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2026 UPDATE!!!
Matthew, age 52, has allergic rhinitis and would like some
medicine to relieve his symptoms. He is taking cimetidine
(Tagamet) for gastroesophageal reflux disease. Which
medication would you not order?
A. A first-generation antihistamine
B. A second-generation antihistamine
C. A decongestant
D. A topical nasal corticosteroid
Feedback ANSWER B. A second-generation antihistamine
An adult 35-year-old female presents to your office with the
chief complaint of intermittent episodes of color changes of her
fingertips. The color changes from blue, white, and red and is
accompanied by numbness and tingling. The attacks happen for
,2-3 hours. Hands and feet become numb in the winter months.
Based on this history what is a possible diagnosis?
A. Poor circulation
B. Diabetic neuropathy
C. Peripheral vascular disease
D. Raynaud's phenomenon ANSWER D. Raynaud's
phenomenon
Which of the following medications is most appropriate for
allergic rhinitis therapy in an acutely symptomatic 24-year-old
machine operator?
A. Flunisolide nasal spray
B. Diphenhydramine
C. Loratidine
D. Nasal cromolyn ANSWER C. Loratidine
Oral decongestants should be discouraged in patients with:
A. Cardiovascular disease
,B. Allergic rhinitis
C. Migraine headache
D. Chronic bronchitis ANSWER A. Cardiovascular disease
Which of the following represents a therapeutic option for
ABRS in a patient with no recent antimicrobial care with
treatment failure after 72 hours of appropriate-dose first line
antimicrobial therapy?
A. Clindamycin
B. Clarithormycin
C. High-dose amoxicillin w/ clavulante
D. Ofloxacin ANSWER C. High-dose amoxicillin w/ clavulante
What therapy has proved beneficial for long-term symptom
relief of tinnitus?
A. Aspirin
B. Lidocaine
C. Cognitive behavioral therapy
, D. Corticosporin otic 2 drops per ear prn - ✔✔✔ Correct
Answer > C. Cognitive behavioral therapy
Maury, age 52, has throbbing pain in the left eye, an irregular
pupil shape, marked photophobia, and redness around the iris.
What is your initial diagnosis?
A. Conjunctivitis
B. Iritis
C. Subconjunctival hemorrhage
D. Acute glaucoma
Feedback ANSWER B. Iritis
Which of the following symptoms is most indicative of
mononucleosis (Epstein-Barr virus)?
A. Rapid onset of anterior cervical adenopathy, fatigue, malaise,
and headache
B. Gradual onset of fatigue, posterior cervical adenopathy,
fever, and sore throat
C. Gradual and seasonal onset of pharyngeal erythema