EENT

Question 1

Seborrheic Dermatitis eye Lid edge

Answer 1

Blepharitis

Question 2

Abrupt pain and Redness of eyelid, localized mass

Answer 2

Hordeolum (Stye)

Question 3

Cotton wool spots Retinal Vessel

Answer 3

See DM II or HTN

Question 4

Gray/white circle around the limbus and cloudy cornea

Answer 4

Arcus Senilis

Question 5

Define 20/50 vision

Answer 5

Testee has to be 20 ft to see an Avg. person can see 50 ft

Question 6

Orange/Pink neuroretinal rim with Central white depression on eye

Answer 6

Optic Disc

Question 7

The ratio of optic Disc suspected of Glaucoma

Answer 7

Cup > 0.5 Disc Diameter

Question 8

> 40 yrs; Weakening ciliary & Stiff Lense

Answer 8

Presbyopia

Question 9

Noncancerous wedge shaped growth conjunctiva

Answer 9

Pterygium

Question 10

Mgmt Stye

Answer 10

Hot Compress, x2 Atbx (Clinda or Bactrim) + (Augmentin or Cefdinir or Cefpodoxime),
> 2 days opthalmology

Question 11

Mgmt Blepharitis

Answer 11

Hot Compress, Atbx (Bacitracin or Erythromycin), Vigorous lash scrub

Question 12

Swelling on the eyelid, Eyelid tenderness, Sensitivity to light, and Increased tearing, May cause astigmatism, painless nodule/cyst eyelid

Answer 12

Chalazion

Question 13

Red, scaly, greasy flakes on eye lid edge with thickened crusted lid margin, itching, burning, tearing

Answer 13

Blepharitis

Question 14

Are all pink eye related to Infection?

Answer 14

No. Chemical and Allergic (Stringy; Increased tearing)

Question 15

Mgmt of Viral Conjunctivitis

Answer 15

Artificial Tears, Cool compress, NSAID

Question 16

Mgmt of Bacterial Conjunctivitis

Answer 16

Levofloxacin, Ofloxacin, Ciprofloxacin, Tobramycin, Gentamycin

Question 17

Mgmt of Non-infective conjunctivitis

Answer 17

Chemical - NS Flush, Allergic - Oral Antihistamine; Avoid Steroid –> Increase IOP, Activate Herpes

Question 18

Acute extremely painful with Blurred vision, Halo around the lights with Pupils fixed or dilated

Answer 18

Closed Angle Glaucoma

Question 19

Cupping of Disc, Asymptomatic, and Peripheral visual fields decrease

Answer 19

Open Angle Glaucoma

Question 20

No Red Reflex of the Eye

Answer 20

Cataract

Question 21

Cloudy, blurry, dim vision with Halos around lights,, sensitivity to light, and glare

Answer 21

Cataract

Question 22

The opacity of the lens, need a brighter light for reading and other activity, diplopia in a single eye

Answer 22

Cataract

Question 23

Visual disturbance Flashes of light; Floaters; Shadow or blindness part of visual field

Answer 23

Retinal Detachment

Question 24

Mgmt Otitis Externa

Answer 24

Clean/Debride ear; Otic gtt (Hydrocortisone/Neomycin/Polymyxin); NSAID, topical Corticosteroid

Question 25

Tympanic Membrane has diminished light reflex; poor motility bulging and convex

Answer 25

Otitis Media

Question 26

Atbx Trmt Otitis Media

Answer 26

Augmentin or Cephalosporin (Cefdinir, cefpodoxime or cefuroxime)

Question 27

Peeling layers of scaly keratinized epithelium or sac-filled desquamated keratin, PAINLESS, may present hearing loss, may have tympanic perforation

Answer 27

Chronic Otitis Media (Chlesteatoma)

Question 28

Vertigo, Intermittent sensorineural hearing loss, and tinnitus

Answer 28

Menniere's disease

Question 29

Lab/Diagnostic for Vertigo

Answer 29

CT, VDRL/RPR (Syphilis), Serum Med Level, Whiper test (Hearing exam), Blood glucose, ECG

Question 30

Positive Dix-Hallpike

Answer 30

Benign Paroxysmal positional vertigo

Question 31

Mgmt Vertigo

Answer 31

Diazepam (Valium), Meclizine (Antivert), Benadryl, Scopolamine, Antiemetic

Question 32

Hearing loss criteria

Answer 32

> 20 dB

Question 33

Ototoxic Drugs

Answer 33

Aminoglycoside, Diuretic, Salicylate, NSAID, Antineoplastic

Question 34

Rinne Test Conduction

Answer 34

Air Conduction > Bone Conduction

Question 35

Sensorineural Hearing Loss

Answer 35

Trauma (Acoustic, Baro, Head), Ototoxic drug, Meniere, Neuroma, Infection

Question 36

Conductive Hearing Loss

Answer 36

Impaction, Hematoma, Perforation, Otitis Media, Otitis externa, Otosclerosis

Question 37

Hearing loss - Weber test

Answer 37

Conductive: Sound lateralize affected ear Sensorineural: Sound lateralize unaffected ear

Question 38

Hearing loss - Rinne Test

Answer 38

Conductive: Abnormal in the affected ear Sensorineural: Normal in the affected ear

Question 39

Normal Weber Finding

Answer 39

Sounds heard bilaterally

Question 40

Centor Criteria includes

Answer 40

Age of Patient, Lack of Cough, Fever, Pharyngo-tonsillar Exudate or swelling, Anterior cervical adenopathy

Question 41

Centor Criteria Score (No testing needed)

Answer 41

< 1

Question 42

Atbx Txmt Strep

Answer 42

#1 Penicillin V then Amoxicillin; if allergic Azithromycin, Clarithromycin, Clindamycin, Cephalexin, Cefadroxil

Question 43

Viral Pharyngitis is associated with?

Answer 43

Rhinorrhea

Question 44

Med to shorten Flu

Answer 44

24-36 symptom onset; Oseltamivir, Zanamivir (Avoid asthma or COPD --> Bronchospasm), Baloxavir marboxil

Question 45

Posterior cervical adenopathy, with white tonsillar exudate with malaise and fatigue

Answer 45

Mononucleosis

Question 46

Contact sports should be avoided for this time frame for mononucleosis. Txtmt med?

Answer 46

3 weeks to month; Prednisone/Steroid

Question 47

Most common site for nose bleed

Answer 47

Anterior septum

Question 48

Friable erosive nasal septum

Answer 48

Inhaled substance abuse

Question 49

Decreased transillumination of the sinuses

Answer 49

Sinusitis

Question 50

Bacterial Sinusitis will have

Answer 50

Purulent nasal drainage and Fever

Question 51

Mgmt of Sinusitis

Answer 51

Hydration, Intranasal saline irrigation, Intranasal corticosteroid, Analgesisc, Atbx Augmentin, Doxycycline