Nocturnal allergies
Question 37
A 16 year old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine petechiae. Without a definitive diagnosis for this patient, what drug would be least appropriate to prescribe?
Ibuprofen
Erythromycin
Amoxicillin
Acetaminophen
· Question 38
A 70 year old man who walks 2 miles every day complains of pain in his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 2 mile walk. What question asked during the history, if answered affirmatively, would suggest a diagnosis of arteriosclerosis obliterans?
“Are you wearing your usual shoes?”
“Do you also have chest pain when you have leg pain?”
“Is your leg pain relieved by rest?”
“Do you ever have the same pain in the other leg?”
· Question 39
Which of the following statements about malignant melanomas is true?
They usually occur in older adult males
The patient has no family history of melanoma
They are common in blacks
The prognosis is directly related to the thickness of the lesion
· Question 40
Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral edema. What do you suspect?
Asthma
Nocturnal allergies
Valvular disease
Heart failure
· Question 41
Which antibiotic would be the most effective in treating community acquired pneumonia (CAP) in a young adult without any comorbid conditions?
Erythromycin
Clarithromycin (Biaxin)
Doxycycline (Vibramycin)
Penicillin
