2025Final Exam for Ears, Eyes, Nose , & Throat
1.True or false? The U.S. FDA advises that the adverse effects associated
with fluoroquinolones (cipro-, levo-, moxifloxacin [-floxacin suffix])
generally outweigh the benefits for patients with acute sinusitis, acute
bronchitis, and uncomplicated urinary tract infections who have other
treatment options. True
False: True
2.Phil is a 47-year-old man who is being evaluated for acute
rhinosinusitis during an urgent care visit. Which of the following findings
would be most indicative of ABRS? (Select two correct answers.)
A. Purulent nasal discharge
B. Persistent cough
C. Initial symptom improvement and then worsening of symptoms
D. Unilateral facial pain: C. Initial symptom improvement and then
worsening of symptoms
D. Unilateral facial pain
3.Phil has a history of hypertension, dyslipidemia, and depression. He
states, "I am on a big list of medications, but I am not sure of all the names."
When developing a treatment plan for Phil, you consider prescribing the
following course of an oral antimicrobial:
A. A 10-day course of clarithromycin.
B. A 5-day course of azithromycin
C. A 7-day course of amoxicillin
D. A 7-day course of cefpodoxime.: C. A 7-day course of amoxicillin
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, 4.Sandra is a 45-year-old well woman diagnosed with a left-sided unilateral
acute otitis media 10 days ago and treated with an antimicrobial. She is seen
today with a report of resolution of ear pain, but with persistent sensation of
ear fullness and diminished ability to discriminate speech in the affected
ear. Anticipated findings on today's physical examination include:
A. Erythema of the ear canal.
B. Weber test lateralizing to the affected ear.
C. Discomfort on tragus pull.
D. Anterior cervical lymphadenopathy on the affected side.: B. Weber
test lateralizing to the affected ear.
5.Sandra's hearing loss is best described as:
A. Sensorineural.
B. Conductive.
C. Auditory processing.
D. Mixed origin.: B. Conductive.
6.For Sandra, which of the following represents the best advice at this point?
A. She should have a second course of antimicrobial therapy.
B. A short course of an oral corticosteroid should be prescribed.
C. The sensation of ear fullness is an anticipated finding.
D. She should be seen by an otolaryngology specialist.: C. The sensation of
ear fullness is an anticipated finding.
7.Hank is a 58-year-old man who presents with a chief complaint of
bilateral itchy eyes occurring intermittently throughout the year. Exam
reveals 20/30 vision OD (right eye), OS (left eye), OU (both eyes) with
corrective lenses, bilateral hyperemic bulbar and palpebral conjunctiva, and
2/
9
1.True or false? The U.S. FDA advises that the adverse effects associated
with fluoroquinolones (cipro-, levo-, moxifloxacin [-floxacin suffix])
generally outweigh the benefits for patients with acute sinusitis, acute
bronchitis, and uncomplicated urinary tract infections who have other
treatment options. True
False: True
2.Phil is a 47-year-old man who is being evaluated for acute
rhinosinusitis during an urgent care visit. Which of the following findings
would be most indicative of ABRS? (Select two correct answers.)
A. Purulent nasal discharge
B. Persistent cough
C. Initial symptom improvement and then worsening of symptoms
D. Unilateral facial pain: C. Initial symptom improvement and then
worsening of symptoms
D. Unilateral facial pain
3.Phil has a history of hypertension, dyslipidemia, and depression. He
states, "I am on a big list of medications, but I am not sure of all the names."
When developing a treatment plan for Phil, you consider prescribing the
following course of an oral antimicrobial:
A. A 10-day course of clarithromycin.
B. A 5-day course of azithromycin
C. A 7-day course of amoxicillin
D. A 7-day course of cefpodoxime.: C. A 7-day course of amoxicillin
1/
9
, 4.Sandra is a 45-year-old well woman diagnosed with a left-sided unilateral
acute otitis media 10 days ago and treated with an antimicrobial. She is seen
today with a report of resolution of ear pain, but with persistent sensation of
ear fullness and diminished ability to discriminate speech in the affected
ear. Anticipated findings on today's physical examination include:
A. Erythema of the ear canal.
B. Weber test lateralizing to the affected ear.
C. Discomfort on tragus pull.
D. Anterior cervical lymphadenopathy on the affected side.: B. Weber
test lateralizing to the affected ear.
5.Sandra's hearing loss is best described as:
A. Sensorineural.
B. Conductive.
C. Auditory processing.
D. Mixed origin.: B. Conductive.
6.For Sandra, which of the following represents the best advice at this point?
A. She should have a second course of antimicrobial therapy.
B. A short course of an oral corticosteroid should be prescribed.
C. The sensation of ear fullness is an anticipated finding.
D. She should be seen by an otolaryngology specialist.: C. The sensation of
ear fullness is an anticipated finding.
7.Hank is a 58-year-old man who presents with a chief complaint of
bilateral itchy eyes occurring intermittently throughout the year. Exam
reveals 20/30 vision OD (right eye), OS (left eye), OU (both eyes) with
corrective lenses, bilateral hyperemic bulbar and palpebral conjunctiva, and
2/
9
