Fitzgerald Missed questions Flashcards
(32 cards)
Greg age 72 is brought to the office by his son, who states that his father has been unable to see clearly since last night. Greg reports that his vision is “like looking through a veil.” He also sees floaters & flashing lights but is not having any pain. What do you suspect?
- cataracts
- glaucoma
- retinal detachment
- Iritis
-retinal detachment
A common cause of conductive hearin loss in adults age 20-40
- trauma
- otitis media
- presbycusis
- otosclerosis
-otosclerosis
Mattie age 64, presents with blurred vision in one ee and states that it felt like “a curtain came down over my eye”. She doesn’t have any pain or redness. What do you suspect?
- retinal detachment
- acute angle-closure glaucoma
- open-angle glaucoma
- cataract
-retinal detachment
Jessica, an 8 y/o 3rd grader, is brought to the office by her grandmother, who is the child’s babysitter. She had c/o fever and sore throat for the past 2 days. Five other children in her class have been sick with sore throats. She denies difficulty swallowing and has been drinking fluids, but she has not appetite. A ROS reveals that she has clear nasal drainage, hoarseness, and a nonproductive cough. She denies vomiting but has had mild diarrhea. On examination she has a temp of 101.5 3+ erythematous tonsils; and palpable, tender cervical lymph nodes. Based on these findings, what is the most likely dx?
- mono
- sinusitis
- Strep pharyngitis
- viral pharyngitis
-viral pharyngitis
Jill states that her 5 y/o daughter continually grinds her teeth at night. You document this as
- temporal mandibular joint malocclusion
- bruxism
- a psychosis
- an oropharyngeal lesion
-bruxism
Clonazepam is occasionally orderd for TMJ disease. Which of the following statements applies to this medicine?
- it is ordered for inflammatory pain
- it is ordered for neuropathic pain
- it is ordered for a short course of therapy for 1-2 weeks only
- it is ordered for muscle relaxation
-it is ordered for a short course of therapy for 1-2 weeks only
Harry, age 69, has had Meniere’s disease for several years He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo?
- labyrinthectomy
- pharmacological therapy
- vestibular neurectomy
- wearing an earplug in the ear with the most hearing loss
-vestibular neurectomy
Your client in unable to differentiate between sharp and dull stimulation on both sides of her face. You suspect:
- bells’ palsy
- a lesion affecting the trigeminal nerve
- stroke
- shingles
-a lesion affecting the trigeminal nerve
What therapy has proved beneficial foe long-term symptom relief of tinnitus:
- ASA
- Lidocaine
- Cognitive behavioral therapy
- Corticosporin otic drops PRN
-Cognitive behavioral therapy
The most common cause of white pupil in a newborn is
- cataract
- retinoblastoma
- persistent hyperplastic primary vitreous
- retinal detachment
-cataract
Which manifestation is noted with carbon monoxide poisoning;
- circumoral pallor of the lips
- cherry red lips
- cyanosis of the lips
- pale pink lips
-cherry red lips
The most offending allergens causing allergic rhinitis are
- pollens of grasses, trees, and weeds
- fungi
- animal allergens
- food sensitivity
-pollens of grasses, trees, and weeds
You have determined that your patient, who presented to your office with jaw aching and a popping sound when opening the jaw wide, has TMD. Your best approach to management would be
- initiating a diet of liquids only
- advising the patient to chew gum to exercise the jaw
- advising the patient to eat softer foods and avoid opening the mouth wide
- advising the patient to sleep on a firm pillow to support the jaw
-advising the patient to eat softer foods and avoid opening the mouth wide
Regular ocular pressure testing is indicated for older adults taking
- high-dose inhaled glucocorticoids
- NSAID’s
- ACE inhibitors
- insulin
-high-dose inhaled glucocorticoids
The immediate goal of myringotomy & tube placement in a child with recurrent episodes of otitis media is to
- prevent future infections
- have an open access to the middle ear for irrigation & instillation of abx
- allow removal of suppurative or mucoid material
- relieve pain
-allow removal of suppurative or mucoid material
Manny, age 16, was hit in the eye with a baseball. He developed pain in the eye, decreased visual acuity, and injection of the confirm the dx of hyphema by finding blood in the anterior chamber. What tx would you recommend while Manny is waiting to see the ophthalmologist?
- apply bilateral eye patches
- have manny lie flat
- Refer him to an ophthalmologist within a week
- make sure he is able to be awakened every 30 minutes
-apply bilateral eye patches
How do you test for near vision?
- by using the Snellen chart
- by using the Rosenbaum chart
- by asking the client to read fro a magazine /newspaper
- by testing the cardinal fields
-by using the Rosenbaum chart
What significant finding(s) in a child with otitis media with effusion would prompt more aggressive treatment?
- there is a change in the child’s hearing threshold to less than or equal to 20 decibels
- the child becomes a fussy eater
- the child’s speech and language skills seem slightly delayed
- persistent rhinitis is present
-there is a change in the child’s hearing threshold to less than or equal to 20 decibels
Clients with allergic conjunctivitis have which type of d/c?
- purlulent
- serous/clear
- stringy, white
- profuse mucoid /mucopuruent
-stringy, white
The antibiotic of choice for beta-lactamase coverage of otitis media is
Amoxicillin
Matthew, age 52, has allergic rhinitis an dwould like some medicine to relieve his symptoms. He is taking cimetidine (Tagamet) for GERD. Which medication would you not order?
- 1st generation antihistamine
- 2nd generation antihistamine
- a decongestant
- a topical nasal corticosteroid
-2nd generation antihistamine
How should tommy, age 2.5, have his vision screened?
- Snellen letter chart
- allen test
- snellen E chart
- rosenbaum chart
-allen test
the normal ratio of the artery-to-vein width in the retina as viewed through the ophthalmoscope is
- 3:2
- 2:3
- 1:3
- 3:1
-2:3
Mavis has persistent pruritus of the external auditory canal. External otitis and dermatological conditions such as seborrheic dematitis and psoriasis have been ruled out. What can you adise her to do?
- us a cotton tippde applicator daily to remove all moisture and potential bacteria
- wash daily with soap & water
- apply mineral oil to counteract dryness
- avoid topical corticosteroids
-apply mineral oil to counteract dryness
