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1. Fluctuations and reductions in estrogen may be a contributing factor in
which type of rhinitis?
a. Vasomotor rhinitis c. Atrophic rhinitis
b. Rhinitis medicamentosum d. Viral rhinitis - ANSWER a.
Vasomotor rhinitis
2. Sinusitis is considered chronic when there are episodes of prolonged
inflammation with repeated or inadequately treated acute infection lasting
greater than:
a. 4 weeks. c. 12 weeks.
b. 8 weeks. d. 16 weeks. - ANSWER c. 12 weeks.
3. Which of the following antibiotics provides the best coverage in acute or
chronic sinusitis when gram-negative organisms are suspected?
a. Penicillin V c. Levofloxacin
b. Amoxicillin d. Clindamycin - ANSWER c. Levofloxacin
4. In which of the following situations would referral to a specialist be needed
for sinusitis?
a. Recurrent sinusitis
b. Allergic sinusitis
c. Sinusitis that is refractory to antibiotic therapy
, d. All of the above - ANSWER d. All of the above
5. Which type of stomatitis results in necrotic ulceration of the oral mucous
membranes?
a. Vincent's stomatitis c. Apthous stomatitis
b. Allergic stomatitis d. Herpetic stomatitis - ANSWER a. Vincent's
stomatitis
6. The presence of hairy leukoplakia in a person with no other symptoms of
immune suppression is strongly suggestive of which type of infection?
a. HSV Type 2 c. Pneumonia
b. HIV d. Syphilis - ANSWER b. HIV
7. Heart valve damage resulting from acute rheumatic fever is a long-term
sequelae resulting from infection with which of the following pathogens?
a. Coxsackievirus c. Francisella tularensis
b. Cytomegalovirus d. Group A streptococcus - ANSWER d. Group A
streptococcus
8. A patient presents with the following signs and symptoms: gradual onset of
low-grade fever, marked fatigue, severe sore throat, and posterior cervical
lymphadenopathy. Based on the signs and symptoms alone, which of the
following conditions is most likely the cause?
a. Gonorrhea c. Influenza
b. Mononucleosis d. Herpes zoster - ANSWER b. Mononucleosis
9. A patient presents to the clinician with a sore throat, fever of 100.7°F, and
tender anterior cervical lymphadenopathy. The clinician suspects strep
, throat and performs a rapid strep test that is negative. What would the next
step be?
a. The patient should be instructed to rest and increase fluid intake as
the infection is most likely viral and will resolve without antibiotic
treatment.
b. Because the patient does not have strep throat, the clinician should
start broad spectrum antibiotics in order to cover the offending
pathogen.
c. A throat culture should be performed to confirm the results of the
rapid strep test.
d. The patient should be treated with antibiotics for strep throat as the
rapid strep test is not very sensitive. - ANSWER c. A throat
culture should be performed to confirm the results of the rapid strep
test.
10.Which of the following medications used in the treatment of glaucoma
works by constricting the pupils to open the angle and allow aqueous fluid
to escape?
a. Pilocarpine c. Brinzolamide
b. Timolol d. Acetazolamide - ANSWER a. Pilocarpine
11.True or false?
Severe pain associated with acute otitis media signifies perforation of the
tympanic membrane. - ANSWER False
12.If chest pain may be alleviated with time, analgesics, and heat applications,
what might the differential diagnosis be?
a. Peptic ulcer c. Costochondritis
b. Hiatal hernia d. Pericarditis - ANSWER c. Costochondritis