AQUIFER FAMILY MEDICINE END OF CASE EXAM
QUESTIONS 2023-2024 ACTUAL EXAM 170
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
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Terms in this set (95)
,A 4-year-old boy who A
recently emigrated from
eastern Europe presents
with his mother to your
general pediatrics clinic.
His mother reports that he
has a chronic
nonproductive cough
during the day and night,
mild wheezing for one
month and failure to gain
weight (his weight has
dropped from the 50th to
the 10th percentile for his
age). His mother denies
any high fevers,
rhinorrhea, or night
sweats.
Which of the following are
the next best diagnostic
tests?
A. Chest x-ray and
tuberculin skin test
B. CT of nasal sinuses
C. Spirometry, before and
after bronchodilator
therapy
D. Chest x-ray and
methacholine challenge
E. None needed, patient
likely has habitual cough
,A 4-year-old patient D
presents with several
months of cough. Mom
also reports a history of
red skin patches, which
are pruritic, and allergies
to peanuts, eggs, and
mangoes.
Which of the following
would be characteristic of
the cough that this patient
would present with?
A. Does not awaken
patient from sleep
B. Paroxysmal
C. Barking cough
D. Worse at night
E. Associated with
crackles on exam
, A 7-year-old male is E
brought to your clinic with
a fever of 102-103° F (38.9-
39.4° C) for the last three
days. He is up-to-date on
all vaccinations and has no
significant medical history.
His mother notes that he
has not had a cough but is
eating and drinking less
because "it hurts to
swallow." On examination
of his neck you notice
tender cervical
lymphadenopathy
bilaterally, and
auscultation of his back
shows clear lung sounds
on both sides. His
oropharyngeal exam
shows erythematous
throat, but no tonsillar
exudates.
What would be the most
appropriate next step?
A. Empiric Amoxicillin
therapy
B. Empiric Levofloxacin
therapy
C. Empiric Tamiflu therapy
D. Chest x-Ray
E. Rapid Strep Test
QUESTIONS 2023-2024 ACTUAL EXAM 170
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Save
Terms in this set (95)
,A 4-year-old boy who A
recently emigrated from
eastern Europe presents
with his mother to your
general pediatrics clinic.
His mother reports that he
has a chronic
nonproductive cough
during the day and night,
mild wheezing for one
month and failure to gain
weight (his weight has
dropped from the 50th to
the 10th percentile for his
age). His mother denies
any high fevers,
rhinorrhea, or night
sweats.
Which of the following are
the next best diagnostic
tests?
A. Chest x-ray and
tuberculin skin test
B. CT of nasal sinuses
C. Spirometry, before and
after bronchodilator
therapy
D. Chest x-ray and
methacholine challenge
E. None needed, patient
likely has habitual cough
,A 4-year-old patient D
presents with several
months of cough. Mom
also reports a history of
red skin patches, which
are pruritic, and allergies
to peanuts, eggs, and
mangoes.
Which of the following
would be characteristic of
the cough that this patient
would present with?
A. Does not awaken
patient from sleep
B. Paroxysmal
C. Barking cough
D. Worse at night
E. Associated with
crackles on exam
, A 7-year-old male is E
brought to your clinic with
a fever of 102-103° F (38.9-
39.4° C) for the last three
days. He is up-to-date on
all vaccinations and has no
significant medical history.
His mother notes that he
has not had a cough but is
eating and drinking less
because "it hurts to
swallow." On examination
of his neck you notice
tender cervical
lymphadenopathy
bilaterally, and
auscultation of his back
shows clear lung sounds
on both sides. His
oropharyngeal exam
shows erythematous
throat, but no tonsillar
exudates.
What would be the most
appropriate next step?
A. Empiric Amoxicillin
therapy
B. Empiric Levofloxacin
therapy
C. Empiric Tamiflu therapy
D. Chest x-Ray
E. Rapid Strep Test
