2026/2027 COMPLETE QUESTIONS
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1. Gold standard for CAP diagnosis: - ANSWER ✔ Chest x-ray
2. If CAP symptoms present but no obvious signs of infection on CXR
treatment is... - ANSWER ✔ Same as if CXR was positive
3. Immunizations for people over 65 or younger people with comorbidities
such as asthma, CHF COPD: - ANSWER ✔ Pneumonia and flu vaccines
4. Who is at risk for CAP? - ANSWER ✔ Extremes of age, smokers,
alcoholics, GERD, chronic disease, institutionalization
5. CAP presentation in adults: - ANSWER ✔ Cough (may be nonproductive),
dyspnea, fever, hemoptysis, chest pain, fatigue, tachycardia
6. If lymphocytes are elevated? - ANSWER ✔ Indicative of viral process
7. If monocytes are elevated? - ANSWER ✔ Indicative of chronic process
,8. If eosinophils are elevated? - ANSWER ✔ Indicative of asthma, allergic
reaction
9. Rhinosinusitis - ANSWER ✔ inflammation of the nares and paranasal
sinuses, including frontal, ethmoid, maxillary, and sphenoid sinuses;
replaces the term sinusitis
10.Treatment of rhinosinusitis - ANSWER ✔ Augmentin (when indicated)
Topical nasal steroids NS nasal irrigation Mucolytics
11.Treatment of mono - ANSWER ✔ Supportive Recheck weekly
12.Diagnostic tests for mono - ANSWER ✔ Monospot Commercial diagnostic
kits about 98% sensitive CBC with diff Liver enzymes EBV serology
indicated in acutely ill pt with negative monospot and strong suspicion
Throat culture
13.Treatment of mono - ANSWER ✔ Supportive Recheck weekly
14.Underlying lung diseases in older patients (COPD) Abrupt onset Fever,
cough, chills, purulent sputum Pleuritic chest pain (+/-) Physician exam and
chest xray consistent with consolidation - ANSWER ✔ Hemophilus
influenza: Gram -
,15.Extremely ill patients (inpatient ICU) Often follows post influenza
pneumonia Complications can include: empyema, lung abscess,
pneumothorax - ANSWER ✔ Staphylococcus aureus: Gram +
16.ETOH Abuse/Debilitated Patients Dense consolidation usually in upper lobe
"Current jelly" sputum Increased mortality rate (25-50%) - ANSWER ✔
Klebsiella pneumonia: Gram -
17.Common in structural lung disease- CF patient Steroid Therapy Malnutrition
Antibiotic therapy within the past month - ANSWER ✔ Pseudomonas
aeruginosa: Gram –
18.bacterial conjunctivitis rx (4) - ANSWER ✔ erythromycin
tobramycin
trimethoprim
floroquinolones (ciprofloxacin)
19.allergic conjunctivitis rx (2) - ANSWER ✔ olatapadine
ketotifen
20.acute angle closure glaucoma rx (3) - ANSWER ✔ timolol
azetazolamide
pilocarpine
21.open angle glaucoma rx (3) - ANSWER ✔ timolol
brimonidine
dorzolamide
, 22.sinusitis rx (3) - ANSWER ✔ amoxicillin (1st line)
doxycycline
fluticasone
23.bacterial pharangitis caused by - ANSWER ✔ group A strep
24.viral pharyngitis caused by - ANSWER ✔ adenovirus
25.pharangitis rx (4) - ANSWER ✔ penicillin*
amoxicillin
cefalexin
azithromycin/clindamycin
26.RSV rx - ANSWER ✔ palivizumab
27.CAP rx (no comorbidities) - ANSWER ✔ amoxicillin
azithromycin
doxycycline
28.CAP rx (with comorbidities) - ANSWER ✔ amoxicillin + azithromycin
29.otitis externa rx - ANSWER ✔ ciprofloxacin/dexamethasone drops
30.otitis media rx - ANSWER ✔ amoxicillin
cefdinir or azithromycin (peniciilin allergy)