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676 ADVANCED PHARMACOLOGY ACTUAL
EXAM 2025 [BRAND NEW]
A school-aged child has 5 episodes of tonsillitis in the past year and 2 episodes the
previous year. The child's parents ask the provider if the child needs a
tonsillectomy. What will the provider say? - ANSWER- Current recommendations
do not support tonsillectomy for this child
A patient with EBV-IM also has GAS pharyngitis and is being treated with
Amoxicillin. On the third day of treatment, the patient developed a rash. A
urinalysis is normal. What does this indicate? - ANSWER- A reaction to the
amoxicillin
An adolescent who plays football in high school is diagnosed with Infectious
Mono and is noted to have splenomegaly. What will the provider recommend to
this patient about returning to sports? - ANSWER- ABD US is recommended to
determine safety
An adolescent patient has a fever, pharyngitis, and cervical lymphadenopathy and
has a negative GAS culture. A CBC shows absolute lymphocytosis, but a
, heterophil antibody test is negative for EBV. What will the provider tell the
patient? - ANSWER- The likelihood of EBV is still high
A patient reports persistent nasal blockage, discharge and facial pain lasting on the
right side for 4 months. There is no hx of sneezing or eye involvement, The patient
has a hx of seasonal allergies and takes a non-sedating antihistamine. What does
the provider suspect is the cause of these symptoms? - ANSWER- Chronic
rhinosinusitis
A provider determines that a patient has chronic rhinosinusitis without nasal
polyps. What is first-line treatment? - ANSWER- Intranasal corticosteroids
A patient has recurrent sneezing, alterations in taste and smell, watery, itchy eyes,
and thin, clear nasal secretions. The provider notes puffiness around the eyes. The
patient s vital signs are normal. What is the likely diagnosis? - ANSWER- Allergic
rhinitis
A patient has seasonal rhinitis symptoms and allergy testing reveals sensativity to
trees and grasses. What is first line treatment for this patient? - ANSWER-
Intranasal steroids
A patient is concerned about frequent nasal stuffiness and congestion that begins
shortly after getting out of bed in the morning. The patient denies itching and
sneezing. A PE reveals erythematous nasal mucosa with scant watery discharge.
What treatment will the provider recommend? - ANSWER- Daily intranasal
steroids
What are the potential complications of chronic or recurrent sinusitis? - ANSWER-
Meningitis, orbital infection, and osteomyelitis.