Rosh Review

Question 1

What anatomic landmark should be used when placing a pelvic binder?

Answer 1

Place the binder across the greater trochanter

Question 2

Difference between candida and oral hairy leukoplakia (sign of HIV infection caused by EBV)

Answer 2

OHL cannot be scraped off, thrush can.

Question 3

Management of iatrogenic TM perforation during cerumen disimpaction in the ED

Answer 3

Reassurance, analgesia, and ENT referral within 1-2 weeks

Question 4

First line therapy for bilateral acute OM in kids younger than 6 months with no allergies

Answer 4

High dose amoxicillin. Second line includes amox-clav and ceftriaxone. Observation with close follow up and no abx may be considered in select groups, such as older children or unilateral OM.

Question 5

Eye pain, blepharospasm, tearing, photophobia, and foreign body sensation in an individual outside in the snow, especially at high altitude

Answer 5

Ultraviolet keratitis (snow blindness)

Question 6

Management of ultraviolet keratitis

Answer 6

Flush eye for several minutes with water or saline, prescribe short acting cycloplegic for pain management. Abx have not shown benefit.

Question 7

AMS, fever, recent seizure in child with multiple ulcerating vesicles on face

Answer 7

Herpes gingivostomatitis with encephalitis

Question 8

Fundoscopic findings of CRVO

Answer 8

Cotton wool spots, retinal edema, swollen disk, diffuse hemorrhage, dilated and tortuous retinal veins

Question 9

Characteristics of visual symptoms in CRVO

Answer 9

Sudden, painless monocular decrease in vision

Question 10

Most common congenital heart defect

Answer 10

VSD