incorrect cards (0)
correct cards (0)
remaining cards (0)
retry
restart
shuffle
help
0:01
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
CM EM II Eye
CM EM II
| Question | Answer |
|---|---|
| What are some of the general guidelines in the treatment of hyphema | Shield eye (no patch), bedrest (with b/r privileges), elevate head of bed to 30 degrees, topical atropine, no aspirin/NSAIDs, consider topical steroids, monitor intraocular pressure |
| What is the treatment for a corneal abrasion in a non-contact lens wearer | Erythromycin or Polytrim drops, cycloplegic agent, consider patch |
| What is the treatment for a corneal abrasion in a contact lens wearer | Must cover pseudomonas (tobramycin ointment, fluoroquinolone drop), cycloplegic agent, consider patch |
| What is the treatment for infectious keratitis | Broad spectrum antibiotic drops |
| What is the treatment for central retinal artery occlusion | Although no treatment has been proven to improve outcome you can try, lowering IOP with topicals, Diamox, anterior chamber paracentesis |
| The immediate treatment for angle closure glaucoma is to lower eye pressure, how is this done | Drops (timolol, dorzolamide, brimonidine), oral agents (Diamox, isosorbide), IV agents (mannitol), hold pilocarpine until seen by an ophthalmologist |
| What is the treatment of endophthalmitis | Injection of intravitreal antibiotics or surgery ASAP |
| What is the treatment for viral conjunctivitis | Supportive, throw out contact lens/case/solution, wash sheets/towels, wash hands religiously |
| Gonococcal conjunctivitis requires __ treatment | Systemic |
| Treatment for hordeolum/chalazion | Start conservatively, warm compresses, erythromycin ointment, consider I&D, steroids sometimes injected to prevent recurrence |
| Treatment of blepharitis | Warm compresses, lid scrubs, consider erythromycin ointment or doxycycline |
| What is the treatment for periorbital cellulitis | PO or IV antibiotics |
| Treatment for stye (external hordeolum) | Warm wet compresses 4x day, erythromycin ointment 2x/day for 7-10 days |
| Treatment of viral conjunctivitis | Cool compresses 4x/day, naphazoline/pheniramine drops for conjunctival congestion or itching. Follow up in 7-14 days |
| What is the initial empiric treatment for endophthalmos | Vancomycin and ceftazidime |
| What should be done in the case of orbital cellulitis | Emergent CT of the orbits and sinuses, ophthalmologic consultation and admission for cefuroxime IV |
| How should superficial conjunctival abrasions be treated | Erythromycin ointment 2x/day for 2-3 days, ocular foreign body should be excluded |
| What is the preferred topical ocular anesthetic used when assessing a corneal abrasion | Proparacaine |
| What is the treatment for a simple corneal abrasion | A cycloplegic (cyclopentolate, homatropine) for the pain, and a topical antibiotic (tobramycin, erythromycin, bacitracin/polymyxin) |
| What is the antibiotic treatment for a corneal abrasion for a person with contact lenses | Should include coverage for pseudomonas (ofloxacin or ciprofloxacin) |
| A hyphema should be dilated with __ to prevent pupillary movement from tearing damaged blood vessels | Atropine 1% |
| Treatment for ruptured globe | Call ophthalmologist immediately. Metallic eye shield, first gen cephalosporin, antiemetic (prevent Valsalva), tetanus update, CT to look for foreign body. |
| How long after the first 2L of irrigation fluid should you wait to check the pH in an eye that has suffered a chemical burn | 5-10 minutes |
| What are some treatments used to reduce IOP | Timolol, apraclonidine, prednisolone acetate drops |
| What can you use to decrease pressure if the IOP is greater than 50 mmHg | Acetazolamide IV |
| What can you use to decrease IOP if it does not do so with first line agents after 1 hour | Give 1-2g/kg mannitol IV |
| Once IOP is below 40 mmHg in acute angle closure glaucoma, what can be given as long as the patient has an intact lens in place | Pilocarpine drops |
| What should be done if there is a strong suspicion of giant cell arteritis | Pt should be admitted for methylprednisolone 250 mg IV every 6 hours |
| What may be done if there is a low suspicion for giant cell arteritis | Pt may be discharged with prednisone with close follow up |
| sudden painless monoarticular vision loss = | central retinal (art or vein) occlusion; CRAO: cherry red spots, h/o amaurosis fugax; CRVO: cotton wool spots, retinal edema |
Created by:
Abarnard
on 2011-04-17