PRACTICE SET MOCK EXAM REVISION NOTES
AND SOLUTIONS EXPERT GRADE A+
◉ What is an independent risk factor for oral cancer? Answer:
human papillomavirus type 16
◉ What are top 3 causative pathogens for otitis externa? Answer:
Pseudomonas aeruginosa, proteus Enterobacteriaceae, and staph
aureus
◉ What is an appropriate antibiotic therapy for otitis externa with
accompanying cellulitis suitable for outpatient therapy? Answer:
fluoroquinolone
◉ What are the top 3 causative pathogens for otitis media? Answer:
Strep pneumoniae, haemophilus influenzae, moraxella catarrhalis
◉ What is expected finding in AOM? Answer: Tympanic membrane
immobility
◉ A 25 year old patient has a 3 day hx of left ear pain 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 tx of a UTI 2 weeks ago. What is the most
appropriate oral antimicrobial option for this patient? Answer:
cefpodoxime
◉ Drug resistant S. Pneumoniae is least likely to exhibit resistance to
which of the following microbial classes? Answer: respiratory
fluoroquinolones
◉ What are characteristics of M catarrhalis? H. Influenzae? S.
pneumoniae? Answer: -M cat: high rate of beta-lactamase
production
-H flu: some isolates exhibit antimicrobial resistance via production
of beta-lactamase
-S. pneumo: mechanism of antimicrobial resistance usually via
altered protein-binding sites held within the microbe's cell
◉ What are treatment options for streptococcal pharyngitis for a
patient with PCN allergy? Answer: -azithromycin
-Clarithromycin
-Clindamycin
◉ What are the possible complications of GAS(Group A
Streptococcus)? Answer: Glomerulonephritis, rheumatic fever
,◉ What are the symptoms of Rheumatic Fever? Answer: Carditis and
arthritis
◉ The rash associated with scarlet fever typically occurs how long
after the start of the symptomatic infection? Answer: 2 days
◉ How do decongestants work? Answer: vasoconstriction
◉ Which of the following medications is most appropriate for
allergic rhinitis therapy in an acutely symptomatic 24 year old
machine operator? Answer: Loratadine(Claritin)
◉ According to Global Resources in Allergy (GLORIA) guidelines,
what is recommended for intervention in persistent allergic
conjunctivitis? Answer: Topical mast cell stabilizer with a topical
antihistamine
◉ What s/s is most consistent with the diagnosis of acute bacerial
rhinosinusitis (ABRS)? Answer: Upper respiratory tract infection
symptoms persisting beyond 7-10 days
◉ What is most common causative pathogen for bacerial
rhinosinusitis (ABRS)? Answer: strep pneumoniae
, ◉ Blepharitis patho Answer: -inflammation of the eyelid
-nonulcerative causes: psoriasis seborrhea, eczema, allergies, lice,
trisomy 21, chemical or environmental irritants, eye makeup, and
contact lenses
-ulcerative causes: lash follicle in meibomian glands of eyelid,
pustules at base of hair follicles that crust and bleed, lashes become
thick and break easily
◉ Blepharitis risk factors Answer: dry eye, frequent hordeolum or
chazalium, facial or scalp seborrhea, immunocompromised, acne,
diabetes, Retin-A use
◉ Blepharitis differential diagnosis Answer: -bacterial infections
(impetigo)
-viral infections (herpes)
-parasitic (demodex folliculorum)
-immunologic (atopic dermatitis, discoid lupus)
-dermatoses (psoriasis)
-benign eyelid tumor (actinic keratosis, subcutaneous papilloma)
-malignant eyelid tumors (basal cell carcinoma, squamous cell
carcinoma, melanoma)
-trauma (chemical, thermal, radiation, surgical)
-toxic conditions (medicamentosa)