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

Bacterial sinusitis is diagnosed clinically when URI symptoms persist beyond 10 days without improvement or worsen after initial improvement (double-sickening pattern).

Question 2

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

Accepted Answer

Azithromycin or doxycycline

Answer

For healthy adults with community-acquired pneumonia managed outpatient, azithromycin or doxycycline is recommended per IDSA/ATS guidelines.

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

This patient scores 4 on the Centor criteria: fever >38°C, tonsillar exudate, anterior cervical lymphadenopathy, and absence of cough.

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

Lobar or segmental consolidation with air bronchograms is the classic radiographic finding of typical bacterial pneumonia.

Question 5

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

Accepted Answer

5–7 days

Answer

Current guidelines recommend 5–7 days of antibiotics for uncomplicated acute bacterial sinusitis in adults.

Urgent Care Practice Test

Urgent Care Practice Test

Urgent Care Urgent Care Respiratory Infections