FNPMSN Primary Exam 1 Newest -

pg. 1 FNP/MSN Primary Exam 1 Newest -

Verified Answers/ Graded A+

A patient presents to the clinician complaining of ear pain. On examination, the clinician finds that the patient has tenderness on traction of the pinna as well as when applying pressure over the tragus. These findings are classic signs of which condition? - Correct Answer - Otitis externa

Otitis media is considered chronic when: - Correct Answer - Inflammation persists more than 3 months with intermittent or persistent optic discharge.

The most significant precipitating event leading to otitis media with effusion is: - Correct Answer - Viral upper respiratory infection (URI)

Patients with acute otitis media should be referred to a specialist in which of the following situations? - Correct Answer - D. all of the above: Concurrent vertigo or ataxia, Failed closure of a ruptured tympanic membrane, if symptoms worsen after 3 or 4 days of treatment

Sinusitis is considered chronic when there are episodes of prolonged inflammation with repeated or inadequately treated acute infection lasting greater than: - Correct Answer - 12 weeks

Which of the following antibiotics provides the best coverage in acute or chronic sinusitis when gram-negative organisms are suspected? - Correct Answer - Levofloxacin

Which of the following medications used in the treatment of glaucoma works by constricting the pupils to open the angle and allow aqueous fluid to escape? - Correct Answer - Pilocarpine 1 / 3

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Which of the following would be considered the research design for Level I evidence?

• Single, well-designed randomized clinical trial
• Systematic review of randomized clinical trial studies
• Well-designed controlled trials without randomization
• Systematic reviews of descriptive or qualitative studies - Correct Answer - Systematic

review of randomized clinical trial studies

Which of the following would be considered the research design for Level II evidence?

• Single descriptive or qualitative study
• Well-designed case control or cohort studies
• Single, well-designed, randomized clinical trial
• Systematic review of randomized clinical trial studies - Correct Answer - Single, well-

designed, randomized clinical trial

Which of the following would be considered the research design for Level III evidence?

• Well-designed controlled trials without randomization
• Systematic reviews of descriptive or qualitative studies
• Systematic review of randomized clinical trial studies
• Opinion of authorities and expert committees - Correct Answer - Well-designed

controlled trials without randomization

In which of the following situations would referral to a specialist be needed for sinusitis?

• Correct Answer - D. All of the above: Recurrent sinusitis, Allergic sinusitis, Sinusitis

that is refractory to antibiotic therapy

Which type of stomatitis results in necrotic ulceration of the oral mucous membranes? - Correct Answer - Vincent's stomatitis

The presence of hairy leukoplakia in a person with no other symptoms of immune suppression is strongly suggestive of which type of infection? - Correct Answer - HIV 2 / 3

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Heart valve damage resulting from acute rheumatic fever is a long-term sequela resulting from infection with which of the following pathogens? - Correct Answer - Group A streptococcus, Rheumatic fever

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? - Correct Answer - Mononucleosis

A patient presents to the clinician with a sore throat, fever of 100.7F, 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? - Correct Answer - c. A throat culture should be performed to confirm the results of the rapid strep test.

Which of the following would be considered the research design for Level IV evidence?

• Single descriptive or qualitative study
• Opinion of authorities and expert committees
• Systematic review of randomized clinical trial studies
• Well-designed controlled trials without randomization - Correct Answer - Well-

designed controlled trials without randomization

Which of the following would be considered the research design for Level V evidence?

• Systematic review of randomized clinical trial studies
• Well-designed controlled trials without randomization
• Systematic reviews of descriptive or qualitative studies
• Single descriptive or qualitative study - Correct Answer - Systematic reviews of

descriptive or qualitative studies

Which of the following would be considered the research design for Level VI evidence?

• Systematic reviews of descriptive or qualitative studies
• Opinion of authorities and expert committees
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