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NU 518 EXAM 2 2024 2025 WITH OVER 400
QUESTIONS AND CORRECT ANSWERS/
NEW NU 528 EXAM 2 PRACTICE TEST
QUESTIONS AND ANSWERS (NEW!)
A patient complains of epistaxis. Which other cause should be considered?
- Intracranial hemorrhage
- Hematemesis
- Intestinal hemorrhage
- Hematoma of the nasal septum - ANSWER-B
Glaucoma is the leading cause of blindness in African Americans and the second leading cause of blindness overall. What features would be noted on funduscopic examination?
- Increased cup-to-disc ratio
- AV nicking
- Cotton wool spots
- Microaneurysms - ANSWER-A
Very sensitive methods for detecting hearing loss include which of the following?
- The whisper test
- The finger rub test
- The tuning fork test
- Audiometric testing - ANSWER-D
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pg. 2 Which area of the fundus is the central focal point for incoming images?
- The fovea
- The macula
- The optic disk
- The physiologic cup - ANSWER-A
A light is pointed at a patient's pupil, which contracts. It is also noted that the other pupil contracts as well, though it is not exposed to bright light. Which of the following terms describes this latter phenomenon?
- Direct reaction
- Consensual reaction
- Near reaction
- Accommodation - ANSWER-B
A patient is assigned a visual acuity of 20/100 in her left eye. Which of the following is true?
- She obtains a 20% correct score at 100 feet.
- She can accurately name 20% of the letters at 20 feet.
- She can see at 20 feet what a normal person could see at 100 feet.
- She can see at 100 feet what a normal person could see at 20 feet. - ANSWER-
C
On visual confrontation testing, a stroke patient is unable to see your fingers on his entire right side with either eye covered. Which of the following terms would describe this finding?
- Bitemporal hemianopsia
- Right temporal hemianopsia 2 / 4
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- Right homonymous hemianopsia
- Binasal hemianopsia - ANSWER-C
You note that a patient has anisocoria on examination. Pathologic causes of this include which of the following?
- Horner's syndrome
- Benign anisocoria
- Differing light intensities for each eye
- Eye prosthesis - ANSWER-A
A patient is examined with the ophthalmoscope and found to have red reflexes bilaterally. Which of the following have you essentially excluded from your differential?
- Retinoblastoma
- Cataract
- Artificial eye
- Hypertensive retinopathy - ANSWER-D
A patient presents with ear pain. She is an avid swimmer. The history includes pain and drainage from the left ear. On examination, she has pain when the ear is manipulated, including manipulation of the tragus. The canal is narrowed and erythematous, with some white debris in the canal. The rest of the examination is normal. What diagnosis would you assign this patient?
- Otitis media
- External otitis
- Perforation of the tympanum
- Cholesteatoma - ANSWER-B
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pg. 4 A patient with hearing loss by whisper test is further examined with a tuning fork,
using the Weber and Rinne maneuvers. The abnormal results are as follows: bone
conduction is greater than air on the left, and the patient hears the sound of the tuning fork better on the left. Which of the following is most likely?
- Otosclerosis of the left ear
- Exposure to chronic loud noise of the right ear
- Otitis media of the right ear
- Perforation of the right eardrum - ANSWER-A
A 38-year-old accountant comes to your clinic for evaluation of a headache. The throbbing sensation is located in the right temporal region and is an 8 on a scale of
- to 10. It started a few hours ago, and she has noted nausea with sensitivity to
- Tension
- Migraine
- Cluster
- Analgesic rebound - ANSWER-B
light; she has had headaches like this in the past, usually less than one per week, but not as severe. She does not know of any inciting factors. There has been no change in the frequency of her headaches. She usually takes an over the-counter analgesic, and this results in resolution of the headache. Based on this description, what is the most likely diagnosis of the type of headache?
A 29-year-old computer programmer comes to your office for evaluation of a headache. The tightening sensation is located all over the head and is of moderate intensity. It used to last minutes, but this time it has lasted for 5 days. He denies photophobia and nausea. He spends several hours each day at a computer monitor/keyboard. He has tried over-the-counter medication; it has dulled the pain but not taken it away. Based on this description, what is your most likely diagnosis?
- Tension
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