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13 yr old with sore throat, tonsilllar exudates and adenopathy. What would be the
differential diagnosis?
A. Strep
B. Mono
C. Pharyngoconjunctival fever
D. All are correct - CORRECT ANSWER: d. all are correct
568.6 at what age should child with strabismus be referred to opthalmologist?
a. 4 month
b. 6 months
c. 12 months
d. if it doesn't resolve on its own - CORRECT ANSWER: b. 6 months
568.6 What organism is the most common cause of viral conjunctivitis? - CORRECT
ANSWER: Adenovirus
A battery in the nasal cavity is considered a emergency. T/F why? - CORRECT
ANSWER: True.
Septal Necrosis
A child presents to your office with unilateral malodorous nasal drainage that is green-
yellow in color. What do you first suspect?
,A) allergies
B) bacterial sinusitis
C) foreign body
D) obsessive nose picking trauma - CORRECT ANSWER: C) foreign body
A cloudy cornea is indicative of which condition?
a. acute conjunctivitis
b. acute anterior uveitis
c. acute angle-closure glaucoma
d. corneal trauma - CORRECT ANSWER: c
A nurse that works at the nursing home presents with a 10mm induration at TB skin test
site. This is a _____ results? - CORRECT ANSWER: Positive
>5mm: HIV+, recent contact with active TB patient, patients with fibrotic changes on
CXR suggesting prior TB, or Organ transplants.
>10mm: Anyone that is a recent immigrant, HIV negative drug user, residents of or
employees of a high-rsik congreagate setting, constitutional homes, or nursing home,
persons following medical conditions (gastroectomy, DM, CRF, etc, or children <4yrs or
children exposed to high risk adults
>15mm: No risk factors
A pt taking nasal corticosteroids for chronic sinusitis develops nosebleeds. What is the
next appropriate action?
a. d/c med because it is causing adverse side effects
b. check the how the pt/care provider is administering the medication
c. tell them to ignore the nose bleeds because they will go away with continued use
d. none of the above
e. all of the above - CORRECT ANSWER: b. check the how the pt/care provider is
administering the medication
, - Point towards ipsilateral ear.
ALL patients with asthma get a _____ for PRN use. - CORRECT ANSWER: SABA
All women WITHOUT risk factors for neural tube defects should take ____?
A. Folic acid @ least 0.4 mg/day 1 month preconception
B. Folic acid 1 mg/day 1 month preconception
C. Folic acid 4 mg/day 1 month preconception
D. No specified requirements for folic acid - CORRECT ANSWER: A. Folic acid @ least
0.4 mg/day 1 month preconception
Amblyopia when the brain is trying to suppress the off center image of strabismus. If this
is true, can it result in permanent blindness in the unused eyed--unless corrected early?
- CORRECT ANSWER: Yes
An important sign that differentiates viral from bacterial conjunctivitis is a palpable pre-
auricular lymph node. T/F - CORRECT ANSWER: True
Anterior uveitis is commonly characterized by all of the following except:
a. Blurred vision
b. circumcorneal redness
c. poor pupillary light response
d. dilated pupil - CORRECT ANSWER: d
AOM is often preceded by a viral upper respiratory infection with secondary bacterial
infection. Most common organisms that causes it are all EXCEPT
A. Strep
B. H flu
C. Staph