18-year-old male presents to the office with his mother with
complaints of itchy and red eyes for one day he reports watering
drainage in both eyes associated with repetitive itching he has no
fever or constitutional symptoms the patient has a sibling with
that just started daycare recently upon examination vision is
2020 with glasses he has mild to moderate conjunctival
hyperemia with Balletto preauricular lymph nodes that are
inflamed what is the patient's diagnosis Correct Answer Viral
conjunctivitis
1944 was given a diagnosis of blue one day ago and wants to
start the new flea medicine right away what do you tell her
Correct Answer I'll start you on the Tamiflu today it may
shorten the course of the disease and perhaps lessen the severity
of your symptoms
52 year old female as suspected of having a gastric ulcer and
will undergo an EGD she's concerned because she heard that
gastric ulcers can be malignant how should the clinician respond
Correct Answer About 95% of gastric ulcers are Banan even
though they seem to like a malignant on x-ray
54-year-old female presents to Primerica office for routing
reevaluation of GERD she has been treated with that
modifications in six weeks of omeprazole without improvement
of her symptoms what is the next step in the management of his
patients GERD Correct Answer Order an endoscopy
,54. You have seen a client who has tested positive forsyphilis.
You have treated the client; tested the client for other potential
sexually transmitted diseases, including human
immunodeficiency virus (HIV); counseled the client a bout sa fe
sexualpractices; and scheduled the client to retum at 3 and 6
months for repeat serologic testing. The tests at those times
demonstrated that no further syphilis was present. Should you
have taken any other action? Correct Answer Yes you must
report the case to the local health department. Syphlis is
reportsble and easily treatable
75-year-old African-American male presents your family
practice complaining of visual impairment he has worn
corrective lenses for many years but has noticed that his vision
has gotten progressively worse over the six months he denies
pain he states his vision is worse in both eyes in the peripheral
aspect of his visual field he also knows trouble driving at night
and halos around street lights at night you test is intraocular
pressure and it's 23 mmHg what is his most likely diagnosis
Correct Answer Open angle glaucoma
75-year-old female presence to office complaining of dizziness
and herring loss The patient states that she woke yesterday with
dizziness what she described as feeling the room spinning she
also notes in a minute ringing in her ears and physical exam the
patient has lateralization of hearing loss due to the artifact ear
Rontae shows air condition last longer than Bell connection
what is the next step and helping this patient symptoms Correct
Answer Start the patient on low salt low café dad and give her
meclizine for vertigo attack
,84-year-old male presents to your pediatric clinic with his
mother complaining of an itchy rash mostly between his fingers
this is been going on for multiple days and has been getting
worse the patient recently started a new daycare on physical
exam the patient is afebrile and has multiple small one to two
MM read papules and sets of three located on the web spaces
between his fingers he also has signs of excoriation what is the
treatment of the problem Correct Answer Permethrin lotion For
the patient and also his family members
A 10 year old male in the fifth grade presents to the pediatric
office with his mother complaining of itchy and red hots for one
day the patient complains of water drainage in both eyes
associated with repetitive itching physical exam he has no fever
or constitutional symptoms his vision vision is normal with no
decrease in extraocular movements the patient has a Sim blame
it just started daycare he also has bilateral preauricular lymph
nodes that are inflamed what is the patient's diagnosis Correct
Answer Viral conjunctivitis
A 10-year-old male in the fifth grade percent to a pediatric
office with his mother complaining of itchy and red eye for one
day the patient complains of water re-drainage and both eyes
associated with repetitive itching on physical exam he has no
fever or constitutional symptoms his vision is formal with no
decrease an extra-ocular movement as the patient has a sibling
that just started daycare he also has bilateral preauricular lymph
nodes that are inflamed was the patient's diagnosis Correct
Answer Viral conjunctivitis
, A 16-year-old female presist to your office he was sent by an
orthopedist he had recently had surgical fixation of a humorous
fracture the patient has been going to physical therapy and has
been developing a rash on his arm after therapy that disappears
shortly after returning home he does not have the rash prior to
therapy the patient denies fever chills and his decision as well he
with with no signs of infection of know the patient has been
experiencing more hand edema than the average patient and has
had a deem wraps used at the end of therapy to help with the
swe the wraps are made of a synthetic plarial the the that gets a
he is and not raised upper extremity what is the most likely
diagnosis Correct Answer Contact dermatitis
A 20-year-old male presents for your primary care clinic but this
patient is a student he complains of fatigue sore throat and low-
grade fever for three days on physical exam he has a
temperature of 100.7 his ear exam is normal his nose and throat
exam shows mild erythema of a nasal mucosa entertainment is
enlarged heart cells by lottery with everything of the pharyngeal
wall and tonsillar exudate he has a plane posterior cervical
lymph nodes he has mild nonproductive cough and clear long
exam what is his most likely diagnosis Correct Answer Mono
A 20-year-old male presents to your office in summer
complaining of chest discoloration he is a lifeguard and has been
out in the sun without a shirt for a long period of time his
physical exam so small flat circular hypopigmented macules on
his chest that he states are mildly paretic what is the treatment
choice for this diagnosis Correct Answer Selenium sulfide
shampoo
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