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19 Cards in this Set

  • Front
  • Back
Common causative organisms of acute suppurative conjunctivitis include all of the following except:
a. Staph aureus
b. H. flu
c. Strep pneumonia
d. Pseudomonas aeruginosa
Pseudomonas aeruginosa
Primary open angle glaucoma is primarily caused by:
a. Hardening of the lens
b. Elevated intraocular pressure left untreated
c. Degeneration of the optic nerve
d. Hypotension in the anterior maxillary artery
Elevated intraocular pressure left untreated (opthalmologist - eye exam after 40)
Risk factors for otitis externa include all of the following except:
a. Frequent air travel
b. Vigorous use of cotton swab
c. Frequent swimming
d. Cerumen impaction
Frequent air travel
Which of the following pathogen is most likely the cause of otitis externa?
a. M. catarrhalis - URI
b. E. coli
c. Candida albicans
d. Pseudomonas aeruginosa
Pseudomonas aeruginosa
An 18 y/o woman has a chief complaint of "sore throat and swollen glands" for the past 3 days. On examination, she has fever, exudative pharyngitis, and tender anterior adenopathy. Right and left upper abdominal quadrant tenderness is absent. The most likely diagnosis is:
a. Vicent angina
b. Viral pharyngitis
c. Strep pyogenes pharyngitis
d. Mononucleosis
Strep pyogenes pharyngitis
Strep throat is transmitted primarily through:
a. Sexual intercourse
b. Skin-to-skin contact
c. Saliva and droplet contact
d. Contaminated surfaces
Saliva and droplet contact - have patient throw out toothbrushes
"I think I have a UTI" would be documented in which part of the SOAP note?
a. HPI - subjective patient presents and gives to us
b. Chief complaint
c. ROS - subjective
d. Differential diagnosis
Chief complaint - subjective
"Pharynx is erythematous with patchy exudate on left tonsiluvula is midline" would be documented in which part of the SOAP note?
a. HPI
b. Chief complaint
c. Objective assessment
d. Differential diagnosis
Objective assessment - you yourself have perceived
After visiting with your patient, you tell him you would like for him to take "Tylenol as needed for pain, elevate the extremity and use ice q4-6h for 10 minutes". This information is documented in which part of the SOAP note?
a. HPI
b. ROS
c. Differential diagnosis
d. Plan
Plan - education provided plan of care
Predictive values is related to which of the following"
a. Reliability
b. Prevalence
c. Validity
d. Confidence ratio
Prevalence
The physiological response causing allergic rhinitis is primarily mediated through:
a. IL-10
b. IgE antibodies
c. Anti-IgM antibodies
d. Anti-TNF antibodies
IgE antibodies
Epstein Barr virus is primarily transmitted via"
1. Skin-to-skin contact
2. Contact with blood
3. Oropharyngeal secretions
4. Genital contact
Oropharyngeal secretions - mononucleosis (enlarged spleen and liver)
Vital sign documentation is place where in the SOAP note/
1. ROS
2. HPI
3. Objective assessment
4. Plan
Objective assessment - document BMI for all adults and percent growth chart for peds
The Rinne test is use to detect the following:
a. Vision loss
b. An acute abdomen
c. Hearing loss
d. Loss of smell
Hearing loss - test for air & bone conduction (weber's test for lateralization - not timed)
Which of the following might one use to determine position sense?
a. Weber's
b. Romberg's - test acoustic nerve (sense of balance)
c. Rinne
d. Pronator drift
Romberg's - test acoustic nerve (sense of balance)

Pronator drift
To avoid a "hippus" (pupils dilate and constrict) response when conducting an ophthalmic exam, one might consider which of the following:
a. Lower the brightness of the light
b. Darken the room
c. Have the patient open and close his eyes rapidly
d. No treatment is required
Lower the brightness of the light
The projections in the nasal cavity that increase the surface are called the:
a. Kiesselbach's plexus
b. turbinates
c. meatus
d. septum
turbinates - seen on nasal exam -allergic rhinitis
Which of the following is FALSE concerning the Review of Systems (ROS)?
a. The ROS includes specific questions related to specific body systems.
b. Some ROS questions may be asked in the History of Present Illness (HPI).
c. Asking ROS questions helps to ensure that patient symptoms are not overlooked
d. The ROS includes physical exam findings
The ROS includes physical exam findings
An appropriate approach to the patient interview includes all of the following EXCEPT:
a. reviewing the patient's chart beforehand
b. always using medical terminology to question the patient
c. beginning the interview with open ended questions and proceeding to closed ended questions
d. covering social and emotional issues the patient may have in addition to the chief complaint
b. always using medical terminology to question the patient