Correct Answers
What requires a prompt work up for cystic fibrosis?
A. Frequent nosebleeds
B. Immunosuppression
C. A nasal polyp in a child less than 10 years old
D. Discovery of staph in the nasal passage. - ✅✅ C
How long would you prescribe an ABX with recurrent rhinosinusitis?
A. 10-14 d
B. 14-21 days
C. 3 -4 weeks
D. Daily forever - ✅✅ C
How long should pressure be held for epistaxis?
A. 10 minutes
B. 2 minutes
C. 5 minutes
D. Several hours until bleeding stops. - ✅✅ C
What is the appropriate duration of oral antibiotics after IV therapy shows clinical
improvement for mastoiditis?
A. 5-7 days
B. 10 days
C. 3 weeks
D. 1 month - ✅✅ C
What condition has ulcers that are classically 3 mm in size, surrounded by a halo,
and are found on the anterior tonsillar pillars, soft palate, and uvula?
A. Infectious Mononucleosis
B. Hand, foot, and mouth disease
C. Herpangina
D. Pharyngoconjuntictival fever - ✅✅ C
Patient presents with boggy purple swelling on the upper half of ear treatment
would be?
A. Topical Abx
,B. Warm compress
C. Urgent refer to otonarynologists
D. Observation - ✅✅ C
The use of corticosteroids are contraindicated for:
A. Aphthous ulcers
B. Thrush
C. Herpes simplex gingivostomatitis
D. Traumatic oral ulcers - ✅✅ C
Most common cause of conductive hearing loss in children is?
A. OME with Effusion
B. Eustachian tube dysfunction
C. Both A&B
D. None - ✅✅ C
A low set ear may and other external ear anomalies may indicate?
A. Hematoma
B. Traumatic ear pain
C. Renal malformations
D. AOM - ✅✅ C
A 7 year old with allergic polyps should be evaluated for?
A. Rhinitis
B. Choanal atresia
C. Cystic Fibrosis
D. Mono - ✅✅ C
Mucosal inflammation leading to obstruction is most commonly caused by?
A. Foreign body
B. Nasal polyp
C. Allergic rhinitis
D. S. Aureus - ✅✅ C
A mother presents with her 6 y/o child with cold symptoms that began 7 days ago
which is getting worse, fever of 103, mucopurulent drainage for 3 days, mother
denies exposure to day care or recent antibiotics, nkda. First line Tx would be?
A. Rocephin 1 gm IM x 3 days
B. Amoxicillin 90mg/kg/day in 2 divided doses
, C. Azithromycin 10/mg/kg on day 1 then 5/mg/kg x 4 days
D. Observe x 48 hours - ✅✅ B
A mom calls your clinic and states that her child has a fever of 101, you should see
immediately if:
A) 10 months old w/mild ear pain
B) 18 months old w/diarrhea
C) 3 year old w/runny nose
D) 6 months old & cries continuously - ✅✅ D
Most common organisms for AOM is/are:
A. Strep pneumonia
B. Hamophilus influenzae (H flu)
C. Moraxella catarrhalis (M cat)
D. All of the above - ✅✅ D
The safest dilating agent to use in infants is:
A) 0.5% tropicamide
B) 1% tropicamide
C) combo of 1% phenylephrine with 0.2% cyclopentolate
D) 2.5% phenylephrine - ✅✅ C
What antibiotic is used in the adult population for ABRS, not in children < 18
years and does not cover gram negative organisms such as H-influenzae? - ✅✅
Fluoroquinolones
Which type of structural mass would show elevated Amylase levels?
A.) Thyroglossal Duct Cyst
B.) Ranula
C.) Parotitis
D.) Lymphatic Malformation - ✅✅ C
What is (are) symptom(s) of acute closed angle glaucoma?
A) Absence of pain
B) Periocular pain w/haloes
C) onset often in bright places
D) B&C - ✅✅ B
True or False
Most newborns are myopic - ✅✅ False