Question: A 75-year-old female presents to your office complaining of dizziness and ringing in both ears for 1 day. She describes the dizziness as feeling like "the room is spinning". On physical exam, the Rinne test reveals that air conduction is greater than bone conduction bilaterally. The Weber test reveals lateralization to the left. She is unable to hear the examiner's whisper on the right side but can hear the whisper on the left side. What is the next step in helping this patient’s symptoms?
Question: An 82-year-old female has been diagnosed with irritable bowel, chronic constipation, and diverticulosis following a colonoscopy. Which pharmacological agent should the clinician recommend?
Question: Nausea is difficult to discern in a young child. What question should the clinician ask to determine if a child has nausea?
Question: In a young child, unilateral purulent rhinitis is most often caused by:
Question: A 38-year-old male patient has recently had an ileostomy for ulcerative colitis. Which self-care measures should the clinician teach him about to relieve food blockage?
Question: A 29-year-old female just returned from Central America with traveler’s diarrhea and presents to the clinic for evaluation. Which of the following is the best treatment?
Question: A 26-year-old male recently returned from a camping trip with symptoms of acute gastroenteritis. He reports that he only ate vegetables from his garden that he canned prior to his outing. Which of the following pathogens might be causing his symptoms?
Question: A 72-year-old male patient presents to the clinic for his annual physical. He states that he is worried because he only has a bowel movement every three days. How should the clinician respond?
Question: When the Weber test is performed with a tuning fork to assess hearing and there is no lateralization, the clinician should document this finding as:
Question: A 21-year-old female patient presents to the clinic for pre-operative tonsillectomy clearance. She has heard about permanent taste changes after a tonsillectomy and is concerned. What should the clinician tell her?
Question: A 52-year-old female is suspected of having a gastric ulcer and will undergo an Esophagogastroduodenoscopy (EGD). She is concerned because she heard that gastric ulcers can be malignant. How should the clinician respond?
Question: A 67-year old female on multiple medications for chronic conditions was just diagnosed with gastroesophageal reflux disease (GERD). In teaching the patient about the disease, what medication should the clinician recommend that the patient refrain from using?
Question: Which medications used to treat nausea and vomiting works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure?
Question: A 30-year-old male presents to the clinic with intermittent diarrhea. He is pretty sure that the antacids taken for heartburn are the cause since the loose stools always occur within 30 minutes after taking them. How should the clinician respond?
Question: The antibiotic of choice for recurrent acute otitis media (AOM) and/or treatment failure in children is:
Instituition / Term
Term
Spring 2021
Institution
NR 511 Differential Diagnosis and Primary Care Practicum
-80x80.JPG "NR 511 Week 8 Reflection: June 2020v2")
