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QUESTION 1 5 points Save Ar Which physical finding presents a strong case for acute otitis media? Ca. Bulging and retraction of the tympanic membrane and middle ear effusion O b. Demonstration of ear pain O c. Retraction of the tympanic membrane and ear pain O d. Intense erythema and retraction of the tympanic membrane

Question Completion Status: QUESTION 2 5 points Save Answer A 3-year old male is seen by the NP who has a history of persistent purulent nasal discharge for three days with a fever of 102. The patient is diagnosed with acute bacterial sinusitis. Which statement is consistent with acute bacterial sinusitis? Qaa. Extraocular motion can be impaired b. O b. Presents with maxillary sinusitis c. Oc. Most common in children under 2 years of age d. Most common in children over 10 years of age

Save Ans QUESTION 3 5 points In a study by Sun, McCarthy, & Liberman (2017) watchful waiting in otitis media was concluded to: O a. Be a cost-effective strategy O b. Lead to an increase in antibiotic prescriptions O c. Did not produce any significant affect O d. Watchful waiting does not require any additional follow-up

QUESTION 4 5 points Save Answer Which patient should be considered for antibiotic therapy for acute otitis media? Ca.a. 4-year old male with unilateral acute otitis media with moderate otalgia O b. A 10-year old male with mild otalgia that has been afebrile O c. A 15-year old female without right middle ear effusion based on pneumatic otoscopy O d. A 17-year old female with mild otalgia for 12 hours and temperature of 98.5°F

You are seeing a 10-year-old boy with chief complaint of a sore throat. His mother states that the child has had 4 days of low-grade fevers and malaise with his sore throat. The morning he appeared more ill, with a temperature of 40.4°C (104° F), a severe sore throat, and neck pain, and he does not want to open his mouth. Physical exam is notable for unilateral left-sided tonsillar swelling, uvular deviation to the right, and trismus. A CT scan is ordered. The diagnosis of peritonsillar abscess is made. Which of the following is the most important next step in the management of this child? O a. Order a CBC and blood culture O b. Order a lateral X-ray of the neck O c. Start antibiotic therapy with cephalexin O d. Arrange for an incision and drainage procedure all nenners

QUESTION 6 5 points S All of the following are potentially appropriate antibiotics for treatment of a peritonsillar abscess EXCEPT: O a. Oral metronidazole O b. IV Ampicillin-sulbactam O c. Oral clindamycin O d.lv Clindamycin O e. V Ampicillin-sulbactam and vancomycin

QUESTION 7 5 points In a patient with an episode of epistaxis, a hematology workup is warranted for any of the following EXCEPT: O a. Frequent nose picking Ob. Family history of a bleeding disorder O c. Medical history of easy bleeding such as with circumcision or dental extraction O d. Spontaneous bleeding at any site O e. Onset before 2-years of age

QUESTIONS 5 point You are evaluating a 10-year-old with obstructive sleep apnea before his adenotonsillectomy surgery. In addition to blood work, what testing is indicated? O a. Chest X-ray O b. EKG O c. Echocardiogram O d. Ultrasound of the neck

ๆ) What is the preferred imaging modality for an orbital infection? O a. MRI O b. CT Scan O c. Ultrasound O d. Orbital X-ray Oe. Positron emission tomography (PET) scan

QUESTION 10 5 points According to the American Academy of Pediatrics, all are recommended to possible decrease the incidence of acute otitis media in a 2-year old EXCEPT: O a. Influenza vaccine if 6-months or older O b. Pneumococcal vaccine O c. Breastfeeding O d. Elimination of passive tobacco smoke exposure O e. Xylitol