Questions for Exam 2 Primary Care 2
Dunphy Questions with Complete Solutions
In which of the following situations would referral to a specialist be needed for sinusitis?
a. Recurrent sinusitis
b. Allergic sinusitis
c. Sinusitis that is refractory to antibiotic therapy
d. All of the above d. All of the above
Which type of stomatitis results in necrotic ulceration of the oral mucous membranes?
a. Vincent's stomatitis c. Apthous stomatitis
b. Allergic stomatitis d. Herpetic stomatitis a. Vincent's stomatitis
The presence of hairy leukoplakia in a person with no other symptoms of immune suppression is
strongly suggestive of which type of infection?
a. HSV Type 2 c. Pneumonia
b. HIV d. Syphilis b. HIV
,Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
infection with which of the following pathogens?
a. Coxsackievirus c. Francisella tularensis
b. Cytomegalovirus d. Group A streptococcus d. Group A streptococcus
A patient presents with the following signs and symptoms: gradual onset of low-grade fever,
marked fatigue, severe sore throat, and posterior cervical lymphadenopathy. Based on the signs
and symptoms alone, which of the following conditions is most likely the cause?
a. Gonorrhea c. Influenza
b. Mononucleosis d. Herpes zoster b. Mononucleosis
A patient presents to the clinician with a sore throat, fever of 100.7°F, and tender anterior
cervical lymphadenopathy. The clinician suspects strep throat and performs a rapid strep test that
is negative. What would the next step be?
a. The patient should be instructed to rest and increase fluid intake as the infection is most likely
viral and will resolve without antibiotic treatment.
b. Because the patient does not have strep throat, the clinician should start broad spectrum
antibiotics in order to cover the offending pathogen.
c. A throat culture should be performed to confirm the results of the rapid strep test.
, d. The patient should be treated with antibiotics for strep throat as the rapid strep test is not very
sensitive. c. A throat culture should be performed to confirm the results of the rapid strep
test.
Which of the following medications used in the treatment of glaucoma works by constricting the
pupils to open the angle and allow aqueous fluid to escape?
a. Pilocarpine c. Brinzolamide
b. Timolol d. Acetazolamide a. Pilocarpine
True or false?
Severe pain associated with acute otitis media signifies perforation of the tympanic membrane.
False
If chest pain may be alleviated with time, analgesics, and heat applications, what might the
differential diagnosis be?
a. Peptic ulcer c. Costochondritis
b. Hiatal hernia d. Pericarditis c. Costochondritis
Dunphy Questions with Complete Solutions
In which of the following situations would referral to a specialist be needed for sinusitis?
a. Recurrent sinusitis
b. Allergic sinusitis
c. Sinusitis that is refractory to antibiotic therapy
d. All of the above d. All of the above
Which type of stomatitis results in necrotic ulceration of the oral mucous membranes?
a. Vincent's stomatitis c. Apthous stomatitis
b. Allergic stomatitis d. Herpetic stomatitis a. Vincent's stomatitis
The presence of hairy leukoplakia in a person with no other symptoms of immune suppression is
strongly suggestive of which type of infection?
a. HSV Type 2 c. Pneumonia
b. HIV d. Syphilis b. HIV
,Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
infection with which of the following pathogens?
a. Coxsackievirus c. Francisella tularensis
b. Cytomegalovirus d. Group A streptococcus d. Group A streptococcus
A patient presents with the following signs and symptoms: gradual onset of low-grade fever,
marked fatigue, severe sore throat, and posterior cervical lymphadenopathy. Based on the signs
and symptoms alone, which of the following conditions is most likely the cause?
a. Gonorrhea c. Influenza
b. Mononucleosis d. Herpes zoster b. Mononucleosis
A patient presents to the clinician with a sore throat, fever of 100.7°F, and tender anterior
cervical lymphadenopathy. The clinician suspects strep throat and performs a rapid strep test that
is negative. What would the next step be?
a. The patient should be instructed to rest and increase fluid intake as the infection is most likely
viral and will resolve without antibiotic treatment.
b. Because the patient does not have strep throat, the clinician should start broad spectrum
antibiotics in order to cover the offending pathogen.
c. A throat culture should be performed to confirm the results of the rapid strep test.
, d. The patient should be treated with antibiotics for strep throat as the rapid strep test is not very
sensitive. c. A throat culture should be performed to confirm the results of the rapid strep
test.
Which of the following medications used in the treatment of glaucoma works by constricting the
pupils to open the angle and allow aqueous fluid to escape?
a. Pilocarpine c. Brinzolamide
b. Timolol d. Acetazolamide a. Pilocarpine
True or false?
Severe pain associated with acute otitis media signifies perforation of the tympanic membrane.
False
If chest pain may be alleviated with time, analgesics, and heat applications, what might the
differential diagnosis be?
a. Peptic ulcer c. Costochondritis
b. Hiatal hernia d. Pericarditis c. Costochondritis
