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Family Medicine End of Rotation Exam questions and answers rated A+ 2024/2025
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Family Medicine End of Rotation Exam questions and answers rated A+ 2024/2025
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Family Medicine End of Rotation ExamAllergic Rhinitis pathophysiology
IgE mediated reactivity to airborne allergic reactions
Allergic Rhinitis etiology
Common in people with different atopic sickness:
Atopic Triad: allergic rhinitis, asthma, atopic dermatitis (eczema)
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Allergic Rhinitis signs and symptoms and symptoms
Allergic Shiners
Dennie strains
Rhinorrhea
watery/itchy eyes
sneezing
nasal congestion
dry cough
pale, boggy, blue mucosa
horizontal nasal crease (from allergic salute)
Allergic Rhinitis treatment
**Intranasal Glucocorticoid
,Oral antihistamines
Cromolyn sodium
Nasal saline
Immunotherapy (remaining resort)
Acute pharyngitis pathophysiology
sore throat
Commonly viral however need to differentiate from Group A beta hemolytic streptococcus
Viral causes are self restricted- supportive treatment
Signs and signs and symptoms of GABHS pharyngitis
Fever >38/a hundred.4
Tender anterior cervical adenopathy
Lack of cough
Pharyngotonsillar exudate
Diagnostic test for GABHS pharyngitis
Rapid Strep Test ninety-ninety nine sensitivity
Confirmation with throat tradition
Treatment for GABHS pharyngitis
Oral PCN
second technology cephalosporin
macrolide (erythromycin) for PCN allergic reaction
PCN IM if concern for patient compliance
*inadequate tx can result in scarlet fever, glomerulonephritis, and abscess formation
Peritonsillar abscess pathophysiology
penetration of infection thru the tonsillar tablet
Peritonsillar abscess symptoms and signs and symptoms
,*constantly investigate airway*
sore throat
odynophagia
trismus
deviation of tender palate/uvula
"warm potato" voice
**deviation of and asymmetrical rise of soft palate/uvula are HIGHLY suggestive of abscess
Peritonsillar abscess remedy
aspiration, I&D, abx, tonsillectomy
abx used= IV amoxicillin, amoxicillin-sulbactam, clindamycin, augmentin
Laryngitis etiology
Usually viral (resolves in 1-3 weeks)
Bacterial = M. Catarrhalis & H. Influenza
Often follows URI
Signs and symptoms of laryngitis
hoarseness*
cough may be present
ache is atypical
Treatment of laryngitis
supportive remedy: voice relaxation
bacterial= erythromycin, ceftin, augmentin (decreases hoarseness/cough)
Can use PO/IM corticosteroids to hasten healing for performers but calls for vocal wire
evaluation
Aphthous ulcers etiology
unclear. Feasible involvement of herpes 6 virus
, Signs and signs and symptoms of aphthous ulcers
single or more than one painful, round ulcers with yellow-gray facilities and pink halos on
non-keratinized mucosa. They are usually recurrent.
Treatment of aphthous ulcers
non-specific
topical corticosteroids
1 week oral prednisone taper
cimetidine (anti ulcer & H2 antagonist)
Acute sinusitis pathophysiology
inflammation of osteomeatal complicated, differentiates between allergic or viral
Acute sinusitis risk factors
Cigarette smoke
Nasal foreign frame
Trauma
Signs and signs of acute sinusitis
purulent nasal discharge
facial ache
facial stress
nasal obstruction or congestion
fever
smooth to palpation
reduced transillumination
Diagnostics of acute sinusitis
Usually a medical prognosis
X-ray used when presentation unclear, remedy failure, or indication of greater serious infection
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