A 19 year old presents with a complaint of bilaterally itchy, red eyes with tearing that occurs intermittently throughout the year and is often
... [Show More] accompanied by a rope like eye discharge and clear nasal discharge. This is most consistent with what diagnosis? - CORRECT ANSWER...allergic conjunctivitis
Treatment for allergic conjunctivitis - CORRECT ANSWER...Corticosteroid ophthalmic drops
Treatment for viral conjunctivitis - CORRECT ANSWER...no drops needed
Common cause of anterior epistaxis - CORRECT ANSWER...localized nasal mucosa trauma
hritis, rheumatic fever
What are the symptoms of Rheumatic Fever? - CORRECT ANSWER...Carditis and arthritis
1st line intervention for epistaxis - CORRECT ANSWER...Firm pressure to the area superior to the nasal alar cartilage
Ms Murphy is a 58 year old woman presenting with a sudden left sided headache that is most painful in her left eye. Her vision is blurred, and the left pupil is slightly dilated and poorly reactive. The left conjunctiva is markedly injected, and the eyeball is firm. Vision screen with the Snellen chart is 20/30 OD; and 20/90 OS. What is the most likely diagnosis? - CORRECT ANSWER...angle-closure glaucoma
Mrs. Allen is a 67 year old female with type 2 DM who complains of seeing flashing lights and floaters, decreased visual acuity, and metamorphopsia in her left eye. What is the most likely diagnosis? - CORRECT ANSWER...Retinal detachment
Which of the following is most likely to be found on the funduscopic exam in a patient with untreated POAG? - CORRECT ANSWER...excessive cupping of the optic disk
A 22 year old female presents with a "pimple" on her right eyelid. Exam reveals a 2mm pustule on the lateral border of the right eyelid margin. What is this most consistent with? - CORRECT ANSWER...Hordeolum
A 22 year old female presents with a 'bump" on her right eyelid. Exam reveals a 2 mm hard, nontender swelling on the lateral border of the right eyelid margin. What is this most consistent with? - CORRECT ANSWER...chalazion
What is an independent risk factor for oral cancer? - CORRECT ANSWER...human papillomavirus type 16
What are top 3 causative pathogens for otitis externa? - CORRECT ANSWER...Pseudomonas aeruginosa, proteus Enterobacteriaceae, and staph aureus
What is an appropriate antibiotic therapy for otitis externa with accompanying cellulitis suitable for outpatient therapy? - CORRECT ANSWER...fluoroquinolone
What are the top 3 causative pathogens for otitis media? - CORRECT ANSWER...Strep pneumoniae, haemophilus influenzae, moraxella catarrhalis
What is expected finding in AOM? - CORRECT ANSWER...Tympanic membrane immobility
A 25 year old patient has a 3 day hx of left ear pain that began after one week of URI symptoms. On physical exam, you find that she has AOM. She is allergic to PCN with a flat pink rash only. She took an oral antimicrobial for the tx of a UTI 2 weeks ago. What is the most appropriate oral antimicrobial option for this patient? - CORRECT ANSWER...cefpodoxime
Drug resistant S. Pneumoniae is least likely to exhibit resistance to which of the following microbial classes? - CORRECT ANSWER...respiratory fluoroquinolones
What are characteristics of M catarrhalis? H. Influenzae? S. pneumoniae? - CORRECT ANSWER...-M cat: high rate of beta-lactamase production
-H flu: some isolates exhibit antimicrobial resistance via production of beta-lactamase
-S. pneumo: mechanism of antimicrobial resistance usually via altered protein-binding sites held within the microbe's cell
What are treatment options for streptococcal pharyngitis for a patient with PCN allergy? - CORRECT ANSWER...-azithromycin
-Clarithromycin
-Clindamycin
What are the possible complications of GAS(Group A Streptococcus)? - CORRECT AN [Show Less]