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Exam 8: Eyes, Ears, Nose, and Throat

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Question 1

Multiple Choice

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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.

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Question 2

Multiple Choice

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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

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Question 3

Multiple Choice

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The clinician is seeing a patient complaining of red eye.The clinician suspects conjunctivitis.The presence of mucopurulent discharge suggests which type of conjunctivitis?

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?

The most significant precipitating event leading to otitis media with effusion is:

The presence of hairy leukoplakia in a person with no other symptoms of immune suppression is strongly suggestive of which type of infection?

Which of the following is an example of sensorineural hearing loss?

Patients with acute otitis media should be referred to a specialist in which of the following situations?

Sinusitis is considered chronic when there are episodes of prolonged inflammation with repeated or inadequately treated acute infection lasting greater than:

You are in the park playing with your children when you see that your friend is screaming for help.Her toddler has fallen and there is a stick lodged in his eye.The child is kicking and screaming and grabbing for the stick.You:

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?

You have a patient who is a positive for Strep on rapid antigen testing (rapid strep test) .You order amoxacillin after checking for drug allergies (patient is negative) but he returns 3 days later, reporting that his temperature has gone up, not down (101.5 °F in office) .You also note significant adenopathy, most notably in the posterior and anterior cervical chains, some hepatomegaly, and a diffuse rash.You decide:

A 65-year-old man presents to the clinician with complaints of increasing bilateral peripheral vision loss, poor night vision, and frequent prescription changes that started 6 months previously.Recently, he has also been seeing halos around lights.The clinician suspects chronic open-angle glaucoma.Which of the following statements is true concerning the diagnosis of chronic open-angle glaucoma?

As diabetic retinopathy progresses, the presence of "cotton wool" spots can be detected.Cotton wool spots refer to:

Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from infection with which of the following pathogens?

The clinician is assessing a patient complaining of hearing loss.The clinician places a tuning fork over the patient's mastoid process, and when the sound fades away, the fork is placed without restriking it over the external auditory meatus.The patient is asked to let the clinician know when the sound fades away.This is an example of which type of test?

Which of the following statements is true concerning the use of bilberry as a complementary therapy for cataracts?

Otitis media is considered chronic when:

Fluctuations and reductions in estrogen may be a contributing factor in which type of rhinitis?

Which of the following antibiotics provides the best coverage in acute or chronic sinusitis when gram-negative organisms are suspected?