NR576 Week 4: Midterm Exam (sept 2026)

NR576 Week 4: Midterm Exam [sept 2026]

Which pathogen is most commonly associated with the development of a peritonsillar abscess?

1. Group A beta-hemolytic streptococcus ✅
2. Mycoplasma pneumoniae
3. Epstein-Barr virus
4. Streptococcus pneumoniae

A 62 year-old male is diagnosed with toenail onychomycosis following a positive KOH examination. Which medication is the most appropriate initial treatment?

1. Selenium sulfide
2. Terbinafine ✅
3. Fluconazole
4. Ketoconazole

A 20-year-old female is prescribed topical tretinoin for acne vulgaris. During the initial visit, which patient education point is most important to include?

1. Expect complete improvement within the first 2 weeks
2. Apply the medication to irritated or sunburned skin
3. Apply the medication immediately after washing the face
4. Use sunscreen daily because tretinoin increases photosensitivity ✅

Ralph, a 49-year-old man, presents with complaints of a “red, raised, itchy rash” on his anterior and posterior forearms for the past six (6) months. His skin history is negative except for changing his daily work at the furniture factory. Seven months ago, he began working on the assembly line, in which he prepares furniture after the varnish has been applied. He confirms that he wears protective eyewear and gloves. Usually, he wears a short-sleeved shirt due to the temperature in the factory. What would be the most likely diagnosis of Ralph’s rash?

1. Cellulitis
2. Contact dermatitis ✅
3. Atopic dermatitis
4. Psoriasis

A 24-year-old competitive swimmer presents with severe right ear pain that worsens when the pinna is moved. Examination reveals an erythematous, edematous external auditory canal with purulent drainage. Which microorganism most commonly causes this condition?

1. Haemophilus influenzae
2. Moraxella catarrhalis
3. Streptococcus pneumoniae
4. Pseudomonas aeruginosa ✅

A 16-year-old female presents to the clinic complaining of severe left sided sore throat and pain with swallowing for 1 day. Upon examination the patient appears uncomfortable and is febrile (101 degrees F). Oropharynx is beefy red with significant swelling and a pocket of pus above the left tonsil causing deviation of the soft palate and uvula. Cervical adenopathy is present on the left side. She has difficulty fully opening her jaw. What should the AGPCNP’s next step be?

1. Complete Blood Count (CBC)
2. Refer the patient to the Emergency Room ✅
3. Throat culture
4. Supportive care

A 23-year-old patient presents with sneezing, clear rhinorrhea, and nasal congestion for 3 days. Which additional symptom would most strongly support a diagnosis of allergic rhinitis rather than viral rhinitis?

1. Sore throat and hoarseness
2. Pruritus of the nose and palate ✅
3. Malaise and headache
4. Low-grade fever and cough……………………………………….purchase this entire exam at $60 only