Urgent Care Urgent Care Respiratory Infections 3

Question 1

Which antibiotic is preferred for penicillin-allergic adults with streptococcal pharyngitis?

Accepted Answer

Azithromycin

Answer

Amoxicillin

Answer

Doxycycline

Answer

Trimethoprim-sulfamethoxazole

Question 2

A child presents with a seal-bark cough, inspiratory stridor, and mild respiratory distress. Oxygen saturation is 97%. What is the first-line treatment?

Accepted Answer

Oral or IM dexamethasone

Answer

Nebulized albuterol

Answer

IV ampicillin and ceftriaxone

Answer

Immediate intubation

Question 3

What is the most appropriate management of viral upper respiratory tract infection in a healthy adult?

Accepted Answer

Supportive care: hydration, rest, decongestants, and analgesics as needed

Answer

10-day course of amoxicillin

Answer

Prophylactic oseltamivir

Answer

Combination antibiotic and antiviral therapy

Question 4

Which vaccine is recommended annually for all patients over 6 months of age seen in urgent care during flu season?

Accepted Answer

Influenza vaccine

Answer

Pneumococcal polysaccharide vaccine (PPSV23)

Answer

Tdap booster

Answer

Meningococcal conjugate vaccine

Question 5

A rapid strep test is negative but clinical suspicion for GAS pharyngitis remains high in a child. What is the next step?

Accepted Answer

Perform a throat culture to confirm or exclude GAS pharyngitis

Answer

Discharge without antibiotics based on negative test

Answer

Prescribe antibiotics empirically regardless

Answer

Order a complete blood count

Question 6

What is the CURB-65 score parameter that indicates need for hospitalization when present alone?

Accepted Answer

Confusion

Answer

BUN >19 mg/dL

Answer

Respiratory rate ≥30/min alone

Answer

Age ≥65