HEENT

Question 1

85% originate in Kisselbach’s plexus

Answer 1

Expistaxis

Question 2

Copious prurlent discharge. Usually self limiting. S. pneumo Tx: Topical Erythromycin Spread direct contact

Answer 2

Bacterial Conjunctivitis

Question 3

Infection 2/2 AOM Post-auricular pain, fever. Worse at night. Tx: IV Abx

Answer 3

Mastoididits

Question 4

Assoc. w/ H2O exposure, trauma. P. aeurginosa. Otaliga (esp. with ear mov’t), red, swollen canal Tx: avoid moisture, abc drops

Answer 4

Otitis externa (swimmers ear)

Question 5

Thrush.

Answer 5

Oral Candidiasis

Question 6

Painless, indurated lesion 2/2 syt. Tx: warm compresses

Answer 6

Chalazion

Question 7

Apthous Stomatitis

Answer 7

Canker Sore

Question 8

D/t bacterial, herpetic, fungal, amoebic infx Pain, photophobia, reduced vision. Progresses rapidly and can be sight threatening Bact: Hazy cornea, ulcer Herpetic: dendritic Tx: Fluoquinolones

Answer 8

Corneal Keratosis

Question 9

Staph abscess. Painful, edemetous stye. Tx: Warm Compress

Answer 9

Hordeolum

Question 10

D/t repeated AOM. P. aeruginosa Chronic ottorhea w/w/o pain, perforated TM Tx: likely surgery

Answer 10

Chronic OM

Question 11

Conductive Hearing loss

Answer 11

Weber heard better in poor ear Rinne bone>air

Question 12

Strep. pneumo MC causative agent Amoxicillin 1st line Seen p viral URI that blocks eustatian tubes

Answer 12

Acute OM

Question 13

Tinnitus

Answer 13

Suggestive of sensory hearing loss

Question 14

Allergens cause runny nose, itchy, watery eyes

Answer 14

Allergic rhinitis

Question 15

Sensoneural Hearing Loss

Answer 15

Weber heard better in good ear Rinne air>bone

Question 16

Environmental causes runny nose

Answer 16

Vasomotor rhinitis

Question 17

MC d/t infx, but can also be exposure. Use woods lamp. Tx: Referral to optho

Answer 17

Corneal ulceration

Question 18

Form of chronic OM d/t eustacian dysfunction–>neg. pressure creates sac. which can be seen on exam Nasty discharge Surgical repair

Answer 18

Cholesteatoma

Question 19

Common in pts with allergic rhinitis Tx: intranasal steroids

Answer 19

Nasal polyps

Question 20

Acute, severe vertigo and hearing loss

Answer 20

Labyrinthitis

Question 21

Highly contagious via direct contact Copious watery discharge. Ipsilateral, preauricular LAD Tx: Lavage BID 7-10 days

Answer 21

Viral Conjunctivitis

Question 22

Eustachian tube dysfunction

Answer 22

Narrowing. Crackling Sound

Question 23

Erythme,a adherent lids, Scales, deposits. Tx: Cleaning, topical Abx

Answer 23

Blepharitis