Ultimate High-Yield Clinical Medicine
Exam Guide: Sinusitis, Pneumonia, OMT,
CN Testing, Pulmonary Function,
Infectious Disease, Sleep Disorders,
Breast & Urologic Conditions, Preventive
Care, Vaccinations, and Emergency
Management Questions Verified
Complete with A+ Graded Rationales
Latest Updated 2026
Frontal Sinus
1
Ethmoid Sinus
2
Maxillary Sinus
3
Sphenoid Sinus
4
Viral Rhinosinusitis
most common cause of URI
-Sinus drainage and milking techniques to decrease pressure and congestion
-Cranial techniques to improve flow
OMT options for sinusitis
S. pneumonia, H. influenzae, M. catarrhalis
bacteria assoc with acute bacterial sinus infection
3 days
1|Page
,Nasal decongestants are very effective for severe nasal congestion but use sparingly and for no
longer than _____________ to prevent rebound nasal obstruction/swelling → oxymetazoline
(Afrin)
Rhinitis Medicamentosa
improper use of nasal decongestant sprays can lead to ___________________________
if condition worsens/fails by day 7
when should you start abx for acute bacterial sinusitis?
1. Amoxicillin
2. Cephalosporins
Standard Abx for acute bacterial sinusitis
HTN/ CAD
Common degonestants are alpha agonists and therefore could be poorly tolerated in pts with
_________________
improve mucociliary clearance and lymphatic drainage of HEENT
What is the purpose of effleurage?
improve drainage of middle ear structures
what is the purpse of mandibular drainage?
stretching causes fluids that are built up in sinus cavities to redistribute throughout the body,
away from the head
purpose of suboccipital release for sinusitis
Pneumonia
-productive cough, and sputum production
-febrile episodes
-SOB
-cyanosis
-tachypnea
-flaring of nostrils
-chest wall retractions
-abnormal breath sounds
-chest pain
2|Page
, URI
-non-productive cough
-febrile episodes
-sneezing/sore throat
-runny nose and head and nasal congestion
-clear breath sounds
-ear pain
S. pneumonia, H. influenzae, S. aureus, Atypicals
Community acquried pathogens of pneumonia
MSSA, MRSA, S. pneumonia, E. coli, Klebsiella, Enterobacter
Hospital acquried pathogens of pneumonia
E. coli or GBS
Suspected pneumonia pathogens if under 4 wks old
M. pneumonia, Chlamydia spp., Viral, S. pneumonia
Suspected pneumonia pathogens if 4 wks - 18 yrs old
Klebsiella and Anaerobes
pneumonia pathogens assoc with alcohol use
Histoplasma, Coccidoides, Blastomyces, Aspergillus, Mucor, Pneumocystis jirovecii
pneumonia pathogens assoc with immunocompromised patients
Amoxicillin plus a macrolide like azithromycin
or sometimes a tetracycline like doxycycline
Healthy adults under 65 years with pneumonia are typically treated with a combination of
______________________
Ceftriaxone plus Macrolide or Doxycycline
Adults with pneumonia and penicillin allergy may be prescribed ______________________
amoxicillin/clavulanic acid
Adults with pneumonia and other illnesses or who are smokers will usually be prescribed
____________________
3|Page
Exam Guide: Sinusitis, Pneumonia, OMT,
CN Testing, Pulmonary Function,
Infectious Disease, Sleep Disorders,
Breast & Urologic Conditions, Preventive
Care, Vaccinations, and Emergency
Management Questions Verified
Complete with A+ Graded Rationales
Latest Updated 2026
Frontal Sinus
1
Ethmoid Sinus
2
Maxillary Sinus
3
Sphenoid Sinus
4
Viral Rhinosinusitis
most common cause of URI
-Sinus drainage and milking techniques to decrease pressure and congestion
-Cranial techniques to improve flow
OMT options for sinusitis
S. pneumonia, H. influenzae, M. catarrhalis
bacteria assoc with acute bacterial sinus infection
3 days
1|Page
,Nasal decongestants are very effective for severe nasal congestion but use sparingly and for no
longer than _____________ to prevent rebound nasal obstruction/swelling → oxymetazoline
(Afrin)
Rhinitis Medicamentosa
improper use of nasal decongestant sprays can lead to ___________________________
if condition worsens/fails by day 7
when should you start abx for acute bacterial sinusitis?
1. Amoxicillin
2. Cephalosporins
Standard Abx for acute bacterial sinusitis
HTN/ CAD
Common degonestants are alpha agonists and therefore could be poorly tolerated in pts with
_________________
improve mucociliary clearance and lymphatic drainage of HEENT
What is the purpose of effleurage?
improve drainage of middle ear structures
what is the purpse of mandibular drainage?
stretching causes fluids that are built up in sinus cavities to redistribute throughout the body,
away from the head
purpose of suboccipital release for sinusitis
Pneumonia
-productive cough, and sputum production
-febrile episodes
-SOB
-cyanosis
-tachypnea
-flaring of nostrils
-chest wall retractions
-abnormal breath sounds
-chest pain
2|Page
, URI
-non-productive cough
-febrile episodes
-sneezing/sore throat
-runny nose and head and nasal congestion
-clear breath sounds
-ear pain
S. pneumonia, H. influenzae, S. aureus, Atypicals
Community acquried pathogens of pneumonia
MSSA, MRSA, S. pneumonia, E. coli, Klebsiella, Enterobacter
Hospital acquried pathogens of pneumonia
E. coli or GBS
Suspected pneumonia pathogens if under 4 wks old
M. pneumonia, Chlamydia spp., Viral, S. pneumonia
Suspected pneumonia pathogens if 4 wks - 18 yrs old
Klebsiella and Anaerobes
pneumonia pathogens assoc with alcohol use
Histoplasma, Coccidoides, Blastomyces, Aspergillus, Mucor, Pneumocystis jirovecii
pneumonia pathogens assoc with immunocompromised patients
Amoxicillin plus a macrolide like azithromycin
or sometimes a tetracycline like doxycycline
Healthy adults under 65 years with pneumonia are typically treated with a combination of
______________________
Ceftriaxone plus Macrolide or Doxycycline
Adults with pneumonia and penicillin allergy may be prescribed ______________________
amoxicillin/clavulanic acid
Adults with pneumonia and other illnesses or who are smokers will usually be prescribed
____________________
3|Page
