Module 4; ENT, Eyes, Skin

Question 1

What 3 bacteria strains are associated with AOM and bacterial pharyngitis?

Answer 1

H. Influenza, M. Catarrhalis, and Strep Pneumoniae

Question 2

What is first line treatment for AOM?

Answer 2

Amoxicillin or Augmentin (if recent ABX exposure)

Question 3

What bacteria strains are responsible for AOE?

Answer 3

Pseudomonas, Staph Aureus

Question 4

What is first line treatment for AOE?

Answer 4

Ofloxacin or ciprofloxacin ear drops

Question 5

What is the 1st line response for chalazion?

Answer 5

Hot compress several times a day

Question 6

What bacteria causes hordeolum?

Answer 6

Staph - needs ABX!

Question 7

When is IV ABX indicated for cellulitis in eye area?

Answer 7

severe preseptal cellulitis (fever, systemic S/S) or orbital cellulitis

Question 8

When is a patient with herpes zoster indicated for hospitalization and eval by eye doc?

Answer 8

occular irritation, conjunctival irritation, changes in vision

Question 9

What differentiates gonococcal conjunctivitis from viral or bacterial?

Answer 9

Very thick, purulent mucus discharge
corneal thinning
intraoccular inflammation

Question 10

How is a corneal abrasion diagnosed? How is it treated?

Answer 10

fluorescein staining. ABX drops and lubricating ointment

Question 11

In patients with glaucoma, when should carbonic anhydrase inhibitors be avoided?

Answer 11

sulfa allergies. Decrease production

Question 12

In patients with glaucoma, when should alpha 2 agonists be avoided?

Answer 12

Children under 5, MAOIs

Question 13

Which glaucoma medications increase aqueous humor outflow?

Answer 13

Prostaglandin analogs, cholinergic agents

Question 14

What IOP is indicative of glaucoma?

Answer 14

> 21

Question 15

Benzoyl peroxide has been associated with what adverse effect?

Answer 15

Severe hypersensitivity reactions in asthmatic patients

Question 16

What is eczema also called?

Answer 16

Atopic dermatitis

Question 17

What is most often bacteria associated with cellulitis?

Answer 17

Group A Strep

Second - staph

Question 18

In severe cases of cellulitis, ABX coverage should be broadened to include what?

Answer 18

MRSA

Question 19

What antibiotics are used in severe acne?

Answer 19

tetracycline, erythromycin

Question 20

What should you monitor when a patient is on Isotrentoin?

Answer 20

2 forms of birth control,

monitor LFTs, cholesterol, triglyceride

Question 21

Is psoriasis a genetic condition?

Answer 21

yes - in 20%