NR-576 Differential Diagnosis in Adult-Gerontology Primary Care
Final Exam (Newly Updated)
Question:
What is sensorineural hearing loss
Answer:
Results from deterioration of cochlea -Loss of hair cells form the organ of Corti -Gradual and progressive -Not correctable but preventable
Question:
What is conductive hearing loss
Answer:
Obstruction between middle and outer ear -Most types are reversible
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Question:
Triad symptoms associated with Meniere's disease
Answer:
Sensory disorder of labyrinth (semi-circular canal system) and cochlea
-S/S: -Vertigo
-Hearing loss -Tinnitus
Question:
Symptoms associated with peritonsillar abscess
Answer:
Increasing unilateral ear and throat pain ipsilateral to the affected tonsil -Dysphagia -Drooling -Trismus -Erythema -Edema of the soft palate with fluctuance on palpation
Question:
Most common cause of viral pharyngitis
Answer:
Adenovirus: MOST common -RSV 2 / 4
-Influenza A&B -Epstein-Barr -coxsackie -enteroviruses -herpes simplex
Question:
Most common cause of acute N/V
Answer:
Gastroenteritis
Question:
The importance of obtaining an abdominal xray to rule out perforation or obstruction even though the diagnosis of diverticulitis can be made clinically
Answer:
Abdominal xray films should be obtained on all patients with suspected diverticulitis to look for free air (indicating perforation), ileus, or obstruction
Question:
Discuss colon cancer screening recommendations relative to certain populations
Answer:
Anyone over age 50 should have a routine c-scope -African American's should start screenings at age 40 3 / 4
-Individuals with a single first-degree relative with CRC or advanced adenomas diagnosed at age ≥60 years can be screened like average-risk persons.
**Red flag symptoms should be sent to GI - unintentional weight loss, rectal bleeding, diffuse lower abdomen pain, new onset diarrhea/constipation, early satiety, loss of appetite
Question:
Identify at least two disorders that are considered to be disorders related to conductive hearing loss
Answer:
-Chronic Otitis Media (OM) -middle ear effusion -mass -vascular anomaly -cholesteatoma - abnormal noncancerous skin growth in ear canal
Question:
Identify the most common bacterial cause of pharyngitis
Answer:
-Group A Beta Hemolytic Streptococcus (GABHS) -Absence of cough -Tonsillar exudates
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