MedU Case 33

Question 1

only age group you need to tx otitis media w/ atbs

Question 2

tx of viral URI

Answer 2

decongestant or saline nasal spray

acetaminophen for pain and fever

Question 3

tx of viral URI

Answer 3

decongestant or saline nasal spray

acetaminophen for pain and fever

Question 4

pt with history of migraines complains of vertigo

Answer 4

vestibular migraine

Question 5

vertigo, N/V, intact hearing

Answer 5

BPPV

Question 6

vertigo, N/V, intact hearing

Answer 6

BPPV

Question 7

Meniere’s disease triad

Answer 7

unilateral hearing loss, tinnitus, and vertigo

Question 8

infection causing tinnitus, hearing loss, vertigo

Answer 8

acute labyrinthitis

Question 9

what does a positive head thrust test tell you

Answer 9

peripheral lesion (not too worrisome)

Question 10

normal head thrust test tells you

Answer 10

central lesion

Question 11

Tx meniere’s disease

Answer 11

diuretics and low salt diet

Question 12

examples of anticholinergic vestibular suppressants

Answer 12

meclizine

dimenhydrinate

Question 13

examples of anticholinergic vestibular suppressants

Answer 13

meclizine

dimenhydrinate

Question 14

nystagmus that does not resolve with gaze fixation

Answer 14

central lesion