Disorders of the mouth and throat Flashcards

1
Q

The nurse practitioner is assessing a pediatric patient for epiglottitis. Predict a complication of epiglottitis that children are more prone to.

Respiratory arrest

Dehydration

Severe lymphadenopathy

Seizures

A

Respiratory arrest

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2
Q

A pediatric patient is being evaluated for a creamy, white plaque on the buccal area that is easily removed with swabs. Predict what is accurate for a patient presenting with this disorder.

There is oral pain

Continuance of antibiotics throughout treatment is recommended.

Intravenous nystatin is the recommended treatment.

This disorder is usually accompanied by upper respiratory symptoms.

A

There is oral pain

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3
Q

The nurse practitioner is obtaining a history on a teenage patient with a sore throat. Propose a classic manifestation of infectious mononucleosis.

Fatigue

Frequent cough

Anemia

Postnasal drip

A

Fatigue

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4
Q

The nurse is educating a parent on acute rhinosinusitis. Establish a bacterial pathogen that commonly causes acute rhinosinusitis.

Adenovirus

Meningococcal virus

M. catarrhalis

Varicella zoster

A

M. catarrhalis

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5
Q

The nurse is educating a group of students on peritonsillar abscess and associated risk. Propose an accurate statement.

When treatment is warranted, oral antibiotics are an effective treatment for peritonsillar abscess.

The most serious complication of untreated peritonsillar abscess is a lateral pharyngeal abscess.

Peritonsillar abscess is a common condition that typically resolves without treatment.

Peritonsillar abscessandrhinosinusitismay be used interchangeably.

A

The most serious complication of untreated peritonsillar abscess is a lateral pharyngeal abscess.

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6
Q

The nurse practitioner is educating a group of students on oral candidiasis. Predict what statement demonstrates a need for further education.

Oral candidiasis is common in young infants.

It is typically treated with an antifungal agent.

Thrush is typically treated with oral antibiotics.

Thrush lesions may extend to the esophagus.

A

Thrush is typically treated with oral antibiotics.

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7
Q

The nurse practitioner is educating a group of students on patients presenting with sinusitis. Propose an accurate statement when evaluating and treating a patient for sinusitis.

Patients should be referred to an otolaryngologist.

Prompt treatment with steroids may lead to a resolution of symptoms.

Adenovirus is the most common cause.

No methodologically sound studies support the efficacy of decongestants.

A

No methodologically sound studies support the efficacy of decongestants.

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8
Q

Propose a finding that is consistent with a patient presenting with epiglottitis.

The patient frequently presents with a congested cough.

Children typically present with a hoarse voice and a frequent cough.

The child typically presents with drooling, diarrhea, and dysphagia.

The child may present with a severe sore throat.

A

The child may present with a severe sore throat.

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9
Q

Determine what the nurse practitioner identifies as accurate when educating a group of students on Group A Streptococcus (GAS) pharyngitis.

GAS is the most common cause of viral pharyngitis in adolescents.

The most common causes ofbacterial pharyngitis includeMycoplasma pneumoniae.

No single sign or symptom reliably identifies GAS pharyngitis.

The majority of cases seem to originate from an autoimmune process.

A

No single sign or symptom reliably identifies GAS pharyngitis.

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10
Q

The nurse practitioner is obtaining a history on a teenage patient with a sore throat. Propose a classic manifestation of infectious mononucleosis.

Frequent cough

(970) 342-2400

Anemia

Anorexia

A

(970) 342-2400

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11
Q

Conclude what symptom is consistent with a patient presenting with sinusitis.

Diplopia

Diarrhea

Palatal petechiae

Maxillary dental pain

A

Maxillary dental pain

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12
Q

The nurse practitioner is evaluating a patient for throat discomfort. Establish what is consistent with peritonsillar abscess.

Supraclavicular lymphadenopathy

Exudate on tonsils

Postnasal drip

Unilateral enlargement of the tonsil

A

Unilateral enlargement of the tonsil

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13
Q

The nurse is educating a group of students on peritonsillar abscess and associated risk. Propose an accurate statement.

The most common pathogen for peritonsillar abscess is S. pneumoniae.

Peritonsillar abscessandrhinosinusitismay be used interchangeably.

The most serious complication of untreated peritonsillar abscess is a lateral pharyngeal abscess.

When treatment is warranted, oral antibiotics are an effective treatment for peritonsillar abscess.

A

The most serious complication of untreated peritonsillar abscess is a lateral pharyngeal abscess.

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14
Q

The nurse practitioner is evaluating a patient who presents with severe throat pain with a perceived peritonsillar abscess. Recommend a diagnostic test that is appropriate.

PPD test

Radiography

Complete blood count

Varicella titer

A

Complete blood count

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15
Q

The nurse practitioner is educating a group of students on patients presenting with sinusitis. Propose an accurate statement when evaluating and treating a patient for sinusitis.

Patients should be referred to an otolaryngologist.

Adenovirus is the most common cause.

The maxillary and ethmoid sinuses are most commonly involved.

Prompt treatment with steroids may lead to a resolution of symptoms.

A

The maxillary and ethmoid sinuses are most commonly involved.

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16
Q

A pediatric patient presents to the clinic for evaluation of pharyngitis. Establish a goal of antibiotic therapy for streptococcal pharyngitis.

Preventing the patient from becoming immune to treatment

Prevention of spread to others

Preventing potential hearing loss associated with pharyngitis

Prevention of future risk for cholelithiasis

A

Prevention of spread to others

17
Q

The nurse practitioner is educating a group of students on the assessment and treatment of patients presenting with epiglottitis. Determine what statement is accurate.

Infants are at the highest risk for epiglottitis.

Epiglottitis is a rare life-threatening condition.

The throat should be thoroughly examined in patients with suspected epiglottitis.

Epiglottitis is typically caused by a viral infection.

A

Epiglottitis is a rare life-threatening condition.

18
Q

A pediatric patient is being evaluated for a creamy, white plaque on the buccal area that is easily removed with swabs. Predict what is accurate for a patient presenting with this disorder.

This disorder is usually accompanied by upper respiratory symptoms.

Continuance of antibiotics throughout treatment is recommended.

Microscopic findings reveal hyphae.

Intravenous nystatin is the recommended treatment.

A

Microscopic findings reveal hyphae.

19
Q

A mother is concerned about her 8-year-old child who experiences bruxism. Propose an appropriate treatment option for bruxism.

Oral devices

Narcotics

Restraints

Jaw adjustment

A

Oral devices

20
Q

Determine the accurate statement when evaluating and treating a patient for dentition issues.

Premature loss of a primary tooth does not impact the underlying permanent tooth.

Premature loss of a primary tooth can delay eruption of the underlying permanent tooth.

Early childhood caries only impacts maxillary incisors.

Children with early childhood caries were typically weaned from the bottle early.

A

Premature loss of a primary tooth can delay eruption of the underlying permanent tooth.

21
Q

A nurse practitioner is educating a family on tooth development. Conclude which statement accurately portrays dental development.

Primary detention is usually complete by late adolescence.

Dental development ends at the child approaches adolescence.

The lateral incisors are the first teeth to erupt.

The mandibular central incisors are the first teeth to erupt.

A

The mandibular central incisors are the first teeth to erupt.

22
Q

Predict which statement reflects a need for further education in a teenager being treated for an inflamed geographic tongue.

“Sensitivity to foods or mild discomfort is normal.”

“No treatment is necessary, I just need supportive care.”

“They will need to do a biopsy of my tongue.”

“Antihistamines may help with my symptoms.”

A

“They will need to do a biopsy of my tongue.”

23
Q

The nurse practitioner is assessing a pediatric patient for mouth pain. Predict which accurately represents a patient presenting with aphthous ulcers.

A 14-year-old presenting with fever, sore throat, and lymphadenopathy

A 16-year-old presenting with strawberry tongue

A 14-year-old presenting with dental caries and premature loss of teeth

A 5-year-old with painful lesions on her tongue and inner lips

A

A 5-year-old with painful lesions on her tongue and inner lips

24
Q

Predict what patients presenting with ankyloglossia may experience.

Increased respiratory disorders

Periodontal disease

Low birth weight

Increased incidence of ear infections

A

Periodontal disease

25
Q

Propose a strategy to manage patients presenting with gingivostomatitis.

Avoiding ibuprofen in patients with gingivostomatitis

Antibiotic therapy

Incision and drainage of lesions

Rest, fluid management, and supportive care

A

Rest, fluid management, and supportive care

26
Q

The nurse is educating a parent on ankyloglossia. Establish a statement that reflects a need for further education.

“All infants with ankyloglossia should have a frenotomy.”

“His frenulum is abnormally short; he may need surgery.”

“He may not be able to stick out his tongue more than 2 mm past his lower central incisors.”

“He may have trouble with the side-to-side movement of his tongue.”

A

“All infants with ankyloglossia should have a frenotomy.”

27
Q

The nurse practitioner is educating a group of students on patients that present with aphthous ulcers. Propose an accurate statement.

Treatment includes pain management with tylenol, motrin, or opioids.

Adolescent males experience aphthous ulcers more often than females.

The treatment for these ulcers includes avoidance of irritating foods and Tylenol for discomfort.

Patients typically present with fever or cervical adenopathy.

A

The treatment for these ulcers includes avoidance of irritating foods and Tylenol for discomfort.

28
Q

The nurse practitioner is completing an examination on a pediatric patient presenting with complaints of mouth pain. Determine which accurately reflects the evaluation process.

Mouth inspection that includes the throat and preauricular lymph nodes

Visual inspection of the oral cavity with removable dental appliances in place

Visual inspection followed by auscultation and palpation

Detailed medical and medication history

A

Detailed medical and medication history

29
Q

The nurse practitioner is educating a 16-year-old patient on the management of his mouth pain and canker sores. Determine the statement that indicates a need for further education.

“This disorder is self-limiting, there is no recommended treatment for resolution.”

“Ibuprofen is not effective in relieving pain, Tylenol is best.”

“Although ulcers are predominantly found on the tongue, they may also be seen on the hard palate.”

“My vitamin B deficiency puts me at risk for aphthous ulcers.”

A

“Ibuprofen is not effective in relieving pain, Tylenol is best.”

30
Q

Determine which statement is accurate when evaluating a patient for herpetic gingivostomatitis.

Herpetic gingivostomatitis is most common in older children and adolescents.

The diagnosis of gingivostomatitis is generally made clinically.

Oral antibiotics are commonly prescribed for patients presenting for herpetic gingivostomatitis.

Gingivostomatitis is an uncommon clinical manifestation of primary HSV-1 infection.

A

The diagnosis of gingivostomatitis is generally made clinically.

31
Q

Predict which patient experiences a higher incidence of bruxism.

Someone with asthma

Someone with cerebral palsy

Someone with Crohn’s disease

Someone with diabetes

A

Someone with cerebral palsy

32
Q

A pediatric patient is being evaluated for herpetic gingivostomatitis. Predict a common symptom for a patient presenting with herpetic gingivostomatitis.

Keratitis

Perioral vesicular lesions

Delayed dentition

Restricted frenulum

A

Perioral vesicular lesions

33
Q

The nurse practitioner is assessing a pediatric patient for mouth pain. Predict which accurately represents a patient presenting with aphthous ulcers.

A 5-year-old with painful lesions on her tongue and inner lips

A 14-year-old presenting with fever, sore throat, and lymphadenopathy

A 14-year-old presenting with dental caries and premature loss of teeth

A 16-year-old presenting with strawberry tongue

A

A 5-year-old with painful lesions on her tongue and inner lips

34
Q

A pediatric patient presents to the clinic for evaluation of his tongue. Conclude which is consistent with a geographic tongue.

Antivirals are the recommended treatment

Typically presents with painful ulcerous lesions

Is usually related to the child’s diet of acidic foods

Red patches with circumferential, white, and polycyclic borders

A

Red patches with circumferential, white, and polycyclic borders

35
Q

A nurse practitioner is educating a family on tooth development. Conclude which statement accurately portrays dental development.

The primary dentition usually is fully erupted by 30 months of age.

Primary detention is usually complete by late adolescence.

The lateral incisors are the first teeth to erupt.

Dental development ends at the child approaches adolescence.

A

The primary dentition usually is fully erupted by 30 months of age