Rapid Tx: HEENT

Question 1

Ectropion/Entropion Tx

Answer 1

lubricating drops/moisture shields

Question 2

Acute Dacryocystitis Tx

Answer 2

warm compress & Clindamycin, Vancomycin + Ceftriaxone

Question 3

Chronic/Severe dacryocystitis Tx

Answer 3

dacryocystorhinostomy

Question 4

Blepharitis Tx

Answer 4

eye hygiene, baby shampoo

Question 5

Severe blepharitis tx

Answer 5

topical azithromycin, erythromycin, or bacitracin

Question 6

Hordeolum tx

Answer 6

warm compress +/- I & D if no spontaneous drainage after 48 hours

Question 7

conservative tx of chalazion

Answer 7

eye hygiene, warm compress

Question 8

Refractory tx of chalazion

Answer 8

ophtho referral for GC injection or curettage

Question 9

When to treat pterygium

Answer 9

remove if vision affected

Question 10

Globe rupture Tx

Answer 10

Rigid Eye Shield, IV abx, 911 ophtho

Question 11

orbital floor blowout fx tx

Answer 11

nasal decongestants

avoid blowing nose/sneezing

Ampicillin-sulbactam or clinda

Question 12

retinoblastoma is associated with…

Answer 12

bone neoplasms/osteosarcoma

Question 13

Mgmt of Dry Macular Degeneration

Answer 13

Zinc + Vit C and E to slow progression

Daily amsler grid

Question 14

Mgmt of wet macular degeneration

Answer 14

intravitreal VEGF Inhibitors:

Bevacizumab

Question 15

Proliferative diabetic retinopathy tx

Answer 15

VEGF Inhibitors: Bevacizumab

Question 16

Mgmt of retinal detachment

Answer 16

911 ophtho

keep pt supine with head turned towards detachment

Question 17

Chemical neonatal conjunctivitis tx

Answer 17

artificial tears

Question 18

gonococcal neonatal conjunctivitis prophylaxis

Answer 18

topical 0.5% erythromycin ointment

Question 19

gonococcal neonatal conjunctivitis tx

Answer 19

IM/IV ceftriaxone

Question 20

chlamydia neonatal conjunctivitis tx

Answer 20

PO erythromycin

Question 21

corneal abrasion abx for non-contact lens wearer

Answer 21

erythromycin ointment

Question 22

corneal abrasion abx for contact lens wearers

Answer 22

+ pseudomonas coverage: topical cipro/ofloxacin

Question 23

corneal abrasion mgmt < 5 mm

Answer 23

sterile irrigation + ophtho f/u in 24 hours

Question 24

Rust ring removal

Answer 24

rotating burr w/in 24 hours

Question 25

Tx for bacterial conjunctivitis in non-contact lens wearer

Answer 25

erythromycin ointment

Question 26

tx for bacterial conjunctivitis in contact lens wearer

Answer 26

topical cipro or ofloxacin

Question 27

Tx for viral conjunctivits

Answer 27

supportive tx

Question 28

Tx for allergic conjunctivitis

Answer 28

Topical olopatadine (H1 blocker) OR pheniramine-naphazoline +/- topical ketorolac

Question 29

Ocular chemical burn mgmt

Answer 29

prompt LR or NS irrigation topical polymyxin-trimethoprin/erythromycin/moxifloxacin

Question 30

1st line mgmt of strabismus

Answer 30

occlusive patch for normal eye

Question 31

Orbital cellulitis mgmt

Answer 31

admission + IV vanco & ceftriaxone or cefotaxime

Question 32

preseptal cellulitis mgmt

Answer 32

PO clinda (MRSA coverage) OR TMP-SMZ + amoxicillin/augmentin/cefpodoxime

Question 33

Mgmt of bacterial keratitis

Answer 33

topical FLQ (moxi, gati) after Cx

Question 34

Tx for herpes keratitis

Answer 34

PO acyclovir topical trifluridine, ganciclovir ointment