EENT Flashcards

(27 cards)

1
Q

With a conduction hearing loss, how will the Webber test respond?

A

Lateralize to the AFFECTED ear

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2
Q

With a conductive hearing loss, how will the Rinne test respond?

A

Bone conduction > Air conduction

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3
Q

What is the most common cause of sensorineural hearing loss and what kind of hearing is lost?

A

Presbycusis, high frequency

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4
Q

What are the four main features of Meniere’s disease?

A

Vertigo, low range hearing loss, tinnitus and ear pressure

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5
Q

What ototoxic drugs lead to hearing loss?

A

Aminoglycosides, loops and chemo (cisplatin)

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6
Q

What bugs are most common in otitis media?

A

Strep, H Flu and M Cat

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7
Q

What kind of nystagmus is associated with peripheral vertigo?

A

Horizontal with rotary component

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8
Q

What test is used to diagnose BPPV?

A

Dix-Hallpike

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9
Q

T/F: most cases of sinusitis resolve without antibiotics

A

True

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10
Q

What symptoms are suggestive of Group A beta-hemolytic strep?

A

Centor Criteria

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11
Q

What symptoms are NOT consistent with Group A beta-hemolytic strep?

A

Corzya, hoarse voice or cough

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12
Q

What is antibiotic of choice for Group A beta-hemolytic strep if PCN allergic?

A

Erythromycin

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13
Q

What is the diagnosis consistent with sore throat, uvula deviation, drooling, and trismus?

A

peritonsillar abscess

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14
Q

How will aphthous ulcers appear in the mouth?

A

painful, round with yellowish-gray centers and red halos

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15
Q

What is the most common yeast in oral thrush?

A

Candida albicans

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16
Q

What is the location of anterior nosebleeds?

A

Kesselbach plexus

17
Q

What is the triad of nasal polyps, asthma and aspirin sensitivity?

A

Samter’s triad

18
Q

What is the most common cause of community-acquired pneumonia?

A

Strep pneumoniae

19
Q

What antibiotic is appropriate for outpatient treatment of community acquired pneumonia?

A

Macrolide (not erythromycin) or doxycycline

20
Q

Who is the pneumococcal polysaccharide vaccine recommended for?

A

Young / old, sick, sickle cell (functional asplenia), smokers, liver disease, asplenics

21
Q

What are two buzzwords that go with Mycoplasma Pneumoniae?

A

Bullous myringitis and cold agglutinins

22
Q

What are two buzzwords with Pneumocystis Jiroveci?

A

elevated LDH and hyper-hypoxia

23
Q

What is a buzzword for pneumococcal pneumonia (strep pneumonia)?

A

rust-colored sputum

24
Q

Buzzwords for Kelbsiella pneumonia?

A

ETOH abuse and currant jelly sputum

25
Most likely bug that causes pneumonia in an ETOH abuser?
Klebsiella
26
Most likely bug that causes pneumonia in COPD patient?
Haemophilus
27
Most likely bug with causes pneumonia in a cystic fibrosis patient?
Pseudomonas