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Anterior epistaxis is usually caused by:
A. hypertension.
B. bleeding disorders.
C. localized nasal mucosa trauma.
D. a foreign body. - ✔✔C. localized nasal mucosa trauma.
A 45-year-old man presents with eye pain. He reports that he was cutting a tree with a chain saw when
some wood fragments hit his eye. You consider all of the following except:
A. educating the patient on the use of appropriate eye protection for primary prevention of eye trauma.
B. immediately removing any protruding foreign body from the eye.
C. using fluorescein staining to detect small objects in the eye.
D. prompt referral to an eye care specialist. - ✔✔
A 22-year-old woman presents with a "pimple" on her right eyelid. Examination reveals a 2-mm pustule
on the lateral border of the right eyelid margin. This is most consistent with:
A. a chalazion.
B. a hordeolum.
C. blepharitis.
D. cellulitis. - ✔✔B. a hordeolum.
,When evaluating a patient with Ménière's disease, the procedure of observing for nystagmus while
moving the patient from sitting to supine with the head angled 45 degrees to one side and then the
other is called:
A. the Romberg test.
B. Dix-Hallpike test.
C. the Rinne test.
D. the Fukuda test. - ✔✔B. Dix-Hallpike test.
Respiratory virus is the likely causative pathogen which patient with pharyngitis?
A. A 17-year-old man with a bothersome dry cough, lymphadenopathy, and tonsillar enlargement
B. A 34-year-old with cough, nasal discharge, hoarseness, conjunctival inflammation, and diarrhea
C. A 26-year-old woman with sore throat and fever, swollen tonsils covered with exudate, palatal
petechiae, and anterior cervical lymphadenopathy - ✔✔B. A 34-year-old with cough, nasal discharge,
hoarseness, conjunctival inflammation, and diarrhea
Drug-resistant S. pneumoniae is least likely to exhibit resistance to which of the following antimicrobial
classes?
A. advanced macrolides
B. tetracycline forms
C. first-generation cephalosporins
D. respiratory fluoroquinolones - ✔✔D. respiratory fluoroquinolones
Treatment of otitis media with effusion usually includes:
A. symptomatic treatment.
B. antimicrobial therapy.
C. an antihistamine.
, D. a mucolytic. - ✔✔
Risk factors for otitis externa include all of the following except:
A. frequent air travel.
B. vigorous use of a cotton swab.
C. frequent swimming.
D. cerumen impaction - ✔✔A. frequent air travel.
In the treatment of allergic rhinitis, leukotriene modifiers should be used as:
A. an agent to relieve nasal itch.
B. an inflammatory inhibitor.
C. a rescue drug.
D. an intervention in acute inflammation. - ✔✔B. an inflammatory inhibitor.
The most common virological cause of conjunctivitis is:
A. coronavirus.
B. adenovirus.
C. rhinovirus.
D. human papillomavirus. - ✔✔B. adenovirus.
First-line intervention for anterior epistaxis includes:
A. nasal packing.
B. application of topical thrombin.
C. firm pressure to the area superior to the nasal alar cartilage.