Urgent Care Urgent Care Respiratory Infections 3

Question 1

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

Accepted Answer

Azithromycin

Answer

Azithromycin is the recommended alternative antibiotic for streptococcal pharyngitis in penicillin-allergic patients.

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

Oral or intramuscular dexamethasone is the first-line treatment for croup, reducing laryngeal inflammation and stridor.

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

Viral URIs are self-limiting and managed with supportive care; antibiotics provide no benefit and contribute to resistance.

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

The CDC recommends annual influenza vaccination for all individuals 6 months and older, with urgent care being an important point-of-care vaccination opportunity.

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

In children, a negative rapid strep test should be confirmed with a throat culture, as the sensitivity of rapid tests is approximately 70–90%.

Urgent Care Practice Test

Urgent Care Practice Test

Urgent Care Urgent Care Respiratory Infections 3