[MCQs] The Quizzes about Acute Complaints - Part 5 (20 test)

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Acute Complaints-5

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Question 1

You are evaluating a 25-year-old woman who reports frequent UTIs since getting married last In the last 12 months, she has had 5 docu- mented infections that have responded well to antibiotic therapy. She has tried voiding after intercourse, she discontinued her use of a diaphragm, and tried acidification of her urine using oral ascorbic acid, but none of those measures decreased the incidence of infections. At this point, which of the following would be an acceptable prophylactic measure?

A	An antibiotic prescription for the usual 3-day regimen with refills, to be used when symptoms occur
B	Single dose antibiotic therapy once daily at bedtime for 12 months
C	Single dose antibiotic therapy once daily at bedtime for 2 years
D	Single dose antibiotic therapy after sexual intercourse
E	Antibiotics for 3 days after sexual intercourse

Question 1 Explanation:

In 85% of women with recurrent UTIs, symptoms develop within 24 hours of sexual intercourse. If measures like voiding after intercourse, acidification of the urine and discontinuing diaphragm do not work, prophylaxis is indicated for women with frequent infections. Single-dose postcoital antibiotic use is often helpful. If that does not decrease infections, daily single dose antibiotic prophylaxis may be appropriate for 3–6 months. If symptoms reoccur after discontinuation of daily prophylaxis, it may need to continue for 1–2 years.

Question 2

A 36-year-old woman comes to your office complaining of recurrent This is her fourth episode in the past 10 months. Initially, her symptoms were “classic” for a UTI. She was treated without obtaining urine dipstick or microscopic evaluation. For the second episode, her urinalysis was positive for blood only. Her culture was negative, as was evaluation for nephrolithiasis. The third episode was similar, also with a negative culture. All episodes have resolved with a standard course of antibiotic therapy. What should you do at this time?

A	Evaluate for somatization disorder
B	Order cystoscopy
C	Treat for chronic vaginitis
D	Use a 14-day regimen of antibiotics
E	Use daily single dose antibiotic therapy for prophylaxis

Question 2 Explanation:

Dysuria without pyuria is common. In the postmenopausal years, atrophy is a usual cause. In younger women, a careful history can reveal a bladder irritant (caffeine and acidic foods are common irritants). When hematuria is present, interstitial cystitis should be suspected. Interstitial cystitis is generally diagnosed through cystoscopy, based on the presence of ulcerations and fissures in the bladder mucosa and the absence of bladder tumors. Urodynamic studies often demonstrate a small bladder capacity, with urge to void with as little as 150 mL of fluid in the bladder.

Question 3

A screening urinalysis in a female patient reveals asymptomatic bac- In which of the following patients would treatment be indicated?

A	A sexually active teenager
B	A pregnant 26-year-old
C	A 45-year-old with uncontrolled hypertension
D	A menopausal woman
E	An otherwise healthy 80-year-old woman

Question 3 Explanation:

The American College of Obstetrics and Gynecology recommends treating asymptomatic bacteriuria in pregnancy, as 20–35% of the cases eventually develop into overt UTIs. In the other cases above, treatment of asymptomatic bacteriuria is not indicated, as it has not been shown to decrease morbidity and may increase the likelihood of developing resistant microorganisms.

Question 4

You are seeing a 34-year-old man with urinary He reports frequency, urgency, and moderate back pain. He is febrile and acutely ill. He has no penile discharge. His urinalysis shows marked pyuria. He has never had an episode like this before, and has no known urinary tract abnormalities. What is the most likely diagnosis?

A	Gonococcal urethritis
B	Nongonococcal urethritis
C	Acute bacterial cystitis
D	Pyelonephritis
E	Acute prostatitis

Question 4 Explanation:

In men with urinary symptoms and a normal urinary tract, UTIs are not the norm, and cystitis and pyelonephritis are uncommon causes. Urethritis would be unlikely to cause this systemic illness. The patient described above has acute bacterial prostatitis. Acute prostatitis is most commonly seen in 30- to 50-year-old men, and symptoms include frequency, urgency, and back pain. The patient appears acutely ill, and has pyuria. The prostate examination would reveal a boggy, tender, and warm prostate.

Question 5

You are seeing a child with a chief complaint of ear Which of the following would be considered a risk factor for acute otitis media?

A	Age between 6 months and 7 years
B	Caucasian race
C	History of a heart murmur
D	Parents with seasonal allergies
E	Child cared for by a babysitter at home while the parents are at work

Question 5 Explanation:

The peak age range for the diagnosis of acute otitis media is 6 months to 7 years. Native Americans and Eskimos experience acute otitis media more frequently than do people of other races. Children with cleft palate or Down syndrome are also at increased risk. Children in group daycare, and children whose parents smoke are also at increased risk. Children with heart murmurs have not been shown to be at increased risk, and parental history of allergies has not been shown to be a direct risk factor.

Question 6

A 26-year-old man presents to his physician with a complaint of left ear pain and associated hearing loss on that Which of the following is least likely to be a cause?

A	Acute otitis media
B	Eustacean tube dysfunction
C	Barotrauma
D	Severe otitis externa
E	Temporomandibular joint syndrome

Question 6 Explanation:

Hearing impairment is common with acute otitis media and eustacean tube dysfunction. It can also be associated with barotrauma, and may be coupled with tinnitus and vertigo. It may occur with otitis externa, if the ear canal is so edematous that it is nearly occluded, or if discharge is occluding the canal. Hearing loss would be unlikely in temporomandibular joint syndrome.

Question 7

You are seeing a 25-year-old patient complaining of a left sided ear- She describes the pain as deep, and worse with eating. Her ear exam- ination is normal, but she has tenderness and crepitus during palpation of the left temporomandibular joint. Which of the following would be the most appropriate next step?

A	Antibiotic therapy
B	Treatment with NSAIDs
C	Dental referral
D	MRI of the temporomandibular joint
E	Obtaining an erythrocyte sedimentation rate

Question 7 Explanation:

The patient has temporomandibular joint dysfunction, a common cause of referred otalgia. The first line of therapy includes treatment with NSAIDs, heat, a mechanical soft diet, and referral to the dentist if there is no improvement in 3–4 weeks. Antibiotic therapy is not indicated. Obtaining an MRI would not add value to the diagnosis or treatment plan at this stage. An erythrocyte sedimentation rate may be elevated in temporal arteritis, another cause of referred ear pain, but would not be likely to be useful in this setting.

Question 8

The mother of a 9-month-old infant brings him in for The child has been fussy and has not been sleeping well for 2 days. His highest temperature has been 100°F, and he has had a clear runny nose and a cough. On examination, the child is crying and irritable. Which physical examination finding, by itself, is least likely to be helpful in diagnosing acute otitis media?

A	An opaque tympanic membrane
B	A bulging tympanic membrane
C	Impaired tympanic membrane mobility
D	An erythematous tympanic membrane
E	Purulent discharge in the ear canal

Question 8 Explanation:

A reddened tympanic membrane, by itself, is not a sufficient finding to diagnose acute otitis media. It may be due to increased intravascular pressure associated with crying. More reliable findings include an opaque tympanic membrane (indicating a purulent effusion), a bulging tympanic membrane and impaired tympanic membrane mobility. When all three of those characteristics are present, the positive predictive value is near 90%. Purulent discharge in the ear canal may indicate a tympanic membrane perforation, and in the face of an otherwise normal canal is more indicative of acute otitis media than otitis externa.

Question 9

You are seeing a 4-year-old male 2 weeks after being diagnosed with left acute otitis He completed his therapy, is afebrile, acting well, and apparently back to normal. On examination, he has a persistent effu- sion in the left ear. There is no erythema, purulence or hearing loss. Of the following, which is the most appropriate next step?

A	Reassurance and reevaluation in 2–4 weeks
B	A 10-day course of a second-line antibiotic
C	Regular use of a decongestant and reevaluation in 2 weeks
D	Regular use of an antihistamine and reevaluation in 2 weeks
E	Referral to an otolaryngologist

Question 9 Explanation:

Effusions may take up to 3 months to resolve. Antibiotics are not indicated for persistent effusions in the absence of acute otitis media. Effusions persisting beyond 3 months require evaluation by an otolaryngologist. Decongestants or antihistamines have never been documented to help effusions, but may be symptomatically helpful.

Question 10

You are seeing a 2-year-old with recurrent ear His three older siblings also had frequent ear infections. He is in daycare 4 days a week, and he has not had immunizations since 4 months of age. He con- tinues to use a pacifier. Based on his history, which of the following is his most significant risk factor for otitis media?

A	Family history of otitis media
B	Daycare
C	The number of siblings in the household
D	Inadequate vaccination
E	Pacifier use

Question 10 Explanation:

Although there are many risk factors for otitis media, the primary one is daycare. Participation in group daycare substantially increases the number of pathogens to which a child is exposed. Less important risk factors include an increased number of siblings in the home, exposure to cigarette smoke, pacifier use, formula use, and lower socioeconomic status. Children with cleft palate or Down syndrome are at a greatly increased risk. Family history has not been identified as a risk factor, and vaccines have not been shown to decrease the incidence of otitis media. Because otitis media is often caused by nontypeable H. influenzae and by strains of pneumococcus not covered by the pediatric 7-valent vaccine, up to date immunizations have not proven to decrease the risk for otitis media.

Question 11

You are seeing a 35-year-old woman who complains of ear She has a history of bruxism and dental malocclusion, and has had no response to nonsteroidal anti-inflammatory treatment. What would be the next step in treating for her problem?

A	Penicillin
B	Azithromycin
C	Corticosteroids
D	Referral for a bite guard
E	Physical therapy

Question 11 Explanation:

The patient described has temporomandibular joint syndrome, a common cause of ear pain. Antibiotics are of no use. NSAIDs with a mechanical soft diet are the first line therapy of choice. If this is not helpful, referral to a dentist may be appropriate for a bite guard is appropriate. Physical therapy would not be helpful as a first line therapy, but may be necessary if a bite guard isn’t helpful.

Question 12

You are seeing a 6-year-old patient whose mother brought him in for ear pain and On examination, he is febrile, and his right tympanic membrane is shown below:

(Reproduced, with permission, from Knoop K, Stack L, Storrow A. Atlas of Emergency Medicine, 2nd ed. New York: McGraw-Hill, 2002: 118.)

Which of the following would be the best initial treatment?

A	A weight adjusted dose of Tylenol
B	A weight adjusted course of amoxicillin
C	A weight adjusted one-time dose of azithromycin
D	A weight adjusted 3-day course of azithromycin
E	A weight adjusted 5-day course of azithromycin

Question 12 Explanation:

The picture represents acute otitis media. The child should be treated with a first-line antibiotic, and of162 Family Medicine those listed, amoxicillin is the best choice. Azithromycin is often used as a first-line choice in 1-day, 3-day, or 5-day doses, but it should be reserved as a second-line therapy.

Question 13

You are talking with a mother of three young children, ages 2 months, 3 years, and 5 The 3- and 5-year-olds have a history of recurrent acute otitis media, and both of them have required tympanostomy tubes. She asks about pneumococcal vaccination to help prevent ear infections in her infant. Which of the following is true regarding the effect of vaccination on the cases of acute otitis media?

A	The vaccination is associated with about a 10% reduction in cases of recurrent acute otitis media
B	The vaccination is associated with about a 20% reduction in cases of recurrent acute otitis media
C	The vaccination is associated with about a 30% reduction in cases of recurrent acute otitis media
D	The vaccination is associated with about a 50% reduction in cases of recurrent acute otitis media
E	The vaccination is associated with about a 80% reduction in cases of recurrent acute otitis media

Question 13 Explanation:

Since S. pneumoniae is the leading bacterial cause of otitis media, it was hoped that the introduction of the pneumococcal vaccine would significantly decrease the occurrence of otitis. However, the vaccine has been associated with about a 6% reduction in the number of episodes of acute otitis media, and about a 10% reduction in the frequency of recurrent acute otitis. Although this decline is not as dramatic as hoped, the vaccination would prevent up to 1.2 million episodes of acute otitis in the United States each year.

Question 14

You are seeing an 18-year-old college athlete complaining of ear His pain has been present for 4 days, and seems to be worsening. He has no fever or symptoms of upper respiratory infection. On examination, his ear canal is tender, erythematous, and swollen. His tympanic membrane is obscured by discharge and debris. What is the treatment of choice for this patient?

A	Flushing of the ear canal with hydrogen peroxide
B	Topical antibiotics
C	Systemic antibiotics
D	Topical hydrocortisone
E	Oral steroids

Question 14 Explanation:

The first-line treatment for otitis externa (“swimmer’s ear”) is topical antibiotics. Systemic antibiotics are rarely indicated, unless there is an acute otitis media associated with it, or when there is local spread of the infection. Flushing the ear canal is not indicated, and may be harmful unless the tympanic membrane can be visualized and is without perforation. Topical hydrocortisone can be added to the antibiotic, and may help resolve symptoms, but is not effective treatment by itself. Oral steroids are not indicated.

Question 15

You are seeing a 45-year-old diabetic woman who reports bilateral lower extremity peripheral In addition to diabetes, she has hyper- tension and depression. Which of the following medications is the likely cause of her edema?

A	Fluoxetine
B	Metformin
C	Rosiglitazone
D	Lisinopril
E	Hydrochlorothiazide

Question 15 Explanation:

There are many medications known to cause peripheral edema as a side effect. Antihypertensives such as calcium channel blockers are well-known to cause this, but direct vasodilators, beta blockers, centrally acting agents and antisympathetics also can cause edema. Of the diabetic medications, insulin sensitizers such as rosiglitazone often cause edema. Hormones, corticosteroids, and nonsteroidal anti-inflammatory agents also cause problems. SSRIs like fluoxetine do not commonly cause this symptom. Neither does ACE inhibitors like lisinopril or thiazide diuretics.

Question 16

You are seeing a 23-year-old woman complaining of swelling of the lower On examination, you note lower leg edema that spares the feet. What is the likely cause?

A	Lymphedema
B	Lipedema
C	Hepatocellular disease
D	Venous insufficiency
E	Varicose veins

Question 16 Explanation:

The leg swelling due to lipedema is due to an abnormal accumulation of fatty substances in the subcutaneous tissues and is commonly mistaken for lymphedema. The condition spares the feet, distinguishing it from lymphedema. Hepatocellular disease and venous insufficiency would cause edema and would be unlikely to spare the feet. Varicose veins will often cause edema, but once again would be unlikely to spare the feet.

Question 17

You are evaluating a 47-year-old woman complaining of bilateral lower extremity She denies dyspnea, and on examination has no rales, JVD, or ascites. Her cardiac examination is normal. What would be the next step in the evaluation of her edema?

A	Echocardiogram
B	Thyroid stimulating hormone
C	Liver function studies
D	A lower extremity Doppler
E	A urinalysis

Question 17 Explanation:

In the workup of edema, the first thing to note is if the edema is bilateral or unilateral. Bilateral edema associated with signs and symptoms of CHF (dyspnea, rales, or JVD) would necessitate a chest x-ray to rule in the diagnosis, followed by an echocardiogram. If ascites is present, liver function studies are needed. If these are absent, the clinician should check an urinaysis. If the sediment is abnormal, nephritic syndrome or acute tubular necrosis (ATN) is the likely diagnosis.

Question 18

You are evaluating a 40-year-old woman with a new onset of bilateral lower extremity She denies dyspnea, and on examination has no rales or JVD. On evaluation, she has an abdominal fluid wave. Which of the following would be the next step in the evaluation of her edema?

A	Echocardiogram
B	Thyroid stimulating hormone
C	Liver function tests
D	A lower extremity Doppler
E	A urinalysis

Question 18 Explanation:

In the workup of edema, the first thing to note is if the edema is bilateral or unilateral. Bilateral edema associated with dyspnea, rales, or JVD would necessitate an evaluation for CHF. If ascites is present, liver function studies are needed.

Question 19

You are evaluating a 33-year-old obese man who noted unilateral lower extremity He denies dyspnea or recent trauma. On evalua- tion, you note pitting edema on the right without signs of trauma, ery- thema, or inflammation. Which of the following would be the most appropriate next step in the evaluation of his edema?

A	Echocardiogram
B	Thyroid stimulating hormone
C	Liver function studies
D	A lower extremity Doppler
E	A urinalysis

Question 19 Explanation:

In the workup of edema, the first thing to note is if the edema is bilateral or unilateral. Unilateral edema not associated with trauma or signs of infection requires a Doppler ultrasound to evaluate for the presence of DVT.

Question 20

You are evaluating a 63-year-old diabetic man who noted unilateral lower extremity He denies dyspnea or recent trauma. On evaluation, you note pitting edema on the right with well-demarcated erythema from the ankle to the midthigh. Which of the following is the most likely diagnosis?

A	Varicose veins
B	Chronic CHF
C	Venous insufficiency
D	Deep venous thrombosis (DVT)
E	Cellulitis

Question 20 Explanation:

Unilateral edema is suspicious for a DVT. However, if there is a history of recent trauma, or evidence of inflammation, a Doppler ultrasound is usually not necessary. Signs of inflammation including erythema point toward cellulitis as a diagnosis.

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1.You are evaluating a 25-year-old woman who reports frequent UTIs since getting married last In the last 12 months, she has had 5 docu- mented infections that have responded well to antibiotic therapy. She has tried voiding after intercourse, she discontinued her use of a diaphragm, and tried acidification of her urine using oral ascorbic acid, but none of those measures decreased the incidence of infections. At this point, which of the following would be an acceptable prophylactic measure?

An antibiotic prescription for the usual 3-day regimen with refills, to be used when symptoms occur
Single dose antibiotic therapy once daily at bedtime for 12 months
Single dose antibiotic therapy once daily at bedtime for 2 years
Single dose antibiotic therapy after sexual intercourse
Antibiotics for 3 days after sexual intercourse

2. A 36-year-old woman comes to your office complaining of recurrent This is her fourth episode in the past 10 months. Initially, her symptoms were “classic” for a UTI. She was treated without obtaining urine dipstick or microscopic evaluation. For the second episode, her urinalysis was positive for blood only. Her culture was negative, as was evaluation for nephrolithiasis. The third episode was similar, also with a negative culture. All episodes have resolved with a standard course of antibiotic therapy. What should you do at this time?

Evaluate for somatization disorder
Order cystoscopy
Treat for chronic vaginitis
Use a 14-day regimen of antibiotics
Use daily single dose antibiotic therapy for prophylaxis

3. A screening urinalysis in a female patient reveals asymptomatic bac- In which of the following patients would treatment be indicated?

A sexually active teenager
A pregnant 26-year-old
A 45-year-old with uncontrolled hypertension
A menopausal woman
An otherwise healthy 80-year-old woman

4. You are seeing a 34-year-old man with urinary He reports frequency, urgency, and moderate back pain. He is febrile and acutely ill. He has no penile discharge. His urinalysis shows marked pyuria. He has never had an episode like this before, and has no known urinary tract abnormalities. What is the most likely diagnosis?

Gonococcal urethritis
Nongonococcal urethritis
Acute bacterial cystitis
Pyelonephritis
Acute prostatitis

5. You are seeing a child with a chief complaint of ear Which of the following would be considered a risk factor for acute otitis media?

Age between 6 months and 7 years
Caucasian race
History of a heart murmur
Parents with seasonal allergies
Child cared for by a babysitter at home while the parents are at work

6. A 26-year-old man presents to his physician with a complaint of left ear pain and associated hearing loss on that Which of the following is least likely to be a cause?

Acute otitis media
Eustacean tube dysfunction
Barotrauma
Severe otitis externa
Temporomandibular joint syndrome

7. You are seeing a 25-year-old patient complaining of a left sided ear- She describes the pain as deep, and worse with eating. Her ear exam- ination is normal, but she has tenderness and crepitus during palpation of the left temporomandibular joint. Which of the following would be the most appropriate next step?

Antibiotic therapy
Treatment with NSAIDs
Dental referral
MRI of the temporomandibular joint
Obtaining an erythrocyte sedimentation rate

8. The mother of a 9-month-old infant brings him in for The child has been fussy and has not been sleeping well for 2 days. His highest temperature has been 100°F, and he has had a clear runny nose and a cough. On examination, the child is crying and irritable. Which physical examination finding, by itself, is least likely to be helpful in diagnosing acute otitis media?

An opaque tympanic membrane
A bulging tympanic membrane
Impaired tympanic membrane mobility
An erythematous tympanic membrane
Purulent discharge in the ear canal

9. You are seeing a 4-year-old male 2 weeks after being diagnosed with left acute otitis He completed his therapy, is afebrile, acting well, and apparently back to normal. On examination, he has a persistent effu- sion in the left ear. There is no erythema, purulence or hearing loss. Of the following, which is the most appropriate next step?

Reassurance and reevaluation in 2–4 weeks
A 10-day course of a second-line antibiotic
Regular use of a decongestant and reevaluation in 2 weeks
Regular use of an antihistamine and reevaluation in 2 weeks
Referral to an otolaryngologist

10. You are seeing a 2-year-old with recurrent ear His three older siblings also had frequent ear infections. He is in daycare 4 days a week, and he has not had immunizations since 4 months of age. He con- tinues to use a pacifier. Based on his history, which of the following is his most significant risk factor for otitis media?

Family history of otitis media
Daycare
The number of siblings in the household
Inadequate vaccination
Pacifier use

11. You are seeing a 35-year-old woman who complains of ear She has a history of bruxism and dental malocclusion, and has had no response to nonsteroidal anti-inflammatory treatment. What would be the next step in treating for her problem?

Penicillin
Azithromycin
Corticosteroids
Referral for a bite guard
Physical therapy

12. You are seeing a 6-year-old patient whose mother brought him in for ear pain and On examination, he is febrile, and his right tympanic membrane is shown below:

Which of the following would be the best initial treatment?

A weight adjusted dose of Tylenol
A weight adjusted course of amoxicillin
A weight adjusted one-time dose of azithromycin
A weight adjusted 3-day course of azithromycin
A weight adjusted 5-day course of azithromycin

13. You are talking with a mother of three young children, ages 2 months, 3 years, and 5 The 3- and 5-year-olds have a history of recurrent acute otitis media, and both of them have required tympanostomy tubes. She asks about pneumococcal vaccination to help prevent ear infections in her infant. Which of the following is true regarding the effect of vaccination on the cases of acute otitis media?

The vaccination is associated with about a 10% reduction in cases of recurrent acute otitis media
The vaccination is associated with about a 20% reduction in cases of recurrent acute otitis media
The vaccination is associated with about a 30% reduction in cases of recurrent acute otitis media
The vaccination is associated with about a 50% reduction in cases of recurrent acute otitis media
The vaccination is associated with about a 80% reduction in cases of recurrent acute otitis media

14. You are seeing an 18-year-old college athlete complaining of ear His pain has been present for 4 days, and seems to be worsening. He has no fever or symptoms of upper respiratory infection. On examination, his ear canal is tender, erythematous, and swollen. His tympanic membrane is obscured by discharge and debris. What is the treatment of choice for this patient?

Flushing of the ear canal with hydrogen peroxide
Topical antibiotics
Systemic antibiotics
Topical hydrocortisone
Oral steroids

15. You are seeing a 45-year-old diabetic woman who reports bilateral lower extremity peripheral In addition to diabetes, she has hyper- tension and depression. Which of the following medications is the likely cause of her edema?

Fluoxetine
Metformin
Rosiglitazone
Lisinopril
Hydrochlorothiazide

16. You are seeing a 23-year-old woman complaining of swelling of the lower On examination, you note lower leg edema that spares the feet. What is the likely cause?

Lymphedema
Lipedema
Hepatocellular disease
Venous insufficiency
Varicose veins

17. You are evaluating a 47-year-old woman complaining of bilateral lower extremity She denies dyspnea, and on examination has no rales, JVD, or ascites. Her cardiac examination is normal. What would be the next step in the evaluation of her edema?

Echocardiogram
Thyroid stimulating hormone
Liver function studies
A lower extremity Doppler
A urinalysis

18. You are evaluating a 40-year-old woman with a new onset of bilateral lower extremity She denies dyspnea, and on examination has no rales or JVD. On evaluation, she has an abdominal fluid wave. Which of the following would be the next step in the evaluation of her edema?

Echocardiogram
Thyroid stimulating hormone
Liver function tests
A lower extremity Doppler
A urinalysis

19. You are evaluating a 33-year-old obese man who noted unilateral lower extremity He denies dyspnea or recent trauma. On evalua- tion, you note pitting edema on the right without signs of trauma, ery- thema, or inflammation. Which of the following would be the most appropriate next step in the evaluation of his edema?

Echocardiogram
Thyroid stimulating hormone
Liver function studies
A lower extremity Doppler
A urinalysis

20. You are evaluating a 63-year-old diabetic man who noted unilateral lower extremity He denies dyspnea or recent trauma. On evaluation, you note pitting edema on the right with well-demarcated erythema from the ankle to the midthigh. Which of the following is the most likely diagnosis?

Varicose veins
Chronic CHF
Venous insufficiency
Deep venous thrombosis (DVT)
Cellulitis

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[MCQs] The Quizzes about Acute Complaints – Part 5 (20 test)

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