FAMILY MED EOR LATEST 2025 REVISED
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED COMPLETE SOLUTION)
HIGHEST TEST SCORE A+ GRADE
what is the MCC of acute pancreatitis?
what is the diagnostic imaging of choice?
what is the MCC of chronic pancreatitis?
GALLSTONES (#2 = alcohol abuse, others = hypertriglyceridemia > 1,000)
abdominal CT
ALCOHOL ABUSE
which cranial nerve is affected in bell's palsy?
although the condition is idiopathic, what may it be related to?
will the patient be able to move their forehead?
which tx is associated with reduced time to full recovery?
CN7 (facial nerve)
reactivation of HSV
NO! cannot move forehead!
PREDNISONE
,what is the most common opportunistic pathogen?
what are the 5 main presentations of this?
what will you see on KOH smear?
CANDIDA ALBICANS
1. thrush --> friable white plaques ("curd like") that leave erythema/bleeding
when scraped
--> tx = nystatin swish + swallow
2. esophagitis --> odynophagia, GERD, epigastric pain, N/V and endoscopy shows
white linear plaques/erosions
--> tx = fluconazole PO
3. vulvovaginal --> pruritus, burning, white, thick, curd-like vaginal discharge
--> tx = fluconazole, miconazole, clotrimazole PO
4. intertrigo --> beefy red erythematous rash with distinct scalloped borders &
satellite lesions in moist/macerated areas
--> tx = clotrimazole topical
5. fungemia/endocarditis --> seen in immunocompromised
--> tx = amphotericin B IV
budding yeast & pseudohyphae
erythema infectiosum --> 5th disease (parvovirus B19)
- slapped cheeks + "lacy" rash
- can lead to APLASTIC CRISIS --> this is because parvovirus destroy reticulocytes,
leading to no RBC production!
,- associated with fetal loss in pregnancy (hydrops fetalis)
- tx = supportive care
4 yo child presents to clinic with an erythematous malar rash.
you note that this rash appears to have a "slapped cheek" appearance. on the
upper extremities you note a lacy, reticular maculopapular rash that spares the
palms and soles.
the child complains of some aching in her knees and ankles.
what is the cause of this condition?
a. human herpes virus 6
b. measles
c. parvovirus B19
d. coxsackie virus A16
c. parvovirus B19
this is ERYTHEMA INFECTIOSUM aka "5th disease"
5 yo child presents to clinic with a rash and sore throat.
on exam you note a fever, a flushed face with circumoral pallor and strawberry
tongue, pharyngitis, and a diffuse erythematous papular rash that blanches and
has a "sandpaper" texture.
you note pastia's lines (linear petechial lesions at the axillary, inguinal, and
antecubital areas).
mom states that this rash started in the groin area, then spread to the trunk and
extremities.
the child has no allergies.
, how will you treat?
a. penicillin G
b. doxycycline
c. acyclovir
d. azthromycin
a. penicillin G
this is SCARLET FEVER (SCARLATINA)
**cause = GABHS --> co-exists with strep throat
1st line = penicillin
2nd line (pcn allergy) = azithro, clarithro, erythro
HYPERSENSITIVITY TYPES
TYPE 1 --> Anaphylactic (A)
- IgE-mediated (reaction occurs immediately)
- ex. urticaria, angioedema, food allergies, allergic rhinitis
TYPE 2 --> anti-Bodies (B)
- antibody-mediated (cytotoxic)
- ex. Rh and ABO hemolytic disease of newborn, autoimmune diseases
TYPE 3 --> Complex
- immune complexes
- ex. vasculitis and serum sickness
TYPE 4 --> Delayed (D)
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED COMPLETE SOLUTION)
HIGHEST TEST SCORE A+ GRADE
what is the MCC of acute pancreatitis?
what is the diagnostic imaging of choice?
what is the MCC of chronic pancreatitis?
GALLSTONES (#2 = alcohol abuse, others = hypertriglyceridemia > 1,000)
abdominal CT
ALCOHOL ABUSE
which cranial nerve is affected in bell's palsy?
although the condition is idiopathic, what may it be related to?
will the patient be able to move their forehead?
which tx is associated with reduced time to full recovery?
CN7 (facial nerve)
reactivation of HSV
NO! cannot move forehead!
PREDNISONE
,what is the most common opportunistic pathogen?
what are the 5 main presentations of this?
what will you see on KOH smear?
CANDIDA ALBICANS
1. thrush --> friable white plaques ("curd like") that leave erythema/bleeding
when scraped
--> tx = nystatin swish + swallow
2. esophagitis --> odynophagia, GERD, epigastric pain, N/V and endoscopy shows
white linear plaques/erosions
--> tx = fluconazole PO
3. vulvovaginal --> pruritus, burning, white, thick, curd-like vaginal discharge
--> tx = fluconazole, miconazole, clotrimazole PO
4. intertrigo --> beefy red erythematous rash with distinct scalloped borders &
satellite lesions in moist/macerated areas
--> tx = clotrimazole topical
5. fungemia/endocarditis --> seen in immunocompromised
--> tx = amphotericin B IV
budding yeast & pseudohyphae
erythema infectiosum --> 5th disease (parvovirus B19)
- slapped cheeks + "lacy" rash
- can lead to APLASTIC CRISIS --> this is because parvovirus destroy reticulocytes,
leading to no RBC production!
,- associated with fetal loss in pregnancy (hydrops fetalis)
- tx = supportive care
4 yo child presents to clinic with an erythematous malar rash.
you note that this rash appears to have a "slapped cheek" appearance. on the
upper extremities you note a lacy, reticular maculopapular rash that spares the
palms and soles.
the child complains of some aching in her knees and ankles.
what is the cause of this condition?
a. human herpes virus 6
b. measles
c. parvovirus B19
d. coxsackie virus A16
c. parvovirus B19
this is ERYTHEMA INFECTIOSUM aka "5th disease"
5 yo child presents to clinic with a rash and sore throat.
on exam you note a fever, a flushed face with circumoral pallor and strawberry
tongue, pharyngitis, and a diffuse erythematous papular rash that blanches and
has a "sandpaper" texture.
you note pastia's lines (linear petechial lesions at the axillary, inguinal, and
antecubital areas).
mom states that this rash started in the groin area, then spread to the trunk and
extremities.
the child has no allergies.
, how will you treat?
a. penicillin G
b. doxycycline
c. acyclovir
d. azthromycin
a. penicillin G
this is SCARLET FEVER (SCARLATINA)
**cause = GABHS --> co-exists with strep throat
1st line = penicillin
2nd line (pcn allergy) = azithro, clarithro, erythro
HYPERSENSITIVITY TYPES
TYPE 1 --> Anaphylactic (A)
- IgE-mediated (reaction occurs immediately)
- ex. urticaria, angioedema, food allergies, allergic rhinitis
TYPE 2 --> anti-Bodies (B)
- antibody-mediated (cytotoxic)
- ex. Rh and ABO hemolytic disease of newborn, autoimmune diseases
TYPE 3 --> Complex
- immune complexes
- ex. vasculitis and serum sickness
TYPE 4 --> Delayed (D)
