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boards 13 Flashcards

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1
Q

redness sparing ear lobe

A

perichondritis- pseudomonas - tx cipro

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2
Q

mc location of TM perf

A

pars tensa- inferior - early referral for penetraing trauma or poserior perforation - abx if infection or wate enntry

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3
Q

AOM drops or oral

A

drops

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4
Q

mcc AOM, mc bacterial

A

mcc virus, mc bcterial strep, also h flu, moraxllea

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5
Q

chornic TM perforation. keratin producing squamous epithelial overgrowth - tx?

A

cholestratoma, can destroy bones of inner ear, tx surgery

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6
Q

peripheral vertigo, lasts das to weeks, nausea, vomiting, worse with positonal changes, no hearing loss

A

vestibular neuritis (recent URI)

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7
Q

vestibular symptoms vertigo and hearing loss

A

labrythnthiis, infxn labrythn, ototox drugs , can have AOM, mastoiditis

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8
Q

vertigo hearing sxs and tiniitus

A

meineres- usually uniltaera- excess endolymph roductions, lasts hours

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9
Q

ototoxic drugs

A

AG, ertyhromycin, quinlons, nsiad, loop drugs, cisplatin, antimalarias

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10
Q

eighth nerve peripheral lesions

A

meningiomas, acoustic neuroma (schwannoma)

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11
Q

slow onsert vertigo, consistent, vertical nystagmus

A

centra vertigo

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12
Q

head and neck infections plus venous obstruction and ophthalmoplegia

A

cavernous sinus thrombosis- from dental extraction, sinusitis, periorbital celluliits,

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13
Q

eyelid edema, proptosis, conjuncitavl edema, facial edema, CN palsy, pupillary dysfxn and mydriasis

A

Cavernous sinus thrombosis

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14
Q

mc location salivary stone

A

submandibular

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15
Q

posterior cervical adenopathy, sore throat, fever

A

EBV mono, rash with amox

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16
Q

what drug can cause hyperplasia

A

pheytoin

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17
Q

what cancer causes gum hyperplasia

A

leukemia

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18
Q

cause of ANUG

A

fusobacteriaum and spirochetes

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19
Q

ANUG + tonsils and pharyxnx

A

vincents angina

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20
Q

IJ thrombosis with SCM swelling and septic emboli to lungs

A

lemierres - fusobacterium

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21
Q

kid fall with pencil in mouth

A

RPA, carotid

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22
Q

pharyngeal psuedomembrane- white plaque on tonsillar pillars

A

exotoxin from corynebacterum diptheriae- gram + bacilus- respiratory dropless transmission - cervical adenopathy- death due to myocarditis

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23
Q

treatment diptheria

A

antotoxin pus ertyrhymycin pcn and ppx abx

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24
Q

“croup” but toxic with high fever

A

bacterial trachieits

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25
neck painwith moving thyroid cartilage
epiglottiitis- ENT, direct laryngoscopy - ceftraxine, oxygen
26
barking cough, 6mo to 6 yr, peark at 2 years
croup- laryngeotrachobrincotiis, paraflu- subglottic edema- tx racemic epi and dex
27
tx thrush
clotrimazole, fluconazole
28
white plaques on tongue that can be scraped or not be scaped
candida vs leukoplakia- cannot scrape - hx smoking, precancerous, need bx
29
herpangina
coxsackie- sudden high fever, sore throat, vesicles that rupture and become ulcers on soft palate, uvula, post pharynx
30
child with central vs lateral neck mass
centrally- thyroglossal, laterally branch BRANCHIAL CLEFT lateral -
31
hereditary angioedema - what mediates it, wahts tx, how inherited
AD, compliment 1 inhibitor deficiency - responds to FFP
32
strawberry tongue, fever, sandpaper rash
Scarlet fever GABS- rash neck groin and accentuation over flexor creases PASTIA LINES- tx PCN
33
can GN be prevented from strep throat using abx
no, but rheumatic fever can
34
dermatomes to remember
c6 OK sign, T thorax- nipple t4, belly buttTON t10, inguinal LIg IL L1
35
hypoglossal nerve
c12
36
what aneurysm would cause dilated pupil
PCOM
37
silvery plaques on extensor surfaces, pitting of nails
psoriasis, tx steroids, UV light, mtx
38
fungus cause seborrheic dermatitis
malassezi furfur
39
palpable vs non palpable purpura
palpable- vasculitis , nonpalpable platelet, TCP ,-
40
angioedema swelling is mediated by what
bradykinin or famililal (c1 esterase inhibitor deficiency- leads to increased brady kinin- tx FFP and c1ei- AUTOSOMALL DOMINNAT
41
erysipelas cause? feature? tx?
grp a strep- well demarceted, raised - tx dicloxacillin, pcn
42
painful non ulcerattive nodules - inflammation of deep fat - presents on anterior tibia, arms trunn
EN - ertyema nodosum - resolveds 3-6 weeks
43
EN is caused by what
drug rxn pcn sulfa OCP, TB funcal sarcoid IBD malignancy lymphoma leukemia -
44
causes of EM- HYP rxn
infxn mycoplasma, herpes, SOAP- sulfa, oral hypogly, anticonvulsants, pcn- bulls eye r target lesions on palsm soles extensors
45
SJS vs Em
SJS 10-30% tbsa, bulla, stomatitis, conjuntivitis - meds like sulfa pcn barb phenytoin thiazides
46
TEN vs SJS
nikoslsky sign- > 30%, sheets of peeliing skin
47
SSSS age? nikolsky? tx?
staph, <2, vanc, nikolsky +
48
painful bullae, elderly paients, fragile blisters, nikolsky positive, can be oral
pemphigus vulgaris
49
mc skin malignancy
basal cell- pearly rolled border with central ulceration, does not mets - slow growing on head-/hair
50
hypopigmented patches
tinea versicolor- hypopigmented- malassezi - tx selenium, ketoconazole- assn with same as seborrhatiic dermatitis
51
hawaii contaminated water, like rafting or swimming, hepatitis, neprhtiitis
leptospirosis, spirochete- rats cattle pigs dogs - can cause Weils - DIC - death frmom hepatorenal failure tx pen G, doxy
52
ixodes ticks what reservoirs
borrelia burgdoferi spirochete - rodents rabbits deer- Rash Dissemintaed (neuro cardio) Arthritis (3 stages)
53
dx lyme
ELISA scen, western blot - testing not sensitive in early rash - tx doxy
54
treatment meningococcemia (not meningitis)
PCN, ppx cipro rifampin
55
fever hypotension, diffuse, erytematous rash, organ failure
TSS - staph aureus
56
fever, headahe, yalgias, petechiae, purpura from vasculitis - pink macules on wrists and anles
RMSF - rickettsia rickettsi - from tick - usually peds - SE US - cenntripeda rash - wrists ankles palms soles - spares face
57
lab abn in RMSF? tx
tcp, hyponatermia, tx doxy
58
spotless RMSF that causes leukopenia
Ehrlichiosis - maculopapular rash, also get TCP Hypona LFTs tx doxy
59
tick borne disease in NE - causes malaria like sxs
babeiosis - intra RBC protozoan - fever chillsfatigue malaise - HSM jaundice- Peripheral smeal - parasits in RBCs - tx quinin plus clinda
60
TORCH infxn
toxo, symphillis rubella cmv (MC) herpes
61
MC fungal CNS infxn in HIV
crytococcal meningitis- india ink- crytpococal antigen- tx ampho B
62
mc encephalitis in HIV
TOxo- ring enhaning- pyrhimethamine
63
mc GI tract infxn hiv
oral candida
64
purple painless non pruritic round lesions in HIV
kaposi
65
small kid, umbilicated pink dome shaped papule
molluscum contagiousum- poxvirual also in HIV patients - transmision pools, sexual, auto innoculation - goes away on its own
66
fever, pharngitis, atypical lymphocytosis , tcp
EBV- rash with amox
67
trigger aplastic criis in sickle cell
erytjema infectiosum- 5th- slapped cheek - parvo b19
68
hand foot mouth vs herpanigina
herpangina is posterior pharynx, HFM is anterior, buccal gums
69
fever for 5 days and bilateral conjunctival injection, strawberryt ongue, cracked lip, swelling of fingers and toes, rash, enlarged cervical nodes
Kawasaki - vasculitis - coronary aneurysms, ASA IVIG
70
3 day viral infxn fever sore throat headache- then rash that spreads from head to feet, prominent lymphadenopathy posterior auricular
Rubella - complications arthritis, encephalitis, 1st trimester pregnancy
71
cough, conjuncitivits, fever, coryza (nasal congestion), lesionson buccal , rash on face that spreads to feet
rubeola- measels- complciation encephalitis
72
high fever 3-4 days then a rashs with defreverze
roseaol infantum hhv 6- febrile sz- age 6-18 months

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