1. You see a 9-year-old after he was hit in the eye with a foreign body.
Flourescein staining reveals a vertical line abrasion lateral to the iris. The
pupils are equal in size and reactive; a positive red reflex is present
bilaterally. There are no abnormal extraocular movements. Visual acuity is
normal. An appropriate plan of care includes follow-up in 48 to 72 hours
and:
a. Prescribing ophthalmic steroid drops three times a day but not applying
an eye patch
b. Prescribing ophthalmic antibiotic drops three to four times daily and
placing a patch over the eye for 24 to 48 hours
c. Prescribing topical ophthalmic steroid drops three times a day and
placing a patch over the eye for 24 to 48 hours
d. Prescribing ophthalmic antibiotic drops three to four times daily but not
applying an eye patch
1 points
QUESTION 2
1. A 3-year-old has a history of upper respiratory tract infection 2 weeks ago.
She recently started awakening at night. Physical exam reveals a
normothermic child. She is smiling, playful, and sitting on the father’s lap.
The TMs are gray with scattered bubbles and good motility. What is the best
treatment?
a. Amoxicillin at 80 mg/kg/day in two divided doses for 10 days
b. Observation without therapy; recheck in 1 month
c. Nasal corticosteroids daily
d. Referral to an otolaryngologist
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