DUNPHY CARE TEST PAPER ANSWERS AND
QUESTIONS SET A+
✔✔Which immunoglobulin mediates the type 1 hypersensitivity reaction involved in
allergic rhinitis?
a. IgA c. IgG
b. IgE d. IgM - ✔✔b. IgE
✔✔Fluctuations and reductions in estrogen may be a contributing factor in which type of
rhinitis?
a. Vasomotor rhinitis c. Atrophic rhinitis
b. Rhinitis medicamentosum d. Viral rhinitis - ✔✔a. Vasomotor rhinitis
✔✔Sinusitis is considered chronic when there are episodes of prolonged inflammation
with repeated or inadequately treated acute infection lasting greater than:
a. 4 weeks. c. 12 weeks.
b. 8 weeks. d. 16 weeks. - ✔✔c. 12 weeks.
✔✔Which of the following antibiotics provides the best coverage in acute or chronic
sinusitis when gram-negative organisms are suspected?
a. Penicillin V c. Levofloxacin
b. Amoxicillin d. Clindamycin - ✔✔c. Levofloxacin
✔✔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
QUESTIONS SET A+
✔✔Which immunoglobulin mediates the type 1 hypersensitivity reaction involved in
allergic rhinitis?
a. IgA c. IgG
b. IgE d. IgM - ✔✔b. IgE
✔✔Fluctuations and reductions in estrogen may be a contributing factor in which type of
rhinitis?
a. Vasomotor rhinitis c. Atrophic rhinitis
b. Rhinitis medicamentosum d. Viral rhinitis - ✔✔a. Vasomotor rhinitis
✔✔Sinusitis is considered chronic when there are episodes of prolonged inflammation
with repeated or inadequately treated acute infection lasting greater than:
a. 4 weeks. c. 12 weeks.
b. 8 weeks. d. 16 weeks. - ✔✔c. 12 weeks.
✔✔Which of the following antibiotics provides the best coverage in acute or chronic
sinusitis when gram-negative organisms are suspected?
a. Penicillin V c. Levofloxacin
b. Amoxicillin d. Clindamycin - ✔✔c. Levofloxacin
✔✔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
