NR566 WEEK 5 QUIZ

1. A 45-year-old patient is diagnosed with otomycosis. After ear cleansing, the patient is instructed to use acidifying drops (2% acetic acid solution) three to four times daily. After one week, symptoms persist. What is the most appropriate next step in management?

A. Initiate 1% clotrimazole drops
B. Continue observation without additional treatment
C. Switch to oral antibiotics such as amoxicillin
D. Begin oral corticosteroid therapy

Correct Answer: A. Initiate 1% clotrimazole drops

2. A 48-year-old patient presents with chronic rhinorrhea, nasal congestion, and postnasal drip without itching, sneezing episodes, or seasonal symptom variation. Allergy skin testing is negative. Which medication is most appropriate to add to the treatment plan?

A. Intranasal fluticasone
B. Allergen immunotherapy
C. Oral loratadine
D. Ipratropium bromide nasal spray