara chart is used for screening for color blindness.

A 67-year-old female with a 50 pack/year history of smoking presents for a routine annual

physical examination. She complains of being easily short of breath and is frequently fatigued.

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


Physical examination reveals diminished breath sounds, hyperresonance, and hypertrophied

respiratory accessory muscles. Her CBC results reveal that her hematocrit level is slightly

elevated. Her pulmonary function test (PFT) results show increased total lung capacity. What is

the most likely diagnosis for this patient?




A) Bronchogenic carcinoma

B) COPD (chronic obstructive pulmonary disease)

C) Chronic bronchitis


D) Congestive heart failure - answer✔B) COPD (chronic obstructive pulmonary disease)




Common complaints and signs/symptoms of COPD include shortness of breath, fatigue, chronic

cough, wheezing, difficulty performing tasks and speaking, pursed-lip breathing, digital

clubbing, diminished breath sounds, use of accessory muscles, and polycythemia due to chronic

hypoxia. Pulmonary function tests/ spirometry include forced expira- tory volume, forced vital

capacity, and FEV1/FVC ratios.

A 28-year-old male nurse of Hispanic descent 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. He tells the employee health nurse practitioner that he is very allergic to

both cephalexin (Keflex) and erythromycin. The vital signs show that the patient's temperature is

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


99.2 degrees Fahrenheit, a pulse of 72 beats per minute, and a respiratory rate of 12 breaths per

minute. Which of the following conditions is most likely?




A) Acute sinusitis

B) Acute bronchitis

C) Fever secondary to the previous viral URI (upper respiratory infection)


D) Munchausen's syndrome - answer✔A) Acute sinusitis




Acute sinusitis symptoms include cough, facial pain, and low-grade fever.

During a routine physical exam of an elderly woman, a triangular thickening of the bulbar

conjunctiva on the temporal side is noted to be encroaching on the cornea. She denies any eye

pain or visual changes. Which of the following is most likely?




A) Corneal arcus

B) Pterygium

C) Pinguecula


D) Chalazion - answer✔B) Pterygium

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