Urgent Care Urgent Care Respiratory Infections

Question 1

Which clinical feature best distinguishes bacterial sinusitis from viral upper respiratory infection in urgent care?

Accepted Answer

Symptoms persisting beyond 10 days or worsening after initial improvement

Answer

Runny nose lasting 3 days

Answer

Mild facial pressure for 5 days

Answer

Sneezing and clear nasal discharge

Question 2

What is the first-line antibiotic for adult community-acquired pneumonia treated outpatient without comorbidities?

Accepted Answer

Azithromycin or doxycycline

Answer

Amoxicillin-clavulanate

Answer

Levofloxacin

Answer

Trimethoprim-sulfamethoxazole

Question 3

A 35-year-old presents with sore throat, fever 38.9°C, tonsillar exudate, and anterior cervical lymphadenopathy. No cough. What is the Centor score?

Accepted Answer

4

Answer

1

Answer

2

Answer

3

Question 4

Which finding on chest X-ray is most consistent with typical bacterial pneumonia?

Accepted Answer

Lobar or segmental consolidation with air bronchograms

Answer

Bilateral diffuse interstitial infiltrates

Answer

Hyperinflation with flattened diaphragms

Answer

Pleural effusion without parenchymal infiltrate

Question 5

What is the recommended duration of antibiotic therapy for uncomplicated acute bacterial sinusitis in adults?

Accepted Answer

5–7 days

Answer

3 days

Answer

10–14 days

Answer

21 days

Question 6

Streptococcal pharyngitis is treated to prevent which serious complication?

Accepted Answer

Acute rheumatic fever and glomerulonephritis

Answer

Viral myocarditis

Answer

Bacterial meningitis

Answer

Ludwig's angina