test 1 (heent, resp)

Question 1

OM tx

Answer 1

1. amoxicillin 2. augmentin

Question 2

otitis eterna tx

Answer 2

quinolone and steroid

cortisporin ear drops to numb

Question 3

acute sinusitis tx

Answer 3

amoxil, augmentin, azithromycin, doxy?

Question 4

pharyngitis differentials

Answer 4

strep, EBV, HIV, coxsackie, herpes simplex, URI

Question 5

previously healthy adult with CAP

Answer 5

macrolide or doxy

Question 6

CAP with comorbidities

Answer 6

fluroquinolone OR macrolide plus beta lactam

Question 7

mycoplasma pneumoniae manifestations

Answer 7

begins as HA, sore throat, malaise
progresses to non prod cough, bullous myringitis (fluid on ears), erythema multiforme
physical doesn’t correlate with CXR

Question 8

oral cancer sites

Answer 8

smokeless- gums
pipe- lip
non smokers- tongue

Question 9

bacterial vs viral conjunctivitis tx

Answer 9

bacterial- erythromycin ointment, polytrim drops, gentamycin drops
viral- cold/warm compress

Question 10

blepharitis tx

Answer 10

lid hygiene and erythromycin ointment

Question 11

acute glaucoma s/s

Answer 11

painful, red, ciliary flush, cloudy, colored halos, unilateral ha, “lights really bright”

Question 12

aphthous stomatitis

Answer 12

canker sore

check folate, b12, and iron

Question 13

TB s/s

Answer 13

hemoptysis, weight loss, fever, chronic cough

Question 14

diagnostic screening history for COPD

Answer 14

screening- spirometry measurement FEV1 to FVC less than 70

history- chronic cough, sputum production for 3 months of 2 consecutive years

Question 15

COPD treatment (A-D)

Answer 15

A- SABA
B- LABA
C- ICS + LABA
D- ICS + LABA + LAMA

Question 16

beta blockers to asthmatics or nah?

Answer 16

NAH

Question 17

Bronchitis s/s

Answer 17

wheezes over sternum, painful cough

*if smoker treat with abx anyway!!

Question 18

strep pneumoniae

Answer 18

MCC of PNA
affects healthy young patients
abrupt onset of fever with single rigor, cough with rusty sputum, pleuritic chest pain