Chap 7 Kennedy -Head, Neck, and Face Disorders Flashcards
1
Q
1. A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of the eyes. The symptoms occur intermittently throughout the year and he has associated clear nasal discharge. Which of the following is most likely because of the inflammation? A. Bacterium B. Allergen C. Virus D. Fungi
A
`B
B.
Allergen
2
Q
2. One of the first-line treatments in patients with allergic rhinitis is the use of nasal corticosteroid sprays. What is the anticipated onset of symptom relief with the use of these medications? A. Two weeks or more B. Immediate C. 1 to 2 days D. A minimum of one week
A
`C
C.
1 to 2 days
3
Q
3. The nurse practitioner knows that antihistamines work primarily through which of the following mechanisms? A. Vasodilatation B. Blocking leukotriene effects C. Inhibiting histamine receptor sites D. Vasoconstriction
A
`C
C.
Inhibiting histamine receptor sites
4
Q
4. Cromolyn sodium may also be used in the treatment of allergic rhinitis. What is the mechanism of action of this medication? A. Mast cell stabilization B. Blocking the effects of IgE C. Leukotriene inhibition D. Histamine blockade
A
`A
A.
Mast cell stabilization
5
Q
- Patients that have atopic disorders are mediated by the production of IGE will have histamine stimulated as an immediate phase response. This release of histamine results in which of the following?
A.
Sinus pain, increased vascular permeability, and bronchodilation
B.
Bronchospasm, vascular permeability, and vasodilatation
C.
Contraction of smooth muscle, decreased vascular permeability, and vasoconstriction
D.
Vasodilatation, bronchodilation, and increased vascular permeability
A
`B
B.
Bronchospasm, vascular permeability, and vasodilatation
6
Q
6. Which of the following maneuvers is used to induce symptoms of benign paroxysmal positional vertigo? A. The Fukuda stepping test B. The Dix-Hallpike maneuver C. Forced hyperventilation D. The head thrust test
A
`B
The Dix-Hallpike maneuver
7
Q
7. You have a patient complaining of vertigo and want to know what could be the cause. Knowing there are many causes for vertigo, you question the length of time the sensation lasts. She tells you several hours to days and is accompanied by tinnitus and hearing loss. You suspect which of the following conditions? A. Ménière’s disease B. Benign paroxysmal positional vertigo C. TIA D. Migraine
A
`7. ANS: A PTS: 1
Ménière’s disease
8
Q
8. Sensory impairment (vision and hearing) in the elderly is associated with: A. Impaired quality of life B. Decreased function C. Increased mortality D. All of the above
____
A
`8. ANS: D PTS: 1
D. All of the above
9
Q
9. Which of the following conditions is the leading cause of blindness in the United States? A. Macular degeneration B. Diabetic retinopathy C. Glaucoma D. Cataracts
A
`9. ANS: B PTS: 1
Diabetic retinopathy
10
Q
\_\_\_\_ 10. A slightly elevated elastic tissue deposit in the conjunctiva that may extend to the cornea but does not cover it is known as a: A. Pterygium B. Pinguecula C. Xanthelsma D. Limbal nodule
A
`10. ANS: B PTS: 1
Pinguecula
11
Q
11. A nonmodifiable risk factor for the development of cataracts is: A. Long-term exposure to ultraviolet B radiation B. High alcohol intake C. Strong family history D. Diabetes mellitus
____
A
`11. ANS: C PTS: 1
C. Strong family history
12
Q
12. Causes of sensorineural hearing loss include: A. Ototoxicity B. Ménière’s disease C. Otosclerosis D. Inner ear fistula
____
A
`12. ANS: C PTS: 1
C. Otosclerosis
13
Q
13. Clinical findings in patients with nonproliferation retinopathy include: A. Cotton wool spots B. Microaneursyms C. Deep hemorrhages D. Neovascularization
A
`13. ANS: B PTS: 1
B.
Microaneursyms
14
Q
14. In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the most common oral precancerous lesion? A. Fictional keratosis B. Keratoacanthoma C. Lichen planus D. Leukoplakia
A
`14. ANS: D PTS: 1
D.
Leukoplakia
15
Q
\_\_\_\_ 15. A gross screening for hearing is the whisper tests. Which cranial nerve is being tested when the nurse practitioner conducts this test? A. Cranial nerve V B. Cranial nerve VII C. Cranial nerve VIII D. Cranial nerve IV
A
`15. ANS: C PTS: 1
C.
Cranial nerve VIII
