Primary Care Final Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
Which of the following statements is true about antibiotic prophylaxis for most wounds ? -
CORRECT ANSWER It is not indicated for most wounds and does not affect the infection
rate.
28 y/o Asian female presents to office with cat bite, she has allergy to PCN. After intial trmt of
wound, you decided that abx Rx is indicated. What will you prescribe? - CORRECT ANSWER
Bactrim and clindamycin
You have sutured several small lacerations, which sutures should be removed earlier than the others? -
CORRECT ANSWER FACE SUTURES. 5-7 days
40 y/o M, landscaper, presents with LFA wasp sting. Pt has localized redness, swelling on LFA. He
also has systemic signs and symptoms- palpitations, dyspnea, chest tightness and nausea. What is the
best treatment plan? - CORRECT ANSWER CALL 911 and refer to ER
An adult pt presents with avulsed tooth. You are unable to replant the tooth in the office. What would
be the best storage medium to transport the tooth with the pt to ED? - CORRECT ANSWER
Sterile saline
25 y/o presents with 2 wasp stings to right arm. He was painting outside the house yesterday
afternoon when he was stung. He states it was instantly painful and his arm swelled. He states he is
having difficult time at work today d/t arm pain. Today he denies SOB or CP. vs BP 120/74, P88, R14.
His RFA is moderately swollen, tender to touch and has mild pruritus. What would be the best
treatment for this man? - CORRECT ANSWER LOOK UP TRMT: 1. prednisone 40mg PO 3
days, 2. ice compress and elevate 3. IBU 600mg TID, 4. Amox 500mg PO TID x 10 days
Trtmt for animal bites would include: - CORRECT ANSWER Tetanus prophylaxis if needed,
augmentin first line, debridement for foreign material
Which diagnostic test is the best initial test to order when you suspect a subdural hematoma? -
CORRECT ANSWER Although magnetic resonance imaging (MRI) is superior for
demonstrating the size of an acute subdural hematoma and its effect on the brain, noncontrast head CT
is the primary means of making a diagnosis and suffices for immediate management purposes
QUESTIONS AND CORRECT ANSWERS
Which of the following statements is true about antibiotic prophylaxis for most wounds ? -
CORRECT ANSWER It is not indicated for most wounds and does not affect the infection
rate.
28 y/o Asian female presents to office with cat bite, she has allergy to PCN. After intial trmt of
wound, you decided that abx Rx is indicated. What will you prescribe? - CORRECT ANSWER
Bactrim and clindamycin
You have sutured several small lacerations, which sutures should be removed earlier than the others? -
CORRECT ANSWER FACE SUTURES. 5-7 days
40 y/o M, landscaper, presents with LFA wasp sting. Pt has localized redness, swelling on LFA. He
also has systemic signs and symptoms- palpitations, dyspnea, chest tightness and nausea. What is the
best treatment plan? - CORRECT ANSWER CALL 911 and refer to ER
An adult pt presents with avulsed tooth. You are unable to replant the tooth in the office. What would
be the best storage medium to transport the tooth with the pt to ED? - CORRECT ANSWER
Sterile saline
25 y/o presents with 2 wasp stings to right arm. He was painting outside the house yesterday
afternoon when he was stung. He states it was instantly painful and his arm swelled. He states he is
having difficult time at work today d/t arm pain. Today he denies SOB or CP. vs BP 120/74, P88, R14.
His RFA is moderately swollen, tender to touch and has mild pruritus. What would be the best
treatment for this man? - CORRECT ANSWER LOOK UP TRMT: 1. prednisone 40mg PO 3
days, 2. ice compress and elevate 3. IBU 600mg TID, 4. Amox 500mg PO TID x 10 days
Trtmt for animal bites would include: - CORRECT ANSWER Tetanus prophylaxis if needed,
augmentin first line, debridement for foreign material
Which diagnostic test is the best initial test to order when you suspect a subdural hematoma? -
CORRECT ANSWER Although magnetic resonance imaging (MRI) is superior for
demonstrating the size of an acute subdural hematoma and its effect on the brain, noncontrast head CT
is the primary means of making a diagnosis and suffices for immediate management purposes
