Family Med EOR HEENT
A 2-year-old boy presents to the pediatric clinic with Haemophilus influenzae
right ear pulling. On exam, the right tympanic
membrane is bulging. Which of the following
pathogens is most likely to cause this condition?
A 6-year-old boy presents to the clinic with right eye Bacterial conjunctivitis
redness, yellow-green discharge, and right eye being
stuck shut in the mornings. He reports no changes in his
vision or eye trauma. On exam, he has injection of the
right conjunctiva and yellow discharge in the medial
canthus. There is no palpable lymphadenopathy. The
left eye is unremarkable. Which of the following is the
most likely diagnosis?
A 7-year-old boy presents to the pediatric clinic with a Focal purulent inflammatory process of the eyelid
focal red and painful bump on his right upper eyelid.
Neither the patient nor his mother report any trauma to
his eye, and he first noticed it when he woke up this
morning. Which of the following describes the most
likely condition?
, Family Med EOR HEENT
An 18-year-old man presents with an acute onset of Streptococcal pharyngitis
sore throat and fever. He reports no coughing, nasal
congestion, or hoarseness. Additionally, he reports no
history of oral intercourse. On exam, tonsillar exudates
and anterior cervical lymphadenopathy are noted. A
rapid antigen detection assay is positive. Which of the
following is the most likely diagnosis?
A 19-year-old man presents to his primary care provider Loratadine
with complaints of frequent sneezing, rhinorrhea, itchy
eyes, itchy nose, and excessive tearing for the past 3
weeks. He states he just started a lawn mowing
business and spends a lot of time outside. Physical
examination is significant for pale, boggy turbinates
and conjunctival injection. A transverse nasal crease is
present, as shown in the image above. Which of the
following medications would be most appropriate at
this time, in addition to an intranasal corticosteroid
spray?
, Family Med EOR HEENT
A 20-year-old woman presents to her primary care Topical gentamicin
provider with complaints of severe right eye pain after
trying to remove her contact lens. She reports she is
very sensitive to light and feels like there is something
stuck in her eye. Visual acuity testing with a Snellen
chart is unchanged from her baseline. Instillation of
topical proparacaine 0.5% solution results in immediate
relief. Fluorescein staining shows the finding in the
image above. Which of the following treatments is
recommended for this patient?
A 22-year-old man presents to his primary care 2% viscous lidocaine
provider with complaints about recurrent ulcers on the
inside of his lip. He states he gets these ulcers about six
or seven times each year. They are very painful and take
over 1 week to fully heal. His past medical history is
unremarkable. Physical examination reveals two
discrete 2 mm ulcers on the inside of the lower and
upper lip, as shown in the image above. Which of the
following should be recommended to this patient?
, Family Med EOR HEENT
A 22-year-old man presents to the urgent care with a Muffled voice
sore throat. Vital signs are T of 100.6°F, HR of 108 bpm,
BP of 132/76 mm Hg, RR of 20/min, and oxygen
saturation of 95% on room air. On oropharyngeal exam,
the left palatine tonsil is erythematous, edematous, and
extended medially, and the uvula is shifted to the right
side. Which of the following additional findings is
consistent with the most likely diagnosis?
A 23-year-old woman with a history of nasal polyps Streptococcus pneumoniae
presents with facial pain, headache, and fever. Her
symptoms started approximately 12 days ago with
cough, rhinorrhea, and frontal sinus pain, which
improved on day 5 but then worsened after day 8. On
exam, tenderness to palpation over the frontal sinus is
noted as well as purulent nasal drainage. Which of the
following organisms is the most common bacterial
cause of the suspected diagnosis?
A 2-year-old boy presents to the pediatric clinic with Haemophilus influenzae
right ear pulling. On exam, the right tympanic
membrane is bulging. Which of the following
pathogens is most likely to cause this condition?
A 6-year-old boy presents to the clinic with right eye Bacterial conjunctivitis
redness, yellow-green discharge, and right eye being
stuck shut in the mornings. He reports no changes in his
vision or eye trauma. On exam, he has injection of the
right conjunctiva and yellow discharge in the medial
canthus. There is no palpable lymphadenopathy. The
left eye is unremarkable. Which of the following is the
most likely diagnosis?
A 7-year-old boy presents to the pediatric clinic with a Focal purulent inflammatory process of the eyelid
focal red and painful bump on his right upper eyelid.
Neither the patient nor his mother report any trauma to
his eye, and he first noticed it when he woke up this
morning. Which of the following describes the most
likely condition?
, Family Med EOR HEENT
An 18-year-old man presents with an acute onset of Streptococcal pharyngitis
sore throat and fever. He reports no coughing, nasal
congestion, or hoarseness. Additionally, he reports no
history of oral intercourse. On exam, tonsillar exudates
and anterior cervical lymphadenopathy are noted. A
rapid antigen detection assay is positive. Which of the
following is the most likely diagnosis?
A 19-year-old man presents to his primary care provider Loratadine
with complaints of frequent sneezing, rhinorrhea, itchy
eyes, itchy nose, and excessive tearing for the past 3
weeks. He states he just started a lawn mowing
business and spends a lot of time outside. Physical
examination is significant for pale, boggy turbinates
and conjunctival injection. A transverse nasal crease is
present, as shown in the image above. Which of the
following medications would be most appropriate at
this time, in addition to an intranasal corticosteroid
spray?
, Family Med EOR HEENT
A 20-year-old woman presents to her primary care Topical gentamicin
provider with complaints of severe right eye pain after
trying to remove her contact lens. She reports she is
very sensitive to light and feels like there is something
stuck in her eye. Visual acuity testing with a Snellen
chart is unchanged from her baseline. Instillation of
topical proparacaine 0.5% solution results in immediate
relief. Fluorescein staining shows the finding in the
image above. Which of the following treatments is
recommended for this patient?
A 22-year-old man presents to his primary care 2% viscous lidocaine
provider with complaints about recurrent ulcers on the
inside of his lip. He states he gets these ulcers about six
or seven times each year. They are very painful and take
over 1 week to fully heal. His past medical history is
unremarkable. Physical examination reveals two
discrete 2 mm ulcers on the inside of the lower and
upper lip, as shown in the image above. Which of the
following should be recommended to this patient?
, Family Med EOR HEENT
A 22-year-old man presents to the urgent care with a Muffled voice
sore throat. Vital signs are T of 100.6°F, HR of 108 bpm,
BP of 132/76 mm Hg, RR of 20/min, and oxygen
saturation of 95% on room air. On oropharyngeal exam,
the left palatine tonsil is erythematous, edematous, and
extended medially, and the uvula is shifted to the right
side. Which of the following additional findings is
consistent with the most likely diagnosis?
A 23-year-old woman with a history of nasal polyps Streptococcus pneumoniae
presents with facial pain, headache, and fever. Her
symptoms started approximately 12 days ago with
cough, rhinorrhea, and frontal sinus pain, which
improved on day 5 but then worsened after day 8. On
exam, tenderness to palpation over the frontal sinus is
noted as well as purulent nasal drainage. Which of the
following organisms is the most common bacterial
cause of the suspected diagnosis?
