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511 WEEK 2 QUIZ QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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511 WEEK 2 QUIZ QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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511 WEEK 2 QUIZ QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
A 26 year old male recently returned from a camping trip w/ symtpoms of acute gastroenteritis. He
report that he only ate vegetables from his garden that he canned prior to his outing. Which of the
following pathogens might be causing his symptoms?
- Clostridium botulinum
- Campylobacter jejuni
- Staphylococcus
- Clostridium perfringens - ANSWER C. Botulinum is an anaerobic, gram positive bacillus that produces
toxins. It is widely distributed in the soil and vegetation. Improperly processed home-canned low-acid
vegetables and contaminated meats are the usual cause of food-borne botulism
A 21 year-old patient presents to the clinic for pre-operative tonsillectomy clearance. She has heard
about permanent taste changes after a tonsillectomy and is concerned. What should the clinican tell
her?
- About half of the patients have some permanent alteration in the sense of taste
- Your ability to recognize sweet from salty taste will be altered for life
- You will have some alterations, but we'll have to wait and see how you are affected personally
- You may notice a slight difference initially, but there are no lasting changes in taste - ANSWER Although
some clients report a significant subjective drop in taste function following surgery, none have ongoing
taste dysfunction.
Which medications used to treat n/v works by affecting the chemoreceptor trigger zone, thereby
stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure?
- Tetrahydrocannabinols, such as dronabinol (Marinol)
- Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan)
- Anticholinergics, such as scopalamine (Donnatal)
- Antidopaminergic agents, such s prochlorperaine (Compazine) - ANSWER Metoclopramide (Reglan) is
used for diabetic gastroparesis and postoperative n/v. It works by affecting the chemoreceptor trigger
, zone, thereby stimulating upper gastrointestinal motility and incresing lower esophageal sphincter
pressure.
The abx of choice for recurrent acute otitis media (AOM) and/or treatment failure in children is:
- Amoxicillin and potassium clavulanate (Augmentin)
- Amoxicillin (Amoxil)
- Azithromycin ( Zithromax)
- Prednisone (Deltasone) - ANSWER Amoxicilling and potassium clavulanate (Augmentin )
A 75 year old female presnt to you office complaining of dizziness and rining in both ears for 1 day. She
describes the dizziness as feeling like "the room is spinning". On physical exam, the Rinne tests reveals
that air conduction is greater than bone conduction bilaterally. The Weber test reveals lateralization to
the left. She is uanble to hear the examiner's whisper test on the right side but can hear the whisper test
on the left side. What is the next stpe in helping this pt's symptoms?
- Start the patient on a low-salt diet, prescribe meclizine for vertigo and refer her to an ENT specialist
- Refer the patient to the emergency room
- Start her on high-dose Augmentin
- Order a CT scan to rule out acoustic neuroma - ANSWER Low salt diet, meclizine and ENT
- Meniere's disease is characterized by bertigo, tinnitus, and hearing loss. The self-report of vertigo and
tinnitus along with the results indicate sensorineural loss on the right. Meniere disease is diagnosed
based on hx and the exclusion of other conditions. Referal to ENT is warranted to rule out other
etiologes. Tx of symptoms is both dietery and pharmacological. Abx are not inidcated.
In a young child, unilateral purulent rhinitis is most often caused by:
- A bacterial infection
- A foreign body
- An allergic reaction
- A viral infection - ANSWER In a young child, unilateral purulent rhinis is most often caused by a foreign
body - they keyword is unilateral.
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