Examl 1:l NU664B/l NUl 664Bl (Latestl
2025/l 2026l Update)l Primaryl Carel ofl Familyl Il Completel Guide|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Regis
Q:l pharyngitisl causativel organisms/l clinicall presentation
Answer:
-groupl Al betal hemolyticl stepl (Sl pyogenes) -suddenl onsetl sorel throat -difficultyl swallowing -feverl >100.4 enlargedl tenderl anteriorl cervicall nodes -absencel ofl cough/l otherl URIl symptom -beefy,l redl tonsils -tonsillarl exudates -hxl ofl documentedl exposurel inl closel setting -kidsl canl havel chest/l abdominall rashl (canl bel wl orl w/ol sorel throat) -mycoplasmal pneumoniae/l chylamdial pneumonia -checkl forl herpesl virusl (genitall contact),l vesicles/l ulcerations EBV -rest,l steroids,l contactl sportsl outl forl 6l weeks,l avoidl alcl andl tylenol,l nol sharel drinks -youngl adults -prodromel (precursor)-l fatigue/l maliase/headachel ->l fever,l sorel throat,l adenopathyl (posteriodl cervicall nodes) -petechiael atl junctionofl hard/l softl palate -possiblyl splenomegaly/hepatomegaly-l dropl h/h,l shootingl painl tol shoulderl (cmp,l cbcl wdiff-l atypicall lymph) HIV-l acutel retrovirall syndrome:l mono-like,l fever,l pharyngitis/diffusel lymphadenopathy,l rash
Q:l labl testingl withl pharyngitis
Answer:
rapidl strepl test 1 / 4
-85-90%l sensitivity-l truel positivel rate,l fewl falsel negatives -l 95-99%l specificity-l truel negativel rate,l ptl doesn'tl havel disease throatl culturel espl whenl RASTl isl negl butl suspicionl isl high Monol spot,l HIVl virall load,l GCl culturel (gonnorhea),l covidl testing
Q:l Causesl ofl acutel pharyngitis
Answer:
50%l viral -rhinovirus,l adenovirus,l influezal Al andl B,l parainfluenza,l coxackie,l coronal etc 30%l nol pathogenl isolated 15%l strepl A,l Cl andl G 5%l Otherl bacteria -chlamydial (TWAR) -mycoplasmal pneumonia -gonorrheal etc
Q:l treatmentl ofl Sl pyogens
Answer:
-GAS=l Groupl Al strep speedsl symptomsl relief,l preventsl peritonsillarl orl retropharylgeall abcess,l preventsl spreafdl ofl infection PenVl 500mgl TIDl forl 10l days/weightl basedl dosagel forl children orl 1.2mgl PCNl Benzathinel PCNl IM Ifl allergic azithromycinl forl thel PCNl allergic,l cephalosporin,l clindymycin CENTORl scorel tol decidel nextl steps
Q:l floursceinl staining
Answer:
opthalmicl dyel usedl forl diagnosticl purposes.l dyel settlel intol defectsl inl thel corneall epitheliuml orl illuminatel al foreignl bodyl thatl mightl notl bel seenl withl thel nakedl eye
procedure:
-usel al dropl ofl salinel tol al wetl fluoresceinl strip -havel ptl lookl upl whilel youl pulll downl lowerl lidl andl gentlyl andl brieflyl touchl thel stripl tol thel lowerl conjunctivall sacl -havel thel ptl blinkl tol diffusel thel dyel overl thel surfacel ofl thel eye -usel thel cobaltl bluel settingl onl thel opthalmoscopel tol imspectl thel surfacel ofl thel eye 2 / 4
Q:l therapyl forl conjunctivitis
Answer:
empericl approach -erythromucinl 5mg/gl opthalmicl ointmnet -trimethoprim-polymyxinl 0.1%l 10,000l unit/mLl drops -ofloxacinl 0.3%l opthalmicl drops -ciprofloxacinl 0.3%l (preferredl agentl withl contactl wearers)l [5-7l days]l bacterial -erythromcycinl ointment,l azirthymycin,l trimethoprim-polymyxin viral-l antibhisatmine/l decongestantl drops
Q:l virall vsl bacteriall vsl allergicl conjunctivitis
Answer:
Virall suallyl causesl al wateryl dischargel duringl thel dayl andl al stickyl dischargel inl thel morning.l Itl canl alsol causel red,l burningl eyes,l andl eyelidsl thatl mayl becomel veryl swollen.l Virall conjunctivitisl oftenl clearsl onl itsl ownl inl 7l tol 10l days.l canl havel prodromall sxl Allergicl conjunctivitis Usuallyl causesl al clear,l wateryl dischargel alongl withl mildl redness.l Itl canl alsol causel itchy,l red,l andl inflamedl eyes,l andl puffyl eyelids.l Allergicl conjunctivitisl isl notl contagious.Bacteriall usuallyl hasl thickerl secretions,l yellowl orl grenl
Bacteriall infections:l morel neutrophils
•l Virall infections:l morel lymphocytesl
•l Allergicl reactions:l morel eosinophils
Q:l mostl commonl bacteriall causesl ofl conjunctivitis
Answer:
Staphylococcusl speciesl arel thel mostl commonl pathogensl forl bacteriall conjunctivitisl inl adults,l followedl byl Streptococcusl pneumoniael andl Haemophilusl influenzae.l Inl children,l bacteriall conjunctivitisl isl morel commonl thanl thel virall form,l andl isl mainlyl causedl byl Hl influenzae,l Sl pneumoniae,l andl Moraxellal catarrhalis.
Q:l hyperacutel conjunctivitis
Answer: 3 / 4
forml ofl conjunctivitisl thatl requiresl immediatel referrall tol opthalmology causedl by N.l gonorrhoeae N.l meningitidis ptl mayl havel recurrentl urethritis,l thel conjuncitviitsl isl thel resultsl ofl transmissionl froml gentiall area profoundl presentation lotl ofl discharge,l tearingl ofl pus,l markedl lidl swellingl andl tenderness,l pre-auricularl lymphadenopathyl mayl alsol bel present
Q:l blepharitis
Answer:
-'crustyl eyel lid',l eyelashesl fallingl out,l eyel feelsl itchy/gritty,l nol redl flags eyel lidl inflammationl (erythema),l crustyl tanl exudatel visiblel alongl lidl marginsl Anteriorl blepharitisl isl commonlyl causedl byl bacterial (staphylococcus)l orl oilyl build-upl (seborrhea)l associatedl withl skinl conditionsl likel rosacea.azyithromycinl solution
Q:l hordeolum
Answer:
sty;l anl acutel infectionl ofl al sebaceousl glandl ofl thel eyelid painfull redl lumpl onl lowerl lid,l nol redl flags,l flightl inflammation,l nol fever.l smalll redl lumpl onl lowerl lid,l nol extensionl ofl erythema ifl infected-l usel ciprogloxacinl dropsl intol thel conjunctivall sac
Q:l chalazion
Answer:
small,l hard,l cysticl massl (granuloma)l onl thel eyelid nonl tender,l firm,l developsl overl daysl orl weeksl nonl concerning
Q:l subconjuntivall hemorrhage
Answer:
eye(s)l brightl red,l welll demarkatedl areal inl thel whitel ofl thel eye otherwisel asympomatic
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