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SAEM - MISC
Terms in this set (18)
All of the following are common non-infectious causes of fever EXCEPT:
B. Thyroid storm
C. Pulmonary embolism
D. Neuroleptic malignant syndrome
All of the following are common pathogens in otitis media EXCEPT:
A. viral agents
B. Moraxella catarrhalis
C. Staph. aureus
D. H. influenzae
E. Strep pneumoniae
A 28 year old female is 4 months pregnant and presents with dysuria. Her UA reveals leukocyte esterase and nitrates. Of the following, the best treatment is:
D. Macrodantin (nitrofurantoin)
All of the following pathogens cause invasive diarrheal infection EXCEPT:
B. Staph. aureus
All of the following are true regarding adult epiglottitis EXCEPT:
A. The incidence of adult epiglottitis has increased in recent years, whereas the incidence of pediatric epiglottitis has decreased.
B. The rapidity of symptoms' onset does not correlate with the likelihood of need for airway intervention.
C. Smokers have a higher incidence of adult epiglottitis.
D. Type b H. influenza is the most common bacterial pathogen to cause acute epiglottitis.
E. Adult epiglottitis is a cellulitis of the supraglottic structures of the airway including the epiglottis, vallecula, and the base of the tongue.
The five diagnostic criteria for Ludwig's angina include all the following EXCEPT:
A. large amounts of visible pus in the submandibular space
B. spread of cellulitis by continuity, not by lymphatics
C. sparing of the glandular tissues
D. bilateral cellulitis
E. presence of gangrene
A 2 and a half year old girl is brought in to the emergency department by her mother for "loud breathing" and a fever. The mother states the child has been previously healthy and is up to date on all her vaccines. Initial evaluation of the child reveals an ill-appearing child with her head propped upright, who is drooling and making stridorous noises. Her vital signs are notable for a temperature of 104.2 F. Which of the following is most likely in this child?
A. Stapholococcus aureus retropharyngeal abscess
B. choanal atresia
C. viral upper respiratory tract infection
D. Chlamydia pneumonia
E. viral croup
The answer is C. The patient has an infection of the deep space of the fingertip, known as a felon; this is treated with an incision procedure. Paronychia involves the dorsal aspect of the nail area, whitlow is a painful lesion on the skin, and furuncle and cellulitis also involve the skin rather than the deep space.
A patient presents complaining of severe pain and swelling in the distal aspect of his index finger. He has no history of trauma. On exam he has tense swelling and redness on the pad of the digit. Of the following, which is the best next step?
A. antibiotics and discharge
B. consult orthopaedics for pinning of a probable fracture
C. incision and drainage
E. treat for herpetic whitlow and discharge
A 58 year old woman presents to the emergency department one day after her cat bit her index finger. Physical examination shows signs of flexor tenosynovitis. She is admitted to the hospital for IV antibiotics, hand elevation, and emergent hand surgery consultation to consider debridement of the finger. Which of the following would be least likely expected in a patient with flexor tenosynovitis?
A. erythema of the flexor surface of the involved digit
B. pain with passive extension
C. swelling of the finger
D. tenderness over the flexor tendon sheath
A patient with which of the following conditions classically presents with conjunctival injection (a "red" eye)?
A. central retinal vein occlusion
B. central retinal artery occlusion
C. ultraviolet keratitis
D. retinal detachment
E. vitreous hemorrhage
Which of the following statements regarding the topical ophthalmic anesthetic proparacaine is TRUE?
A. It is cardiotoxic.
B. It is an ester.
C. It is often prescribed for home-going analgesia in patients with corneal pathology.
D. It stains the tears orange.
E. It is an amide.
Regarding optic neuritis, all of the following are true EXCEPT:
A. commonly affects color vision
B. oral steroids are indicated for treatment
C. may be the initial manifestation of multiple sclerosis
D. preferentially affects women
E. associated with afferent pupillary defect
7 year old boy presents with erythema and edema of the left eyelid. Which of the following physical examination findings is consistent with a pre-septal (or periorbital) cellulitis?
B. extraocular movement impairment
C. visual acuity impairment
D. pain with extraocular movement
All of the following are suitable home-going analgesics for a patient with a corneal abrasion EXCEPT:
D. narcotic analgesics
E. over-the-counter analgesics
b The answer is B. Topical anesthetics should not be prescribed for pain relief, as many cause corneal toxicity when recurrently dosed. Cycloplegic agents like homotropine and cyclopentolate reduce ciliary spasm and offer tremendous relief. OTC and prescription analgesics also work.
Horner's syndrome is characterized by all of the following EXCEPT:
All of the following may be used in the treatment of acute angle closure glaucoma (AACG) EXCEPT?
A. laser iridectomy
C. mydriatic agents
D. topical beta blockers
E. carbonic anhydrase inhibitors
Which of the following eye drops will dilate the pupil?
C. Pred Forte
THIS SET IS OFTEN IN FOLDERS WITH...
Altered Mental Status
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