Q 90 Which virus is the leading cause of the croup syndrome in young children and, when infecting mammalian cells in culture, will hemabsorb red blood cells?
a. Group B coxsackievirus
c. Parainfluenza virus
Q 91 Appropriate treatment for an acute stable hematoma of the pinna of the ear includes which of the following measures?
a. Ice packs and prophylactic antibiotics
b. Excision of the hematoma
c. Needle aspiration
d. Incision, drainage, and pressure bandage
Q 92 A Weber test that lateralizes to the deaf ear with a Rinne test that is negative detects which kind of hearing loss?
A ) Conductive
B ) Sensorineural
C ) Electrical
D ) Hysterical
Q 93 A 30-year-old man presents complaining of facial pain and nasal congestion with a yellow nasal discharge after an upper respiratory tract infection 10 days ago. Physical examination reveals a temperature of 100.8°F. The patient has maxillary sinus tenderness with palpation and the nasal mucosa is pale with some yellowish drainage. Clouding of the maxillary sinus is seen with transillumination.
Which of the following is the most likely diagnosis?
a. Acute sinusitis
b. Chronic sinusitis
c. Vincent’s angina
d. Ludwig’s angina
Q 94 A 72-year-old man with a 50-year history of cigarette smoking presents with a non-tender, hard mass in his lateral neck. The simplest way to establish an accurate histological diagnosis of a neck mass suspected to be cancerous is ?
a. Fine needle aspiration cytology
b. Bone marrow biopsy
d. CT scan of the head and neck
Q 95 A previously healthy 18-month-old has been in a separate room from his family. The family notices the sudden onset of coughing, which resolves over a few minutes. Subsequently, the patient appears to be normal except for increased amounts of drooling and refusal to take foods orally.
The most likely explanation for this toddler’s condition is ?
A ) Severe gastroesophageal reflux
B ) Foreign body in the airway
C ) Croup
Q 96 A hyperemic edema of the larynx and epiglottis that rapidly leads to respiratory obstruction in young children is most likely to be caused by ?
A ) K. pneumoniae
B ) M. pneumoniae
C ) Neisseria meningitidis
D ) H. influenzae
Q 97 A 36-year-old woman, 20 wk pregnant, presents with a 1.5- cm right thyroid mass. Fine-needle aspiration is consistent with a papillary neoplasm. The mass is “cold” by scan and solid by ultrasound.
Which method of treatment is con- traindicated?
a. Right thyroid lobectomy
b. Subtotal thyroidectomy
c. 131I radioactive ablation of the thyroid gland
d. Total thyroidectomy with lymphnode dissection