Chat with us, powered by LiveChat A 40-year-old male patient presents with sinus pain, pressure, and yellow nasal discharge. Your examination would include palpation of: | WriteDen

A 40-year-old male patient presents with sinus pain, pressure, and yellow nasal discharge. Your examination would include palpation of:

Question 1

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A 40-year-old male patient presents with sinus pain, pressure, and yellow nasal discharge. Your examination would include palpation of:

 

Select one:

 

 a.

 

Ethmoid and frontal sinuses

 

 b.

 

Maxillary and sphenoid sinuses

 

 c.

 

Frontal and maxillary sinuses

 

d.

 

Sphenoid and ethmoid sinuses

 

 

 

Question 2

 

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A 60-year-old presents with a three-day history of left eye irritation. Which of the following findings should be recorded in the subjective review of systems?

 

Select one:

 

 a.

 

Patient denies eye pain or change in vision

 

b.

 

Vision is 20/20 by Snellen chart

 

 c.

 

Yellow crust is visible at the inner canthus of the left eye

 

 d.

 

All of the above

 

Question 3

 

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During a physical examination of the throat, which of the following structures of the mouth/throat should rise when the patient says “Ahh”?

 

Select one:

 

 a.

 

Hard Palate

 

 b.

 

Soft Palate

 

 c.

 

Lingual Frenulum

 

 d.

 

Buccal Mucosa

 

Question 4

 

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The NP will correctly perform the Weber test by

 

Select one:

 

 a.

 

a. Placing a lightly vibrating tuning fork on the mastoid bone and asking the patient if he can hear the vibration.

 

 b.

 

b. Placing a lightly vibrating tuning fork on the top of the patient’s head and asking the patient where he hears the sound.

 

 c.

 

c. Standing two feet behind the patient, occluding the nontest ear and whispering a combination of three numbers.

 

 d.

 

d. Holding the tuning fork close to the ear canal and asking the patient if he can hear the sound.

 

 

 

Question 5

 

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On examination of the posterior pharynx, you are able to visualize the tonsils bilaterally extending just past the anterior and posterior pillars. According to the Friedman Scale how would you document this finding in your note?

 

Select one:

 

 a.

 

Tonsils noted to be normal

 

b.

 

Tonsils visualized grade 3

 

 c.

 

Tonsils visualized grade 1

 

 d.

 

Tonsils visualized grade 2

 

Question 6

 

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The NP will assess visual acuity using which of the following tests?

 

Select one:

 

 a.

 

Snellen test

 

b.

 

Cover test

 

 c.

 

Accommodation test

 

 d.

 

Confrontation test

 

Question 7

 

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The NP will recognize which of the following findings when assessing the lymph nodes in the head and neck as worrisome, warranting further workup?

 

Select one:

 

 a.

 

Tender tonsillar and submandibular nodes in the presence of a streptococcal infection

 

 b.

 

Any lymph node that the NP is able to roll in two direction: up and down, and side to side

 

 c.

 

Enlarged supraclavicular nodes

 

d.

 

Tender and enlarged preauricular nodes in the presence of AOM

 

Question 8

 

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When conducting an ophthalmoscopic exam, the NP will differentiate arteries from veins by noting:

 

Select one:

 

 a.

 

Larger size of arteries

 

 b.

 

Bright light reflection of arteries

 

 c.

 

Dark red color of arteries

 

 d.

 

Location of the vessel to the optic disc

 

Question 9

 

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When examining a 3-year-old presenting to your office with right ear pain, which would be the appropriate order for the assessment?

 

Select one:

 

 a.

 

Right ear, left ear, mouth, nose, neck, lungs, and heart

 

 b.

 

Neck, lungs, heart, mouth, nose, left ear, and right ear

 

c.

 

Left ear, right ear, neck, lungs, heart and nose

 

 d.

 

Lungs, heart, mouth, nose, and right ear

 

Question 10

 

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Which of the following describes the proper technique for examination of the ear canal and drum for a 2-year-old child?

 

Select one:

 

 a.

 

Use the smallest ear speculum, position the patient’s head so that you see comfortably, and straighten the ear canal by grasping the auricle firmly and pulling it upward and backward, slightly away from the head

 

b.

 

Use the largest ear speculum that inserts easily in the canal, position the patient’s head so that you see comfortably, and straighten the ear canal by grasping the auricle firmly and pulling it downward and backward, slightly away from the head

 

 c.

 

Use the largest ear speculum that inserts easily into the canal, position the patient’s head so that you can see comfortably, and straighten the ear canal by grasping the auricle firmly and pulling it upward and backward, slightly away from the head

 

 d.

 

Use the smallest ear speculum, ask the patient to lie on the exam table, and straighten the ear canal by grasping the auricle firmly and pulling it upward and backward, slightly away from the head

 

Feedback

 

Question 11

 

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Which of the following findings on examination of the nasal mucosa and septum would most likely indicate allergic rhinitis?

 

Select one:

 

 a.

 

Reddened nasal mucosa with purulent drainage

 

b.

 

Pale or bluish nasal mucosa with clear drainage

 

 c.

 

Fresh blood or crusting of the nasal mucosa

 

 d.

 

Asymmetry in appearance between the right and left sides

 

Question 12

 

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Which of the following is/are normal in the examination of the oral cavity?

 

Select one:

 

 a.

 

A midline lingual frenulum extending from the tongue to the floor of the mouth

 

 b.

 

Papillae covering the dorsum of the tongue

 

 c.

 

Pink buccal mucosa lining the cheeks

 

 d.

 

All of the above are normal

 

Question 13

 

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Which of the following techniques identifies the correct way to use an ophthalmoscope to inspect the optic disc and retina in the patient’s left eye? The NP will hold the ophthalmoscope:

 

Select one:

 

 a.

 

In their left hand and examine the patient’s left eye with his or her left eye

 

 b.

 

In their right hand and examine the patient’s left eye with his or her right eye

 

 c.

 

In their dominant hand and examine both of the patient’s eyes with his or her dominant eye

 

d.

 

According to personal preference and experience

 

Question 14

 

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You are examining a 4-year-old boy who presents to the office with his mother who complains that he gets “bloody noses” frequently. You know that the most common cause of epistaxis in this age group is:

 

Select one:

 

 a.

 

Chronic rhinitis

 

 b.

 

Foreign body

 

 c.

 

Picking their nose

 

d.

 

Allergic rhinitis

 

Question 15

 

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You are examining a 9-month-old in your office and do not see a red reflex on the fundoscopic exam. This finding would cause concern as it can be indicative of which of the following?

 

Select one:

 

 a.

 

Glaucoma

 

 b.

 

Dacryostenosis

 

 c.

 

Cataracts

 

 d.

 

Retinoblastoma

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