Facial,ENT, endocrine, blood

Question 1

What would you expect if patio experiences sudden, unilateral, severe, brief, stabbing, recurrent pain along cranial nerve V (ophthalmic,maxillary, mandibular)

Answer 1

Trigeminal neuralgia

Question 2

What drug is used to treat pain from trigeminal neuralgia

Answer 2

Carbamazepine (tegretol)

Question 3

What is Ludwigs angina

Answer 3

Fast moving bacterial infection of floor of mouth and neck

Question 4

What are symptoms of central retinal arterial occlusion

Answer 4

Sudden painless unilateral blindness

Question 5

What is normal intraoccular pressure

Answer 5

10-21

Question 6

What two disorders may be described as a curtain or veil over the eye

Answer 6

Retinal detachment

Retinal artery occlusion

Question 7

What occurs in acute angle closure glaucoma

Answer 7

Aqueous humor cannot escape anterior chamber and compresses the optic nerve

-halo around lights
-acute eye pain
-decreased peripheral vision
-fixed/slightly dilated pupil
-foggy cornea
-firm globe
HA w/ N/V

Question 8

What is the treatment for acute angle closure glaucoma

Answer 8

Isoptocorpine 
Topical beta blocker (timolol)
Diamox 
Head above waist 
No coughing or lifting

Question 9

What occurs in DKA

Answer 9

Insulin not available to transport glucose into cells so liver metabolizes fat into ketone bodies (metabolic acidosis)

Question 10

What has glucose >250
PH <7.3
HCO3 < 15-20

Answer 10

DKA

Question 11

What are symptoms of DKA

Answer 11

Kussmals (rapid/deep)
Abd pain
Decreased breath sounds
Ketoneuria
Electrolyte losses

Question 12

What would you expect with blood glucose >600, no ketoacidosis, osmolality >315, normal pH and urine with glucose but no ketones

Answer 12

HHS

Hyperosmolar hyperglycemia state

Question 13

What causes neurogenic diabetes insipidus

Answer 13

ADH isn’t produced by hypothalamus or not released by the posterior pituitary

Question 14

What causes nephrogenic diabetes insipidus

Answer 14

Renal tubules are unresponsive to ADH

Question 15

What happens in SIADH

Answer 15

Pituitary produces too much ADH causing hyponatremia and hypo-osmolality

Question 16

Which anticoagulant works by blocking the body’s ability to adhere platelets together

Answer 16

Coumadin

Question 17

Which anticoagulant works by limiting the body’s ability to produce clotting factors

Answer 17

Heparin

Question 18

What type of leukemia is most common in young children

Answer 18

Acute lymphocytic anemia

Question 19

What type of leukemia is most common in adults older than 55

Answer 19

Chronic lymphocytic leukemia

Question 20

What two sex hormones produced by adrenal glands are important in reproduction

Answer 20

DHEA and androstenedione

They build estrogen and testosterone

Question 21

If left untreated, what virus will lead to blindness in 6 months

Answer 21

Cytomegalovirus

Question 22

What is the roper-hall scale

Answer 22

Characterizes ocular burns from grade 1-4

Question 23

Who is affected by chronic compartment syndrome

Answer 23

Healthy active people under 40 who play repetitive sports.

Question 24

What is cauda equine syndrome

Answer 24

Major nerve damage to group of nerve endings that control bowels bladder and legs

Question 25

What cranial nerve is responsible for Bell’s palsy

Answer 25

Facial nerve (VII)