A mom calls your clinic and states that her child has a fever of 101, you should see immediately
if:
a)10 mos old w/mild ear pain
b) 18 mos old w/diarrhea
c) 3 year old w/runny nose
d) 6 mos old & cries continuously - correct answer Answer: 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 - correct answer Answer: 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 - correct answer Answer: 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? - correct answer Answer:
Fluoroquinolones
Which type of structural mass would show elevated Amylase levels?
A.) Thyroglossal Duct Cyst
B.) Ranula
C.) Parotitis
D.) Lymphatic Malformation - correct answer Answer: 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
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d) b&c - correct answer Answer: B
True or False
Most newborns are myopic - correct answer Answer: False
What type of discharge is associated with bacterial conjunctivitis?
A. watery
B. purulent
C. mucopurulent
D. mucoid - correct answer Answer: B
Medication that is CONTRAINDICATED on d/c after corneal abrasion?
a)abx oint
b) oral analgesics
c) Tetracaine
d) cycloplegic drops - correct answer Answer: C
Best screening for amblyopia:
a) check for red reflex
b) observe optic disc
c) cover test
d) visual acuity test in ea. Eye - correct answer Answer: D
Most common cause of otitis externa:
a)Hib
b) Staphylococcus aureus or Pseudomonas aeruginosa
c) N. gonorrhea
d) Strep pneumonia - correct answer Answer: B
A two year old child presents to your clinic with OME. Which of the following medications
would be prescribed as first line therapy?
A.) Amoxicillin
B.) Omnicef
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C.) Ciprodex
D.) none of the above - correct answer Answer: D
First line tx for Acute otitis media (AOM):
a) Rocephin
b) Zithromax
c) Augmentin
d) Amoxicillin - correct answer Answer: D
At what age is antibiotics always recommended for AOM regardless of diagnostic certainty?
A. Greater than 2yo
B. younger than 2yo
C. 6 months and younger
D. None of the above - correct answer Answer: C
A pt present with a "pimple" on her right eyelid, on exam you see a 2-mm pustule on the lateral
border of the right eyelid margin. This is most consistent with:
A- a chalzaion
B- a hordeolum
c- blepharitis
D- Cellulitis - correct answer Answer: B
What is the most common cause of opthalmia neonatorum in developed countries?
A. Gonorrhea
B. Chlamydia
C. Staph
D. Herpes simplex - correct answer Answer: B
What is a complication of opthalmia neonatorum caused by chlamydia?
A. Blindness
B. Dacrocysitis
C. delayed-onset pneumonitis