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1. A 22 year old female presents with a "pimple" on her a. Hordeolum
right eyelid. Exam reveals a 2mm pustule on the later-
al border of the right eyelid margin. What is this most
consistent with?
a. Hordeolum
b. Blepharitis
c. chalazion
d. cellulitis
2. An independent risk factor for oral cancer is: d. human papillomavirus
a. human papillomavirus type 26 type 16
b. human papillomavirus type 6
c. human papillomavirus type 11
d. human papillomavirus type 16
3. Which of the following is not the top 2 causative a. proteus Enterobacteri-
pathogens for otitis externa? aceae
a. proteus Enterobacteriaceae
b. Pseudomonas aeruginosa
c. staph aureus
4. Appropriate antibiotic therapy for otitis externa with a. Ciprofloxacin
accompanying cellulitis
suitable for outpatient therapy includes a course of
oral:
a. Ciprofloxacin
b. Cephalexin
c. Amoxicillin
d. Azithromycin
5. Expected findings in AOM include: b. Tympanic membrane
a. prominent bony landmarks immobility
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b. Tympanic membrane immobility
c. itchiness and crackling in the affected ear
d. submental lymphadenopathy
6. A 25 year old patient has a 3 day history of left ear pain c. cefpodoxime
that began after one week
of URI symptoms. On physical exam, you find that she
has AOM. She is allergic to PCN with a
flat pink rash only. She took an oral antimicrobial for
the treatment of a UTI 2 weeks ago. The
most appropriate oral antimicrobial option for this
patient is:
a. clarithromycin
b. Amoxicillin
c. cefpodoxime
d. trimethoprim-sulfamethoxazole
7. Which of the following organisms is not the top 3 for b. Psuedomonas
bacterial conjunctivitis?
a. Staphylococcus aureus
b. Psuedomonas
c. Haemophilus influenzae
d. Strep pneumoniae
8. A 19 year old presents with a complaint of bilaterally b. Allergic conjunctivitis
itchy, red eyes with tearing
that occurs intermittently throughout the year and is
often accompanied by a rope like eye
discharge and clear nasal discharge. This is most con-
sistent with:
a. Viral conjunctivitis
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b. Allergic conjunctivitis
c. bacterial conjunctivitis
9. Anterior epistaxis is usually caused from: localized nasal mucosa
a. HTN trauma
b. localized nasal mucosa trauma
c. foreign body
d. Bleeding disorders
10. Ms Murphy is a 58 year old woman presenting with a b. angle-closure glauco-
sudden left sided headache ma
that is most painful in her left eye. Her vision is
blurred, and the left pupil is slightly dilated and
poorly reactive. The left conjunctiva is markedly inject-
ed, and the eyeball is firm. Vision screen
with the Snellen chart is 20/30 OD; and 20/90 OS. The
most likely dx is:
a. unilateral herpetic conjunctivitis
b. angle-closure glaucoma
c. Open angle glaucoma
d. Anterior uveitis
11. Which of the following is most likely to be found on a. excessive cupping of the
the funduscopic exam in a optic disk
patient with untreated POAG?
a. excessive cupping of the optic disk
b. papilledema
c. Arteriovenous nicking
d. flame-shaped hemorrhages
12. Drug resistant S. Pneumoniae is least likely to exhibit a. respiratory fluoro-
resistance to which of the quinolones
following microbial classes?
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a. respiratory fluoroquinolones
b. tetracycline forms
c. advanced macrolides
d. first generation cephalosporins
13. Treatment options for streptococcal pharyngitis for a b. trimethoprim-sul-
patient with PCN allergy famethoxazole
include all of the following except:
a. azithromycin
b. trimethoprim-sulfamethoxazole
c. Clindamycin
d. Clarithromycin
14. Which of the following is not a possible complication b. liver failure
of group a strep [GAS]?
a. Glomerulonephritis
b. liver failure
c. rheumatic fever
15. The rash associated with scarlet fever typically occurs c. 2 days
how long after the start of the symptomatic infection?
a. 4 days
b. 1 day
c. 2 days
d. 3 days
16. Which of the following medications is most appropri- b. loratadine
ate for allergic rhinitis therapy
in an acutely symptomatic 24 year old machine oper-
ator?
a. nasal cromolyn
b. loratadine