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 General Interns Review SY 2023-2024 Clinical Diagnostic Exam, September 01, 2023

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 SY 2023 - 2024 Clinical Diagnostic Exam, September 01, 2023

 Clinical Diagnostic Exam, S…
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Question
106. A 56-year-old diabetic male came to the emergency room due to a 5-day history of sore throat and high-grade fever. He claims to have
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had progressively worsening odynophagia, finding it difficult to even swallow his own saliva. While taking his history, you noticed that his voice
Not yet was muffled. He also reports having had 8 episodes of sore throat associated with fever yearly for the past 2 years. Upon physical
answered
examination, you note the following findings:What is the MOST LIKELY diagnosis in this patient?
Marked out of
1.00

Flag
question

a. Peritonsillar abscess, left

b. Acute exudative tonsillopharyngitis
c. Tonsillolith, left
d. Chronic hypertrophic tonsillitis

Question
107. A 45 year-old male with a BMI of 39.03 kg/m2 comes to the clinic with a chief complaint of excessive daytime sleepiness. The symptom
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started 3 years ago, but began to worsen one year ago, coinciding with a 20-lbs weight gain. His wife tells you that he snores whenever he is
Not yet asleep, and at times seems to choke. He tells you that he works as a family driver, and oftentimes experiences difficulty staying awake on the
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job. In fact, he had already figured in 2 minor accidents this year. He is a known hypertensive, and does not have a history of allergic rhinitis
Marked out of or comorbid lung diseases. Physical examination showed a modified Mallampati score of II, grade I tonsils bilaterally, and unremarkable nasal
1.00 findings. There were no facial skeletal deformities. If a sleep study was done and the patient’s apnea-hypopnea index was 27/hour, what
treatment modality would be BEST?
Flag
question
a. Pharmacologic therapy
b. Uvulopalatopharyngoplasty
c. Continuous positive airway pressure therapy
d. Weight loss

Question
108. A 23 year old male went into the emergency room due to a facial injury. According to the patient he was playing basketball when he
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collided with another player, causing the players elbow to hit his face. Upon physical exam you noted that the patient’s mandibular incisors
Not yet have been avulsed. He also presents with a cross bite deformity and trismus. Since you are practicing in the province, a CT scan machine is
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not available. Which imaging procedure(x-ray) is the NEXT BEST choice to assess the patient’s injury?
Marked out of
1.00 a. Mandible Lateral
Flag b. Water’s View
question c. Towne’s View
d. Panoramic X-ray

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