QUESTIONS (QUIZBANK) 2025/26
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1 of 533
Definition
Topical antibiotics should not be used for more than 2 weeks at a
time
Trials have not definitively shown that nutritional supplements speed
ulcer healing. The head of the bed should be elevated only as
necessary, and should be kept to less than 30° to reduce shearing
forces.Systemic antibiotics should only be used for cellulitis,
osteomyelitis, and bacteremia. Topical antibiotics may be used for
periods of up to 2 weeks (SOR C).
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A 68-year-old male was seen in a local urgent-care clinic 6 days ago for upper
respiratory symptoms and was started on cefuroxime (Ceftin). He presents to
your office with a 2-day history of 4-5 watery stools per day with no blood or
mucus. He is afebrile and has a normal abdominal and rectal examination. A stool
guaiac test is negative, and a stool sample is sent for further testing.
What is the best initial management for this patient?
A 16-year-old white female experiences the sudden onset of tender, bleeding
gums, malodorous breath, and a bad taste in her mouth. On examination she is
febrile and has cervical lymphadenopathy and tachycardia. Her mouth has
marginal punched-out, crater-like depressions of the interdental gingival papillae
and gingival margins that are covered with a gray pseudomembranous slough.
The drug of choice for treating this condition is:
A 70-year-old Asian male presents with hematochezia. He has stable vital signs.
Lower endoscopy is performed, but is unsuccessful due to active bleeding.
What's the appropriate next step at this point?
Which one of the following is true regarding treatment of pressure ulcers?
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2 of 533
Term
Sleep apnea is known to be associated with:
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,Excision with a 1-mm margin
The diagnosis of melanoma should be made by simple excision with clear
margins. A shave biopsy should be avoided because determining the thickness of
the lesion is critical for staging. Wide excision with or
without node dissection is indicated for confirmed melanoma, depending on the
findings from the initial excisional biopsy.
Hypertension
Sleep apnea is associated with hypertension, and may in fact be a cause of
hypertension. Improvement of sleep apnea can be associated with
improved blood pressure.
Ground beef
Recent outbreaks of E. coli 0157:H7-related illnesses have been associated with
contaminated ground beef bought either uncooked in supermarkets or as
cooked hamburgers at fast-food restaurants.
bradycardia requiring pacemaker implantation
A large population study has established a significant increased risk of
bradycardia, syncope, and pacemaker therapy with cholinesterase inhibitor
therapy. Elevation of liver enzymes with the potential for hepatic dysfunction has
been seen with tacrine, but it has not been noted with the other approved
cholinesterase inhibitors. Cataract formation and thrombosis with pulmonary
embolism do not increase with this therapy. Although improvement in mental
function is often marginal with cholinesterase inhibitor therapy, the therapy has
not been shown to increase the need for institutionalization.
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3 of 533
, Term
Which one of the following is true regarding gastroesophageal
reflux (GER) in infants and children?
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Erythromycin
In spite of widespread vaccination of infants, pertussis occurs endemically in 3-
to 5-year cycles in the U.S. It appears to be more common within populations
not routinely immunized, such as Mennonite communities, but can occur widely.
Infants younger than 6 months are affected most severely, although pertussis
occurs in all age groups. The diagnosis is made by nasopharyngeal culture, but
because the disease is uncommon and the organism is fastidious, laboratory
personnel should be advised of the physician's suspicion of pertussis. Treatment
includes respiratory and nutritional supportive care, particularly for infants
younger than 6 months. Antibiotic therapy is most effective in shortening the
illness when given early, during the upper respiratory phase, but is indicated at
any stage to reduce the spread of disease to others. The drug of choice is
erythromycin, 40-50 mg/kg/day divided into four doses, for 14 days. Also
effective are azithromycin and clarithromycin, which may be better tolerated
with improved compliance. Resistance to these agents is rare. Penicillins and
cephalosporins are ineffective. Gentamicin is potentially very toxic, and is not
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Nasal saline with bulb suction
No medication available in the United States has been shown to effectively treat
cough or cold symptoms in children younger than 2 years of age. However,
many agents are commonly prescribed despite reports of numerous minor, and
some serious, adverse effects. For this reason, the American Academy of
Pediatrics and the American Academy of Family Physicians recommend using
only nasal saline, bulb suction, humidified air, and good hydration in children
younger than 2 years of age.