Which of the following eye conditions may be prevented with the use of vitamins C and E, beta
carotene, and zinc? (objective 2) Correct Answer: macular degeneration
A patient has a history of chronic ear infections and
...
Which of the following eye conditions may be prevented with the use of vitamins C and E, beta
carotene, and zinc? (objective 2) Correct Answer: macular degeneration
A patient has a history of chronic ear infections and presents to your office with hearing loss and
otorrhea. The patients hearing field is verified and shows conductive hearing loss. Gentle lavage of the
ear is performed with minimal cerumen removed. There is no acute otitis media noted. Appropriate
antibiotic therapy is given, and the patient fails to respond. Which of the following is the most likely
cause for this presentation? (objective 2) Correct Answer: presbycusis
A 50 year old male presents with acute pain in his right ear which occurred three days after he started to
develop cold symptoms. He denies drainage from the ear. He has not been swimming. He has not been
around anyone who has similar symptoms. He denies sore throat or dysphagia. He denies eye pain or
itchiness. Physical exam reveals an afebrile male who is nontoxic in appearance. Examination of the right
ear reveals the right tympanic membrane to be erythematous with poor mobility on pneumatic
otoscopy. The rest of the auditory canal is unremarkable. Which of the following is the treatment of
choice? (objective 2) Correct Answer: Amoxicillin
. A 6 year old male presents to the clinic with fever and earache. He has just finished a course of
unsuccessful amoxicillin. On physical examination the right tympanic membrane appears injected.
Which of the following is the most appropriate pharmacologic therapy? (objective 2) Correct Answer:
Cefaclor (Ceclor)
A patient is admitted to the hospital with a severe sore throat. The patient recently had acute
necrotizing gingivitis and is diagnosed with having Vincent angina. Which of the following is the
causative organism for this condition? (objective 2) Correct Answer: Anaerobes
. A 69 year old male who smokes and drinks, has rotten teeth, has a hard, fixed 4 cm mass in his left
neck. The mass is just medial to and in front of the sternomastoid muscle, at the level of the upper
notch of the thyroid cartilage. It has been there for at least 6 months, and it is growing. Which of the
following is the most appropriate next step in diagnosis? (objective 2) Correct Answer: Panendoscopy
(triple endoscopy) and mucosal biopsies
A 20 year old pregnant female is experiencing rapidly progressive hearing loss. Several relatives have
developed deafness prior to age 25 years. Otoscopic examination shows normal tympanic membranes
bilaterally. Hearing test shows a conductive hearing loss, with one ear being affected more severely than
the other. Which of the following diagnosis is most likely? (objective 2) Correct Answer: Otosclerosis
A 19 year old female consults an allergist about constant nasal stuffiness. She has a variety of pets in her
house including fish, dogs, and a cat. Screening tests demonstrate blood elevations of eosinophils and
IgE. Extensive skin testing demonstrates marked sensitivity to cat dandruff. Which of the following is her
preferred treatment for her cat allergy? (objective 2) Correct Answer: Get rid of the cat
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