Treatment options for streptococcal pharyngitis for a patient with
penicillin allergy include all of the following except:
A. azithromycin
B. trimethoprim-sulfamethoxazole
C. clarithromycin
D. erythromycin
B. trimethoprim-sulfamethoxazole
Allergy immunotherapy is most successful in controlling allergies
caused by:
A. dust mites
B. molds
C. animal dander
D. air pollution
A. dust mites
The most common causative bacterial pathogen in ABRS is:
A. M. pneumoniae
B. S. pneumoniae
C. M. catarrhalis
D. H. influenzae
B. S. pneumoniae
Concomitant disease seen with giant cell arteritis includes:
A. polymyalgia rheumatica
B. acute pancreatitis
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C. psoriatic arthritis
D. Reiter syndrome
A. polymyalgia rheumatica
First-line therapy for angular chelitis therapy includes the use of:
A. metronidazole gel
B. hydrocortisone cream
C. topical nystatin
D. oral ketoconazole
C. topical nystatin
An 88-year-old, community-dwelling man who lives alone has
limited mobility because of osteoarthritis. Since his last office visit 2
months ago, he has lost 5% of his body weight and has developed
angular chelitis. You expect to find the following on examination:
A. fissuring and cracking at the corners of the mouth
B. marked erythema of the hard and soft palates
C. white plaques on the lateral borders of the buccal mucosa
D. raised, painless lesions on the gingiva
A. fissuring and cracking at the corners of the mouth
A 19-year-old man presents with a chief complaint of a red, irritated
right eye for the past 48 hours with eyelids that were "stuck
together" this morning when he awoke. Examination reveals
injected palpebral and bulbar conjunctiva; reactive pupils; vision
screen with the Snellen chart of 20/30 in the right eye (OD), left eye
(OS), and both eyes (OU); and purulent eye discharge on the right.
This presentation is most consistent with:
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A. suppurative conjunctivitis
B. viral conjunctivitis
C. allergic conjunctivitis
D. mecahnical injury
A. suppurative conjunctivitis
Which of the following findings is most consistent with the diagnosis
of acute bacterial rhinosinusitis (ABRS)?
A. upper respiratory tract infections persisting beyond 7 to 10 days
or worsening after 5 to 7 days
B. mild midfacial fullness and tenderness
C. preauricular lymphadenopathy
D. marked eyelid edema
A. upper respiratory tract infections persisting beyond 7 to 10 days or
worsening after 5 to 7 days
Which of the following is inconsistent with the clinical presentation
of ABRS?
A. nasal congestion responsive to decongestant use
B. maxillary toothache
C. colored nasal discharge
D. antecedent event such as acute upper respiratory tract infection
or allergic rhinitis
A. nasal congestion responsive to decongestant use
Likely causative organisms in AOM include:
A. certain gram-positive and gram-negative bacteria
B. gram-negative bacteria and pathogenic viruses
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