FNP-652 Quiz 1-Questions with Correct Answers/ Verified/ Latest Update 2024/2025
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Course
FNP 652
Institution
FNP 652
Hearing Loss in the elderly - Conductive- usually caused by problems in the external or
middle ear that interfere with transmitting sound and its conversion to mechanical
vibrations (IE Cerumen impaction, perforated membrane)
Sensoineural- involves problems converting mechanical vibrations to el...
FNP-652 Quiz 1 -Questions with Correct Answers/ Verified/ Latest Update 2024/2025 Hearing Loss in the elderly - ✔✔Conductive - usually caused by problems in the external or middle ear that interfere with transmitting sound and its conversion to mechanical vibrations (IE Cerumen impaction, perforated membrane) Sensoineural - involves probl ems converting mechanical vibrations to electrical potential in the cochlea and/or in auditory nerve transmission to the brain. It is usually caused by permanent damage in the organ of Corti. (Age related hearing loss; noise trauma) Hearing Loss in the el derly - ✔✔Affects 60 -80% of 70 yr +. Start with Whisper and Rinne tests. Refer patients for Adiometric testing if there is no obvious occlusion. Differential Diagnoses: Cerumen impaction, foreign object, tumors. Vision Screening in <1 year old - ✔✔As par t of each well -child visit, eye health, vision development, and alignment of the eyes should be checked. Findings that merit watchful waiting: Chemical conjunctivitis in neonates Referral considering age of patient: Eye alignment, not making eye contact Tympanogram results - ✔✔Tympanometry measures the capacity of the middle ear to transfer sound energy. What do they indicate: Type A: Normal Tympanogram is shaped like a tent Type B: Abnormal; needs medical attention (flat) Type C: Almost normal but not r ight (may be too peaked);refers to a middle ear with negative pressure. A child with this type of tympanogram should be monitored and may need medical attention. Such a tympanogram may be caused by retraction of the eardrum or blockage of the Eustachian tu be. Group A hemolytic strep - ✔✔Illnesses it can cause: Strep throat, Rheumatic Fever, Scarlet Fever, Post -Streptococcal Glomerularnephritis. It is spread by nasal or oral secretions and the incubation period of 2 -5 days. Presentation: often pharyngitis is the very first symptom. Suspect Group A strep if: Sudden -onset of sore throat Odynophagia Fever Evaluation: Pharyngeal and tonsillar erythema Tonsillar hypertrophy with or without exudates Palatal petechiae Anterior cerv ical lymphadenopathy Scarlatiniform rash Diagnosis: The diagnosis of group A strep pharyngitis is confirmed by either a rapid antigen detection test (RADT) or a throat culture. Treatment:Penicillin or amoxicillin is the antibiotic of choice to treat gro up A strep pharyngitis. Management of Allergic Rhinitis - ✔✔Allergic rhinitis: inflammation of the nasal membranes in response to known or unknown allergens Medications (available OTC): Intranasal corticosteroids (Fluticasone); oral antihistamines for intermittent attacks or milder disease (Cetirizine, fexofenadine) Home remedies: Avoid triggers, Nasal irrigation, HEPA filter
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