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13 Cards in this Set
- Front
- Back
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6 wks ago, a pt began multidrug treatment for pulmonary TB, which was contracted in an inner city homeless shelter. The patient now complains of difficulty seeing, dull eye pain exacerbated with eye movement, and loss of color discrimination. Which of the following is the most likely cause of this complaint? a. ethmabutol b. rifampin c. isoniazid d. pyrazinamide |
A |
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A patient presents with epigastric pain described as boring and radiation to the back. It is relieved with leaning forward. What organ is most likely involved? a. gallbladder b. pancreas c. distal small bowel d. duodenum |
B |
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A 67 yo had been admitted to the hospital for community acquired pneumonia. She is dehydrated, weak, hypotensive, and has a cough productive of thick, green phlegm. Examination reveals coarse lung sounds throughout all lung fields. She is started on IV levofloxacin at admission and develops diarrhea on day 4 of treatment. Which part of her history places her at greatest susceptibility for the development of C. diff infection? a. community acquired pneumonia b. hospital admission c. history of diverticulitisd. patient's age |
B |
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An adult presents with right- sided facial fullness with purulent nasal discharge and fever for 10 days. He states symptoms began as a simple cold but have progressed. He has taken no medications and is allergic to penicillin. Sinuses are tender. Pharynx is edematous w/ purulent postnasal drip. What is the most appropriate antibiotic treatment? a. amoxicillin-clavulanate b. levofloxacin c. telithromycin d. trimethoprim-sulfamethoxazole |
D |
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A 51 year old female presents w/ a 2 days history of colicky RUQ pain as well as nausea and bloating. Examination reveals temperature of 100.4F and significant pain upon palpation of the RUQ. Laboratory findings include elevated WBC and mild bilirubinemia. What is the most likely dx? a. acute cholecystitis b. acute pancreatitis c. duodenal ulcer d. viral gastroenteritis |
A |
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A patient presents with unilateral hearing loss. Weber reveals lateralization to the right ear. Rinne test reveals the following: RIGHT : bone conduction = 10 seconds, air conduction = 5 secondsLEFT: bone conduction =5 seconds, air conduction = 10 secondsWhich of these other physical exam findings is expected? a. cerumen impaction of the RIGHT ear b. effusion of the LEFT ear c. otits media in the LEFT ear d. pain on palpation of tragus or mastoid area |
A |
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A previously healthy 37yo businessman complains of a 1 wk history of fever and abdominal pain. Further questioning reveals a prodrome of decreased appetite, nausea and vomiting, and general malaise. He denies diarrhea. He took a vacation to Mexico 5 weeks ago and business trip to the US west coast 2 weeks ago. He also ate at a new steak and seafood restaurant in town last week. He is in a heterosexual monogamous relationship of 4 years. Examination reveals a flat abdomen, normoactive bowel sounds, and RUQ tenderness, and negative Murphy sign. What is the most likely diagnosis? a. enterotoxigenic E. coli b. giardiasis c. hepatitis A d. salmonellosis |
C |
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A patient presents with chronic bilateral eye irritation and pruritus. The eyes appear red-rimmed with scales clinging to the eyelashes. Conjunctivae are clear. What is the recommended treatment? a. topical sulfonamide solution b. imitation tears c. topical antihistamine drops d. daily cleansing w/ baby shampoo |
D |
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A 40yo man has one episode of painless gross hematuria. What is the initial management? a. Tell him to return if the bleeding recurs b. Send urine sample for urinalysis and culture c. Schedule him for IVP and cystoscopy d. Prescribe antibiotics for probable UTI |
B |
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An adult presents with right-sided facial fullness with purulent nasal discharge and fever for 10 days. He states symptoms began as a simple cold but have progressed. He has taken no medications and is allergic to penicillin. Sinuses are tender. Pharynx is edematous with purulent postnasal drip. What is the most appropriate antibiotic treatment? a. amoxicillin- clavulante b. levofloxacin c. telithromycin d. trimethroprim-sulfamethoxazole |
D |
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A 51 year old female presents with a 2day history of colicky RUQ pain as well as nausea and bloating. Examination reveals temperature of 100.4F and significant pain upon palpation of RUQ. Laboratory findings include elevated WBC and mild bilirubinemia. What is most likely diagnosis? a. acute cholecystitis b. acute pancreatitis c. duodenal ulcer d. viral gasteroenteritis |
A |
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A patient presents with unilateral hearing loss. Weber reveals lateralization to the right ear. Rinne test reveals the following:RIGHT: bone conduction = 10 seconds, air conduction = 5 secondsLEFT: bone conduction = 5 seconds, air conduction = 10 secondsWhich of these other physical exam findings is to be expected? a. cerumen impaction in the right ear b. effusion in the left ear c. OM in the left ear d. pain on palpation of tragus or mastoid area |
A |
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A previously healthy 37 yo businessman complains of a 1 week history of fever and abdominal pain. Further questioning reveals a prodrome of decreased appetite, nausea and vomiting, and general malaise. He denies diarrhea. He took a vacation to Mexico 5 weeks ago and business trip to the US West Coast 2 weeks ago. He also ate at a new steak and seafood restaurant in town last week. He is in a hetersexual monogamous relationship of 4 years. Examination reveals a flat abdomen, normoactive bowel sounds, RUQ tenderness, and negative Murphy sign. What is the most likely diagnosis? a. enterotoxigenic E. coli b. giardiasis c. hepatitis A d. salmonellosis |
B |
