bonus 3

Question 1

Initial treatment for a 23-year-old man with ABRS with no recent antimicrobial therapy (>3 months) and no drug allergy is:

Ampicillin.
Amoxicillin-clavulanate (Augmentin®).
Ciprofloxacin (Cipro®).
Levofloxacin (Levaquin®

Answer 1

Amoxicillin-clavulanate (Augmentin®)

Question 2

Risk factors for ABRS caused by drug-resistant S. pneumoniae (DRSP) include all of the following except:

Recent prior antimicrobial use.
Exposure to a child in large-group daycare.
Living in a rural setting.
Hospitalization within the past 5 days

Answer 2

Living in a rural setting.

Question 3

Macular degeneration would most likely be found in which of the following patients?

A 72-year-old woman who smoked cigarettes up until 10 years ago
A 54-year-old man with a family history of glaucoma
A 64-year-old man with well-controlled hypertension
A 32-year-old woman recently diagnosed with type 2 diabetes mellitus

Answer 3

A 72-year-old woman who smoked cigarettes up until 10 years ago

Question 4

Therapy to help avoid nasal symptoms in a 32-year-old man with allergic rhinitis should include:

An oral first-generation antihistamine.
An intranasal corticosteroid.
An oral decongestant.
An intranasal anticholinergic

Answer 4

An intranasal corticosteroid

Question 5

A first-generation antihistamine can help alleviate all of the following symptoms of allergic rhinitis except:

Sneezing.
Nasal congestion.
Rhinorrhea.
Itchy, watery eyes

Answer 5

nasal congestion

Question 6

You see a 20-year-old college wrestler with purulent cellulitis. He reports that a couple of his teammates were recently diagnosed with MRSA skin infections. Initial treatment options would include all of the following except:

Trimethoprim-sulfamethoxazole (Bactrim®).
Clindamycin (Cleocin®).
Doxycycline (Doryx®).
Levofloxacin (Levaquin®)

Answer 6

Levofloxacin (Levaquin®)

Question 7

A first-line treatment for uncomplicated skin infection due to S. aureus in a patient with no identifiable risk factors for MRSA is:

Ciprofloxacin (Cipro®).
Cephalexin (Keflex®).
Linezolid (Zyvox®).
Daptomycin (Cubicin®

Answer 7

Cephalexin (Keflex®)

Question 8

When evaluating a patient for a potential thyroid disorder, which of the following is the least informative test to be used during evaluation?

	Correct
Free T4
Total T4
Free T3
TSH

Answer 8

Total T4

Question 9

Examination of a 56-year-old woman identifies a palpable thyroid mass of relatively fixed position. TSH level is within normal limits. Ultrasound reveals a solid mass of approximately 5 cm in size. Which of the following is the most appropriate next course of action?

	Correct
Watch and wait with rescan in ?6 months
Initiate levothyroxine therapy
Refer for fine-needle aspiration biopsy
Refer for radioiodine ablation

Answer 9

Refer for fine-needle aspiration biopsy

Question 10

You see a 56-year-old woman with hypothyroidism who is currently being treated with levothyroxine at 100 mcg/d. She insists that she takes her medicine every morning. A laboratory test reveals that her TSH is 0.3 mIU/L (NL=0.4–4.0 mIU/L). You recommend:

Correct Maintaining the levothyroxine dose and reevaluate in 2 months. Increasing the levothyroxine dose and reevaluate in 2 months. Decreasing the levothyroxine dose and reevaluate in 2 months. Discontinuing levothyroxine therapy and reevaluate in 6 months

Answer 10

Decreasing the levothyroxine dose and reevaluate in 2 months.