EENT

Question 1

Common symptoms for bacterial conjunctivitis?

Answer 1

Discharge, usually unilateral, no pain, crusted over eyes

Question 2

Common symptoms for viral conjunctivitis?

Answer 2

Foreign body sensation, tearing, burning, bilateral preauricular node involvement

Question 3

Common symptoms of allergic conjunctivitis?

Answer 3

bilateral red eys, severe pruritis, moderate tearing,

Question 4

Differential diagnosis for conjunctivitis?

Answer 4

Iritis- marked conjunctival injection around cornea, unilateral, photophobia, blurred vision

Question 5

When do you refer conjunctivitis?

Answer 5

No improvement in 24 hours, decreased visual acuity, possibility of herpes or zoster

Question 6

Treatment of bacterial conjunctivitis

Answer 6

Gentamycin 2 gtts q 4 hours x 5 days

Question 7

two types of blepharitis?

Answer 7

ulcerative and nonulcerative

Question 8

Differential diagnosis of blepharitis?

Answer 8

Horleolum, conjuncitivits, chalazion

Question 9

Treatment for ulcerative blepharitis?

Answer 9

erythromycin or bacitracin ophthalmic ointment, or sulfactamide sodium solution

Question 10

What is a chalazion?

Answer 10

Meibmian gland obstruction that is nontender

Question 11

What is a hordeleum?

Answer 11

Stye, on eye lashes. Reoccur often with diabetes

Question 12

Assessment for corneal abrasion

Answer 12

Corneal staining

Question 13

Treatment of corneal abrasion

Answer 13

Antibiotic ointment for 5 days; tetanus shot if indicated

Question 14

When to refer corneal abrasion?

Answer 14

If not improved in 24 hours

Question 15

What is hypema?

Answer 15

Blood in anti chamber of eye, usually related to trauma. Refer. 25% have ruptured globe.

Question 16

Symptoms of Uveitis?

Answer 16

Iritis- conjunctival injection, red, slow pupil response, blurry vision, photophobia. REFER!

Question 17

What is scleritis?

Answer 17

Inflammation of sclera, localized on sclera. Benign, seen in collagen disease. May be tender, irritated, or red

Question 18

What is Pinguecula or pterygium

Answer 18

ter-ih-gee-um. May need surgical removal

Question 19

Usual IOP?

Answer 19

10-20

Question 20

What medications to avoid in glaucoma?

Answer 20

Steroids

Question 21

Fundoscopic exam for glaucoma?

Answer 21

increased cup to disk ratio

Question 22

Classic triad for glaumoca?

Answer 22

Increased IOP, peripheral vision loss, and optic nerve atrophy

Question 23

What type of glaucoma is acute?

Answer 23

closed angle glaucoma

Question 24

Symptoms of closed angle glaucoma?

Answer 24

rapid, painful, head ache, fixed non reactive pupil, photophobia, halos around lights at night

Question 25

Signs of otitis external?

Answer 25

Pain in ear, itching, fullness, discharged, diminished hearing

Question 26

Differential diagnosis of otitis externa?

Answer 26

furunculosis, mastoiditis, foreign body, OM, herpes zoster

Question 27

Topical therapy of otitis external?

Answer 27

Oxifloxicin, steroid, neomycin, Tobradex, or lotrimine if fungal

Question 28

Exam findings for ottitis media?

Answer 28

red, bulging, no landmarks, decreased mobility of TM

Question 29

What happens when tympanic membrane ruptures?

Answer 29

There sudden relief of pain

Question 30

What medication should you avoid with OM?

Answer 30

antihistamines

Question 31

Medication for otitis media?

Answer 31

Amoxicillin 1g TID for adults. Wait 48-72 hours in children

Question 32

Treatment for OM with effusion?

Answer 32

Watchful waiting because most clear in after 3 months. Or give Augment or clarithromycin

Question 33

Treatment for ruptured tympanic membrane?

Answer 33

Oxifloxacin gtts BID. Don't use auralgan

Question 34

Red flags for sinusitis?

Answer 34

orbital swelling or pain, swelling of the forehead, or diplopia

Question 35

Pertinent history for sinusitis?

Answer 35

Previous URI, duration of symptoms (initially better, then worse after 5 days), dental pain

Question 36

Significance of transillumination in sinus infection?

Answer 36

If it transilluminates, there's no active infection. For those that do, there's only a 1/4 chance that there's an infection

Question 37

Differences in ambulation with frontal and maxillary sinuses?

Answer 37

Frontal is worsened by laying down, maxillary is worsened by standing up

Question 38

What medication should you avoid in sinusitis and OM?

Answer 38

Antihistamines

Question 39

General treatment for bacterial sinusitis?

Answer 39

Agumentin 875 BID x 10 days

Question 40

Different causes for coryza?

Answer 40

Allergic, vasomotor, mechanical chronic inflammatory, infections, hromonal

Question 41

What is a saddle nose?

Answer 41

a symptom of the nose in Wegener's granulomatosis

Question 42

What orbital symptom can you look for for perennial allergies?

Answer 42

cobblestone like in palpebral conjunctieva

Question 43

Classic allergic nasal objective assessment?

Answer 43

Pale and boggy

Question 44

1st choice medication for rhinitis?

Answer 44

Fluticasone

Question 45

What intranasal drug can you give for prophylaxis for rhinitis for seasonal allergies?

Answer 45

Cromlyn, intranasal

Question 46

Other medications for rhinitis?

Answer 46

Singulair 10 mg po QD, decongestants, antihistamines

Question 47

Clues to EBV/Mono pharyngitis?

Answer 47

petechiae, posterior chain lymphadenopathy, abdominal pain

Question 48

Clues to Group A Strep? (4 main ones)

Answer 48

Fever >100.5, exudate, no cough, and lymphadenopathy; also strawberry tongue

Question 49

What to do if patient is drooling?

Answer 49

Refer to ED emergently

Question 50

Sign of glomerulonephritis?

Answer 50

hematuria

Question 51

What else to do when patient dx with strep?

Answer 51

Throw away toothbrush.

Question 52

What's an important differential diagnosis in sinusitis?

Answer 52

Tooth Abscess

Question 53

When should a patient with a corneal abrasion follow up?

Answer 53

In 24 hours

Question 54

What's the treatment for a corneal abrasion?

Answer 54

Oxifloxicin gtts