Causes of sensorineural hearing loss include
A. Ototoxicity
B. Mnire's disease
C. Otosclerosis
D. Inner ear fistula
Question 2A 64-year-old male presents with an exacerbation of psoriasis. His social history includes 50-year two packs a day of cigarettes and a six-pack a week of beer.
He states he had a recent sore throat, which he attributes to minding his young grandson. He reports that until recently the pruritis was only minimal. His BMI is 37. Which of the following factors most likely contributed to the acute presentation of psoriasis?
A. Alcohol abuse
B. Smoking
C. Streptococcal infection
D. Obesity
Question 3A 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
Question 4Patients 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
Question 5Clinical findings in patients with nonproliferation retinopathy include
A. Cotton wool spots
B. Microaneursyms
C. Deep hemorrhages
D. Neovascularization
Question 6Treatment of complicated cellulitis of the lower extremity resulting from an anaerobe requires all of the following except
A. Extended antibiotic medication lasting at least 7-10 days
B. Topical antifungal medication
C. Inquiry when last tetanus toxoid booster was given
D. Elevation of limb and consideration of compression bandaging
Question 7The 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
Question 8In 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
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