Complete Solutions
____ 1. An acutely presenting, erythematous, tender lump
within the eyelid is called:
a. Blepharitis
b. Hordeolum
c. Chalazion
d. Iritis Correct Answers b. Hordeolum
(Dunphy)
____ 10. A patient presents to the clinician complaining of ear
pain. On examination, the clinician finds that the patient has
tenderness on traction of the pinna as
well as when applying pressure over the tragus. These findings
are classic signs of which condition?
a. Otitis media
b. Meniere's disease
c. Tinnitus
d. Otitis externa Correct Answers d. Otitis externa
(Dunphy)
____ 11. Otitis media is considered chronic when:
a. Inflammation persists more than 3 months with intermittent or
persistent otic discharge.
b. There are more than six occurrences of otitis media in a 1-
year period.
c. Otitis media does not resolve after two courses of antibiotics.
,d. All of the above Correct Answers a. Inflammation persists
more than 3 months with intermittent or persistent otic
discharge.
(Dunphy)
____ 12. The most significant precipitating event leading to
otitis media with effusion is:
a. Pharyngitis
b. Allergies
c. Viral upper respiratory infection (URI)
d. Perforation of the eardrum Correct Answers c. Viral upper
respiratory infection (URI)
(Dunphy)
____ 13. Patients with acute otitis media should be referred to a
specialist in which of the following situations?
a. Concurrent vertigo or ataxia
b. Failed closure of a ruptured tympanic membrane
c. If symptoms worsen after 3 or 4 days of treatment
d. All of the above Correct Answers d. All of the above
(Dunphy)
____ 14. Which immunoglobulin mediates the type 1
hypersensitivity reaction involved in allergic rhinitis?
a. IgA
b. IgE
c. IgG
d. IgM Correct Answers b. IgE
, (Dunphy)
____ 15. Fluctuations and reductions in estrogen may be a
contributing factor in which type of rhinitis?
a. Vasomotor rhinitis
b. Rhinitis medicamentosum
c. Atrophic rhinitis
d. Viral rhinitis Correct Answers a. Vasomotor rhinitis
(Dunphy)
____ 16. Sinusitis is considered chronic when there are episodes
of prolonged inflammation with repeated or inadequately treated
acute infection lasting greater than:
a. 4 weeks
b. 8 weeks
c. 12 weeks
d. 16 weeks Correct Answers c. 12 weeks
(Dunphy)
____ 17. Which of the following antibiotics provides the best
coverage in acute or chronic sinusitis when gram-negative
organisms are suspected?
a. Penicillin V
b. Amoxicillin
c. Levofloxacin
d. Clindamycin Correct Answers c. Levofloxacin
(Dunphy)