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A 49-year-old female presents complaining of intense right eye pain associated with unilateral headache, nausea, and colored rings around lights. On examination you note decreased visual acuity, a pupil that is fixed and mid-dilated, medial crescent shadow, and ciliary flushing. Which of the following is the most likely diagnosis?
A 34-year-old woman is to embark on a cruise and requests a medication to prevent sea sickness. Which of the following is the preferred medication to be taken prophylactically?
A 7 year old boy presents with bilateral parotid enlargement and orchitis. He has no past medical history, however has not received his vaccines as his mother believes they cause autism. Which of the following is the recommended treatment?
A 65-year-old woman has a 3 month history of profuse, clear rhinorrhea without nasal congestion that occurs immediately after eating. Symptoms are worse when eating spicy foods. Examination of the nasal turbinates shows pale mucosa. Which of the following is the most likely diagnosis?
A 67-year-old man has a 3 month history of profuse, clear rhinorrhea without nasal congestion that occurs immediately after eating. Gustatory rhinitis is diagnosed. Which of the following is the preferred initial management?
A 15 year old presents with a diffuse maculopapular rash after being treated recently for pharyngitis. The patient presented 5 days ago with severe sore throat, diffuse cervical lymphadenopathy and fever and was prescribed amoxicillin. Which of the following is the most likely cause of his symptoms?
An 18-year-old patient presents with severe right ear pain without discharge. Examination reveals an inflamed tympanic membrane with multiple small hemorrhagic blebs. Hearing is not affected. Which of the following is not a common causative organism?
A 22-year-old patient presents with tender anterior cervical lymphadenopathy, fever and a tonsillar exudate. What is the most likely organism responsible for this condition?
A 49-year-old patient presents with a four-month history of purulent discharge from her left ear and a two week history of a left seventh nerve palsy. On inspection, the external ear canal is significantly narrowed, edematous and filled with bright red granulation tissue. The patient’s past medical history is positive only for diabetes and she has no other somatic complaints. Which of the following is the most likely causative organism?
A 20-year-old male presents complaining of sudden attacks of “the room spinning”. These episodes last only seconds and they occur when the patient looks up or lies down. The patient has no symptoms in the intervals between his attacks. Which of the following is the most likely diagnosis?
Which of the following is the most likely concern regarding chronic serous otitis media in children?
Which of the following is part of Samter’s triad, and is related to asthma and aspirin allergy?
A 74-year-old female presents complaining of hearing loss for the last 2 to 3 weeks. She has no other complaints, and denies any ear pain or discomfort. Her whisper test is decreased in her right ear and the Weber test lateralizes to her right ear. Which of the following is the most probable underlying cause?
A 14-year-old patient presents with sore throat, fatigue and fever of 101°F. On physical exam you find bilaterally enlarged tonsils with white exudate and cervical lymphadenopathy. The patient has a history which includes allergy to penicillin. Which of the following would be the best treatment choice?
A 22-year-old male presents status post upper respiratory tract infection last week, now complaining of severe pain over the last three days in his right ear. Physical exam finds a bulging tympanic membrane, with loss of landmarks and opacification of the middle ear. Which of the following is the recommended initial treatment for this patient?
A 6-year-old child comes in your office with a fever, sore throat and hoarseness. You notice odynophagia is present. What is the most important thing you need to do in this case?
Which of the following would not be considered appropriate treatment for a patient with the diagnosis of nasal polyposis, allergies and asthma?
A patient present to the emergency department with photophobia, a foreign body sensation in the right eye, increased tearing, pain, red, and injection that is circumcorneal. Fluorescein shows staining of the defect. What is the most likely diagnosis?
A patient presents with a reddish, velvety lesion on the tongue along with erythema. He has a history of tobacco and alcohol use. What is the most likely diagnosis?
You have diagnosed your 40-year-old patient with Wegener’s granulomatosis and will be starting him on oral cyclophosphamide and prednisone. This patient is at increased risk of developing what type of cancer due to the cyclophosphamide?
Which of the following would not be considered useful for the treatment of gingivitis?
What diagnostic tool would you use to confirm a “wet” acute macular degeneration?
A patient has an external otitis externa. There is noticeable cellulitis in the surrounding area. What is the treatment plan?
Which of the following is the cause for Meniere’s disease?
What type of therapeutic can be used for maintenance in recurrent aphthous ulcers?
Your patient has not responded to treatment for sialadenitis. What would be your next step?
Which of the following organisms is the most likely to cause chronic sinusitis?
A patient is first seen with severe herpes stomatitis. The best way to manage this patient is with what type of treatment?
A 52-year-old female has vertigo for 3 days. Presence of which of the following differentiates vertigo due to central vestibular dysfunction from vertigo due to peripheral dysfunction?
A 22-year-old woman has had repeated episodes of epistaxis and also notes slight bleeding when she brushes her teeth. She has other family members with similar symptoms. Initial laboratory work up reveals a normal platelet count. A bleeding time is obtained and is noted to be increased and a platelet function assay shows decreased platelet function. Which of the following laboratory test results would most likely be expected in this patient?