HEENT Set 1 Questions and Answers All Correct

HEENT Set 1 Questions and Answers All Correct A 10-year-old male in 5th grade presents to the pediatric office with his mother complaining of itchy and red eyes for 1 day. The patient complains of watery drainage in both eyes, associated with repetitive itching. On physical exam, he has no fever or constitutional symptoms. His vision is normal, with no decrease in extraocular movements. The patient has a sibling that just started day care recently. He also has bilateral preauricular lymph nodes that are inflamed. What is the patient's diagnosis? 1.Viral conjunctivitis. 2.Bacterial conjunctivitis. 3.Allergic conjunctivitis. 4.Blepharitis. - Answer-Viral Conjunctivitis What is the most common bacterial pathogen associated with acute otitis media? 1.Streptococcus pneumoniae. 2.Haemophilus influenzae. 3.Streptococcus pyogenes. 4.Moraxella (Branhamella) catarrhalis. - Answer-Streptococcus pneumoniae A 6-year-old female presents to your pediatric office with her mother complaining of right ear pain for 3 days. This pain resolved with Tylenol. The patient has also had noted fevers of 101.3°F over the last 2 nights. The patient had a nonproductive cough for 7 days prior to the ear pain. On physical exam, the patient has tenderness with tugging on the auricle of the ear. The tympanic membrane is not mobile with pneumatic otoscopy and is erythematous and full. The patient has no drainage from the ear and no mastoid tenderness. What is the next step? 1.Symptom management and reassurance that symptoms will resolve with time. 2.Computed tomography (CT) of the head. 3.Amoxicillin 80 to 90 mg/kg/d. 4.Augmentin 45 mg/kg/d. - Answer-Amoxicillin 80 to 90 mg/kg/d. A 20-year-old male presents to your primary care clinic. This patient is a college student. He complains of fatigue, sore throat, and low-grade fever for 3 days. On physical exam, he has a temperature of 100.7°F. His ear exam is normal. His nose and throat exam shows mild erythema of the nasal mucosa and edematous, enlarged tonsils bilaterally, with erythema of the pharyngeal wall and tonsillar exudates. He has inflamed posterior cervical lymph nodes. He has a mild nonproductive cough and clear lung exam. What is his most likely diagnosis? 1.Viral pharyngitis. 2.Mononucleosis. 3.Streptococcal pharyngitis. 4.Upper respiratory infection. - Answer-Mononucleosis