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EENT LEIK

BOARD REVIEW -EENT

QuestionAnswer
TWO TYPES OF HERPES THAT CAN INFECT THE EYE HERPLES SIMPLEX HERPES VARCELLA ZOSTER OR SHINGLES
HOW CAN ONE GET HERPES SIMPLES SELF INOCULATION TOUCHING COLD SORE THEN TOUCHING EYE OR HAVING HEPATIC WHITLOW AND TOUCHING EYE
ACUTE ONSET OF SEVERE EYE PAIN, PHOTOPHOBIA, TEARING, BLURRED VISION IN ONE EYE HERPES KERATITIS
HOW IS HERPES KERATITS DX ? USING FLUORESCEIN DYE BLACK LAMP IN DARK ROOM WILL SEE FERN-LIKE LINES ON CORNEAL SURFACE
HOW DOES CORNEAL ABRASION APPEAR IN COMPARISON TO HERPES KERATITIS? CORNEAL ABRASION IS ROUND OR IRREGULARY SHAPED HERPES KERATITIS FERN LIKE LINES
HERPES KERATITIS IS CAUSED BY WHICH HERPES VIRUS? HERPES SIMPLEX VIRUS
INFECTION OF THE TRIGEMINAL NERVE (CRANIAL NERVE V) OPHTHAMIC BRANCH IS CAUSED BY WHICH VIRUS HERPES ZOSTER OPHTHALMICUS (SHINGLES)
HERPES ZOSTER OPHTHALMICUS PRESNTS WITH... ACUTE ERUPTIONS OF CRUSTY RASHES THAT FOLLOW THE OPHTHALMIC BRANCH (CN V) OF THE TRIGIMINAL NERVE ON ONE SIDE OF FOREHEAD, EYELIDS, OR TIP OF NOSE
FUNDASCOPIC EXAM THAT REVEALS MID-DILATED PUPIL THAT IS OVAL SHAPED, CLODY CORNEA, CUPPING OF OPTIC NERVE IS WHAT CONDITION ACUTE ANGLE CLOSURE GLACOMA
WHAT CAUSES ACUTE ANGLE CLOSURE GLACOMA RISE IN INTRAOCULAR PRESSURE
HOW DOES A PT WITH ACUTE ANGLE GLACOMA PRESENT ACUTE SEVERE EYE PAIN W/ HEADACHE, N/V, HALOS AROUND LIGHTS, DECREASED VISION
OPTIC NEURITIS CAN BE ASSOSICATED IWTH MULTIPLE SCLEROSIS
MULTIPLE SCLEROSIS (OPTIC NEURTIIS) PRESETNS WITH INTERMITTENT LOSS OF VISION OF ONE EYE COULD ALSO HAVE NYSTAGMUS OR OTHER ABNORMAL EYE MOVMENTS MAY ALSO HAVE APHASIA, PARESTHESIA, ABNOMAL GAIT, SPACTICY
WHAT DO YOU DO IF YOU SUSPECT MS AND OPTIC NEURITIS? REFER TO NEUROLOGIST
DOES HEAT EXACERBATE MS AND OPTIC NEURITIS YES , WORSENS SYMPTOMS
HOW DO YOU HANDLE PT WITH ACUTE ANGLE CLOSURE GLAUCOMA REFER TO ED
HOW DO YOU HANDLE PT WITH HERPES KERATITIS REFER TO ED
ACUTE ONSET OF ERYTHEMATOUS SWOLLEN EYELID WITH PROPTOSIS AND EYE PAIN TO AFFECTED EYE ORBITAL CELLULITIS
PROPTOSIS MEANS BULGING OF THE EYEBALL
PT PRESTNS WITH INABILITY TO PERFORM ROM OF EYE WITH OUT PAIN , SUSPECT? ASK ABOUT ? ORBIAL CELLULITS, ANY RECENT HX OF RHINOSINUSITIS OR UPPER RESP. INFECTION
WHAT CAUSES ORBITAL CELLULITS AND HOW DO YOU ADDRESS ACTUE BACTERIAL INFECTION OF ORBIAL CONTES (FAT AND OCULAR MUSCLES) REFER TO ED
PT DESCRIBES LOOKIN THROUGH A CURTAIN WITH SHOWERS OF FLOATERS ADN SUDDEN FLASHES OF LIGHT RETINAL DETACHMENT REFER TO ED
CHOLESTEATOMA CAULIFLOWER LIKE GROWTH WITH FOUL SMELL AND EAR DISCHARGE W/ HEARING LOSS OF AFFECTED EAR.
EXAM SHOWS NO TYMPANIC MEMBRANE OR OSSICLES WITH FOUL SMELL AND GROWTH CHOLESTEATOMA
TREAT CHOLESTEATOMA ? ANTIBIOTICS AND SURGICAL DEBRIDEMENT REFER TO OTOLARYNGOLOGIST
RISKS AND COMPLICATIONS OF CHOLESTEATOMA CAN BE D/T CHRONIC OTITIS MEDIA INFECTIONS HEARING LOSS MASS CAN ERODE INTO BONES OF FACE AND DAMAGE FACIAL NERVE (CN VII)
IS CHOLESTEATOMA TUMOR CANCEROUS NO BUT IMPORTANT TO REFER OUT TO AVOID FURTHER COMPLICATIONS
BATTLE SIGN ? RACOON EYES? PERIORBITAL ECCHYMOSIS W/ BRUSING BEHIND EAR 2-3 DAYS POST TRAUMA
OBSERVE CLEAR GOLDEN EAR OR NOSE DISCHARGE ? CEREBROSPINAL FLUID LEAKING THOUGH FX. INDICATES BASILAR SKLL FRACTURE
TEST CNF WILL DIPSTICK WILL PRESENT W/ GLUCOSE NO GLUCOSE INDICATES PLAIN MUCUS OR MUCOPURUALNT DRAINAGE STILL REFER TO ED
ODYNOPHAGIA PAIN ON SWALLWING
TRISMUS JAW MUSCLE SPASM MAKE IT DIFFICULT TO OPEN MOUTH
HOT POTATOS VOICE SUSPECT PERITONSILLAR ABSCESS.
UNILATERAL SWELLING OF PERITONSILLAR AREA AN DSOFT PALATE , BULGING RED MASS WITH UVULA DISPLACMENT , W/ FEVER/CHILS PERITONSILLAR ABSCESS REFER TO ED
UVULA NOT MIDLINE, FEVER, CHILLS SUSPECT PERITONSILLAR ABSCESS SEND TO ED
MARKEDLY SWOLLEN NECK (BULL NECK) LOW FEVER, HARSENESS, DYSPHAGIA DIPTHERIA
POSTERIOR PHAYNX , TONSILS, UULA AND SOFT PALATE COATED WITH GRAY TO YELLOW COLORED PSEUDOMEMBRANE THAT IS HARD TO REMOVE DIPTHERIA
IS DIPTHERIA CONTAGIOUS AND EMERGENT YES VERY CONTAGIOUS SEND TO ED PUT ON CONTACT PRECAUTIONS
CONES OF EYE COLOR PERCEPTION , 20/20 VISION , SHARP VISSION
RODS DETECTING LIGHT AND SHADOW, NIGHT VISION
VEINS ARE ____ AND _____ THAN ARTERIS BIGGER AND DARKER
MACULA AND PROVIDES CENTRAL VISION
FOVEA HAS LARGE NUMBER OF CONES AND SET IN THE MIDDLE
PRESBYOPIA AGE-RELATED VISUAL CHANGE D/T DECREASED ABILITY OF THE EYE TO ACCOMMODATE STIFFENING OF LENSES
WHAT AGE DOES PRESBYOPIA START ? WHICH VISUAL CHANGE IS AFFECTED 40 AFFECTS NEAR VISION AND ABILITY TO READ SMALL PRINT
OSSICLES BONES OF THE EAR MALLEUS, INCUS AND STAPES
SMALLEST BONE IN THE BODY STAPES- EAR BONE
TYMPANOGRAM TEST FOR PRESENCE OF FLUID INSIDE MIDDLE EAR
STRAIGHT LINE READING WITH TYMPANOGRAM INDICATES FLUID IN THE MIDDLE EAR (TM DOESNT MOVE)
DAMAGE TO PINNA REFER TO PLASTIC SURGEON D/T LARGE AMOUNT OF CARTILAGE
CARTILAGE REGENERATES ? T/F FALSE
NORMAL COLOR RANGE OF CERUMEN ? EARWAX CAN BE YELLOW TO DARK BROWN
WHICH TUBINATES ARE VISIBLE IN NOSE ONLY INFERIOR NASAL TURBINATES
WHICH TURNATES CAN BE SEEN WITH SPECIAL TOOL MEDIAL AND SUPERIOSR TURBINATES
TURBINATES PRESENT HOW WITH ALLERGIC RHINITIS ? BLUSIH , PALE, AND/OR BOGGY
WHICH PART OF NOSE IS CARTILAGE LOWER THIRD OF NOSE
WHAT ARE SINUSES? HOW MANY ARE THEIR? AIR FILLED CAVITIES IN THE SKULL FOUR: ETHMOID, MAXILLARY, FRONTAL, SPHENOID
BY WHAT AGE WILL CHILD HAVE ALL 4 SINUES 12 AND ALMOST SIZE OF ADULTS
WHAT TWO SINUES ARE PRESNT AT BIRTH ETHMOID AND MAXILLARY
WHAT AGE DO YOU GET YOUR FRONTAL SINUES 5Y/O
WHAT AGE DO YOU GET YOUR FINAL SINUES THE SPHENOID 12 Y/O
RED SWLLEN TONGUE GLOSSITIS
RED SWOLLEN GUMS THAT BLEED WIHT BRUSHING GINGIVITIS
MEDICATION THAT CAN CAUSE GUMS TO BLEED? PHENYTOIN (DILANTIN) FOR SEIZURES
NORMAL ADULT HAS HOW MANY TEETH ? 32 , EXCEPT WISDOM TEETH
COMMON IN PT WHO CHEW, SMOKE, ALCHOLIC RISK FOR ORAL CANCER DEVELOP LEUKOPLAKIA
ORAL CANCER MUST BE RULED OUT WHEN ____ IS PRESENT LEUKOPLAKIA
CHEILOSIS, PERLECHE VEMILLIN BORDER, ORAL COMMISSURE
WHAT DO YOU DO WITH AVULSED TOOTH ? STORE IN COLD MILK, NO ICE, SEE DENTIST ASAP FOR IMPLANTATION
HOW MANY SALIVERY GLANDS ARE PRESENT THREE PAROTID, SUBMANDIBULAR, SULINGUAL
SIALADENITIS, SIALADENOSIS, MUMPS INFECTED SALIVERY GLANDS
SIALOLITHIASIS SALIVERY GLAND STONE
WHAT ARE TONSILS MADE OF AND HOW DO THEY LOOK LYMPHOID TISSUE , BUTTERFLY SHAPED WITH SMALL PORES LIKE OPENINGS
WHAT DO TONSILS EXCRETE AND WHY SECRETE THICK WHITE EXUDATE WHEN INFECTED WITH MONO OR PURULENT EXUDATE THAT IS YELLO/GREEN WITH STREP
CAN BE CAUSED BY ACUTE SINUSITIS OR ALLERGIC RHINITS? PRODUES? WORSEND BY ? POST NASAL DRIP COUGH WORSEND BY LAYING SUPIINE
ARE LYMPH NODES PRESENT ON POSTERIOR PHARYNX? YES , DISTRIBUTED EVELY ON BACK OF THROAT, ENLARGE WITH ALLERGIES, OR ALLERGIC RHINITIS
PAINLESS BONY PROTUBERANCE MIDLINE ONTHE HARD PALATE , NORMAL SKIN, CAN BE MIDLINE TORUS PALATINUS
SIGN. OF OCCULT CLEFT PALATE FISHTAIL UVULA (SPLIT UVULA)
OCCURS WITH PROLONGED EXTREME LATERAL GAZE AND INDICATE POSSIBLE BRAIN LESIONS PHYSIOLOGICAL GAZE-EVOKED NYSTAGMUS - FEW BEAT OF NYSTGMUS THAT RESOLVES WHEN EYE RETURNS TO MIDLINE
CAN BE SECONDARY TO BLEEDING, BRAIN TUMOR, ABSCESS, PSEUDOTUMOR CEREBRI, ICP PAPILLEDEMA (SWOLLEN OPTIC DISC)
HYPERTENSIVE RETINOPATHY CAN LEAD TO COPPER AN SILVER WIRE ARTERIOLES (CAUSED BY ARTERIOSCLEROSI) AV NICKING RETINAL HEMORRHAGES
DIABETCI RETINOPATHY CAN RESULT IN MICROANEURYSMS COTTON WOOL SPOTS
MICROANEURTYSMS SMALL BULGES IN RETINAL BLOOD VESSELS THAT OFTEN LEAK FLUID SEEN W/ DM
NEOVASCULARIZATION NEW FRAGILE ARTERIES IN THE RETINA THAT RUPTURE AND BLEED SEEN W/ DM
TWO TYPES OF CATARACTS CENTRAL : NUCLEAR CATARACT SIDES: CORTICAL CATARACTS
DIFFICULTY WITH GLARE, , HALOS AROUND LIGHTS, BLURRED VISION INDICATE CATARACTS
CONGENITAL CATARACTS CATARACTS AT BIRTH
INCREASED RISK OF ASPRIN SENSITIVITY OR ALLERGY WHEN PT HAS ... NASAL POLYPS
ELONGATED PAPILLA ON THATERAL ASPECTS OF TONGUE CAUSED BY EPSTEIN BARR VIRUS HAIRY LEUKOPLAKIA
HAIR LEUKOPLAIKIA PATHOGNOMONIC FOR PTS W/ HIV INFECTION
CHEILOSIS (ANGULAR CHEILITIS, PERLECHE) PAINFUL FISSURES AT CORNERS OF MOUTH D/T INCREASED MOISTURE
CHEILOSIS COMMONLY AFFECTS ELDERLY WITH DENTURES, , LUPUS, NUTRITIONAL DEF. AUTOIMMUNE DISEASE , IRRITANT DERMATITIS, SQUAMOUS CELL CARCINOMA, PACIFERS IN CHILDEN
SECONDARY COMPLICATONS FROM CHEILOSIS CANDIDA ALBICANS (YEAST INFECTION OR BACTERIA (STAPH AURES)
PALPEBRAL CONJUNCTION MUCOSAL LINING INSIDE EYELIDS
BULBAR CONJUNCTIVA MUCOSAL LINING COVERING THE EYES
HYPEROPIA FARSIGHTEDNESS
MYOPIA NEARSIGHTEDNESS
COBBLESTONING HYPERPLASTIC LYMPHOID TISSUE ON POSTERIOR PHAYNX
WHICH TEST MEASURES DISTANCE VISION SNELLEN CHART @ 20 FEET AWAY
TUMBLING E CHART IS USED FOR TEST DISTANCE VISION IN ILLITERATE PERSON
ABNORMAL SNELLEN RESULT TWO-LINE DIFFERENCE BETWEEN EACH EYE; LESS THAN FOUR OUT OF SIX CORRECT
SCOTOMA BLIND SPOTS
TEST PERIPHERAL VISION VISUAL FIELDS OF CONFRONTATION EXAM
ISHIHARA CHART TESTS FOR COLOR BLINDNESS
TUNNEL VISION VISUAL FEILD LESS THAN 20 DEGREES = LEGAL BLINDNESS
WHAT AGE SHOULD CHILD HAVE 20/20 VISION ? 6Y/O
WHEN TO REFER CHILD TO OPHTHALMOLOGIST IF VISION IS NOT AT LEAST 20/30 IN EITHER EYE BY AGE 6
WHEN PT HAS NO LATEALIZATION AND AC>BC ON WEBER/RINNE TEST... NORMAL RESULTS
WHEN SOUND IS HEARD LOUDER IN NORMAL EAR AND AC>BC IT INDICATES ... SENSORINEURAL LOSS PRESBYCUSIS MENIERS DISEASE
LATERALIZATIO TO BAD EAR- WHEN SOUND IS HEARD LOUDER IN BAD EAR MEASN BC>AC AND ITS CONDUCTIVE LOSS
ANY TYPE OF OBSTRUCTION TO OUTER AND MIDDLE EAR IS CONDUCTIVE HEARING LOSS OCCURS WITH CERUMINOSIS, OTITS EXTERNA, OTITIS MEDIA, SEROUS OTITIS MEDIA BC>AC
DAMAGE OF COCHLEA/VESTBULE OR NERVE PATHWAY CAUSES SENSORINEURAL HEARING LOSS
OTOTOX DRUGS INCLUDE AMINOGLYCOSIDES, ERYTHROMYCIN TETRACYLINES, HIGH-DOSE ASPRIN, SILDENAFIL. STROKE CAN CAUSE ALSO
SENSORINERUAL HEARING LOSS RINNE IS AC>BC
CONDUCTIVE HEARING LOSS RINNE IS BC>AC
ALWAYS ASK PT WITH EYE COMPLAINTS IF ... THEY WEAR CONTACTS LENSES
WHICH INFECTION CAN PERMANETLY DAMAGE CORNEAL EPITHELIUM AND CAUSE BLINDNESS HERPES KERATITIS
CAUSES OF CONTACT LENS RELATED KERATITS WEARING LENS PAST PRESCRIPTION, SLEEPING IN LENSES, BATH/SWIMMING, SHOWER WIT LENSES IN AND CLEANING WITH TAP WATER
TYPE OF OPHTHALMIC ANTIBIOTICS IS SUGESTED CIPRO, OFLOXACIN, TRIMETHOPRIM-POLYMYXIN B
AVOID WHAT KIND OF DROPS WITH HERPES KERATITIS STEROID DROPS
PAIN MANGMENT WITH EYE PAIN HYDROCODONE W/ TYLENOL - ENOUG FOR 48 HOURS
DONT USE WHICH TOPICAL PAIN EYE MED .... IF HAVE ALLERGY TO NSAIDS ACULAR 1 GTTS QID
PRESEPTAL CELLULITIS, WHAT IS TREATMENT INFECTION OF ADJOING TISSUE OF EYE (FROM HORDEOLUM BURST) ORAL SYSTEMC ANTIBIOTICS LIKE DICLOXACILLIN OR ERYTHROMYCIN REFER TO OPHTHALMOLOGIST FOR I&D
MEIBOMIAN GLAND SPECIALIZED SWEAT GLAND OF THE EYE
CHALAZION TREATMENT I&D, SURGERY, STEROID INJECTION TO GROWTH BY OPTHMALOGIST
BULBAR CONJUNCTIVA SKIN COVERING EYEBALL
SUBCONJUNCTIVAL HEMORRHAGE BLOOD TRAPPED UNDERNEATH CONJUNCTIVA AND SCLERA SECONDARY TO BROKEN ARTERIOLES RESOLVES 1-3 WEEKS BASICLY A BRUISE
TONOMETER READING INDICATES OPEN ANGLE GLAUCOMA >22 30 = URGENT REFER WITHIN 24 HOURS
BETA BLOCKER EYE DROPS CONTRAINDICATED IN PT WITH ASTHMA, EMPHYSEMA, COPD, 2-3 DEGREE HEART BLOCK, HEART FAILURE
ANTERIOR UVEITIS IS... IRITIS EMERGENCY TO DOC W/IN 24 HOURS
TWO FORMS OF AGE-RELATED MACULAR DEGENERATION ATROPHIC (DRY)- MOST COMMON EXUDATIVE (WET)- RESPONSIBLE FOR 80% OF VISION LOSS
LUTIN AND ZEAXANTHIN WITH ZINC ARE ... OCULAR VITAMINS
DECREASED FUNCTION OF THE LACRIMAL AND SSALIVARY GLANDS SJOGRENS SYNDROME CHRONIC DRY MOUTH AND DRY EYES
COMPAINTS OF ITCHING OR IRRITATION OF EYELIDS (BOTH) W/ GRITTY SENSATION, EYE REDNESS, AND CRUSTING LIKELY BLEPHRITIS
BLEPHRITIS TREATMENT BABY SHAMPOO AND WARM WATER , GENTLY SCRUB EYELID MARGINS UNTIL RESOLVED CAN DO TOPICAL ANTIBIOTIC SOLUTION (ERYTHROMYCIN EYE DROPS) 2-3X/DAY WARM COMPRESS TO LOOSEN CRUSTS AND RELIEVE ITCH
PALATAL CLICK SOUND PRODUCED WHEN PT TRYS TO CLEAR MUCUS INSIDE THROAT
FIRST LINE TREATMENT FOR ALLERGIC RHINITIS TOPICAL NASAL SPRAYS (FLONASE)BID IF ONLY MILD RELIEF ACHIEVED CAN DO TOPICAL ANTIHISTAMINE NASAL SPRAY (AZELASTINE )
CROMOLYN SODIUM USED NASAL SPRAY USED WITH ALLEGIC RHINITIS NOT AS EFFECTIVE AS STEROIDS
DO WE USE DECONGESTANTS FOR ALLERGIC RHINITIS YES
WHAT IS PT AT RISK FOR W/ ALLERGIC RHINITS ACUTE SINUSITIS ACUTE OTITS MEDIA
DO WE USED ORAL ANTIHISTAMINES WITH ALLERGIC RHINITIS YES
RHINITIS MEDICAMENTOSA REBOUND EFFECT FROM LONG TERM USE (>3W) OF TOPICAL NASAL DECONGESTANTS WILL CAUSE SEVERE AND CHRONIC NASAL CONGESTION
HOW TO TREAT EPISTAXIS PINCH FRONT OF NOSE FOR SEVERAL MINUTES, CAN USE NASAL DECONGESTATN LIKE AFRIN TO SHRINK TISSUE TO STOP BLEEDING USE TAO OR VASALINE IN NOSE FOR NEXT COUPLE DAYS
WHAT CAUSES STREP THROAT STREPTOCOCCUS PYOGENES
CRITERIA TO DX STREP THORAT TONSILLAR EXUDATE, TENDER ANTERIOR CERVICAL ADENOPATHY, HX OF FEVER , ABSENCE OF COUGH
DOES STREP THROUGHT CAUSE COUGH NO- BUT PT CAN HAVE CO-INFECTION
WHATS MOST COMMON TYPE OF STREP THROAT ? VIRAL OR BACTERIAL VIRAL (RHINOVIRUS, ADENOVIRUS, RSV)
STUFFY NOSE, CLEAR MUCUS, WATERY EYES (CORYZA) + STREP = STREP + CO-INFECTION
WHICH LYMPH NODES ENLARGE WITH STREP ANTERIOR CERVICAL LYMPH NODES
HOW DO YOU TEST FOR STREP RAPID ANTIGEN DETECTION TEST (RADT) W/ C AND S
FIRST LINE TREATMENT FOR STREP PEN V 500 BID-TID X 10 DAYS OR AMOXICILLIN 500 BID X 10 DAYS
HOW DO YOU TREAT STREP IF PT HAS PEN ALLERGY? AZITHROMYCIN (Z-PACK) X 5 DAYS
WHEN DO YOU DO A TEST FOR CURE WITH STREP IF PT HAS HX OF HEART VALVE SURGERY OR MITRAL VALVE PROLAPSE
SCARLATINA SCARLET FEVER
SANDPAPER TESTURED PINK RASH WITH SORE THROAT AND STRAWBERRY TONGUE THAT PEELS OFF SCARLET FEVER- A COMPLICATION OF STREP THROAT
INFLAMMATROY REACTION TO STREP THAT CAN AFFECT THE HEART AND VALVES, JOINTS, AND BRIAN ACUTE RHEUMATIC FEVER
CAN YOU GET A PERITONSILLAR ABSCESS FROM STREP YES- GO TO ED
ABRUPT ONSET OF PROTEINURIA , HEMATURIA, DARK COLOED URINE , AND RBC CASTS WITH HTN AND EDEMA POSTSTREPTOCOCCAL GLOMERULONEPHRITIS
WHAT CAN HAPPEN TO KIDNEYS WITH A STREP INFEC. POST-STREPTOCOCCAL GLOMERULONEPHRITIS
NON PHARM METHODS FOR SORE THROAT IBUPROFEN OR TYLENOL SALT WATER GARGLES, THROAT LOZENGES FLUIDS
HOW DOES AOM MANIFEST MUCUS BECOMES TRAPPED IN MIDDLE EAR SECONDAY TO TEMPORARY EUSTACHIAN TUBE DYSFUNCTION AND BACTERIAL PATHOGENS CAUSE INFECTION
WHAT PATHOGENS CAUSE AOM S. PNEUMONIAE (+) 40% HAEMOPHILUS INFLUENAE (-) 50% MORAXELLA CATARRHALIS (-) 20%
OTALGIA EAR PAIN
POPPING NOISES, MUFFLED HEARING, EAR PAIN THINK AOM
BULLOUS MYRINGITIS TYPE OF AOM THAT IS MORE PAINFUL BLISTERS ON A REEDEND AND BULGING TM
TREAT BULLOUS MYRINGITIS SAME AS AOM
WHAT KIND OF HEARING LOSS HAPPENS WITH BULLOUS MYRINGITIS CONDUCTIVE
WEBER RINNE REUSLTS LOOK LIKE WITH BULLOUS MYRINGIITS LATERALIATION TO THE BAD EAR BC>AC
MOST OBJECTIVE FINDING OF AOM FLAT LINE TRACING ON TYMPANOGRAM
FIRST LINE TREATMENT OF AOM AMOXICILLAN 500 TID X 5-7 DAYS (SEVERE 10 DAYS) IF NO OTHER ANTIBIOTICS IN PAST MONTH
HOW LONG SHOULD YOU WAIT TO DETERMINE IF THERE IS NO REPSONSE TO TREATMENT WITH AOM 48-72 HOURS THEN SWITCH TO AUGMENTIN
WHAT ANTIBIOTICS TREAT AOM AMOXICILLAN, AUGMENTIN, CEFDINIR (OMNICEF), CEFPROZIL (CEFTIN BID , OR LEVOFLAXACIN OR MOXIFLOXACIN QD X 5
HOW LONG CAN MIDDLE EAR EFFUSION PERSIST FOR UP TO 8 WEEKS
WAYS TO MINIMIZE ALLERGIC RHINITIS FLARE UPS AT HOME ALLERGY PILLOW COVERS, ALLRYG MATTRESS, HEPA ALLERGYFILTERS FOR AIR CONDITIONERS
COMMON PATHOGESN WITH ACUTE BACTERIAL RHINOSINUSITIS S. PNEUMONIAE H. INFLUENZAE VIRAL
HYPOSMIA REDUCED ABILITY TO SMELL
PT COMPLAINS OF BAD COLD OR ALLERGY FLARE UP WITH UNILATERAL FACIAL PAIN OR UPPER MOLAR PAIN WITH NASAL CONGESTION FOR 10 DAYS OR LONGER AND PURULENT NASAL OR POSTNASAL DRIP THINK ACUTE BACTERIAL RHINOSINUSITIS
HOW DO YOU TRANSILLUMINATE SINUES DARK ROOM, PUT FLASH LIGHT DIRECTLY ON CHEEK, OPEN MOUTH, LOOK AT ROOF OF MOUTH (HARD PALATE) FOR ROUND GLOW OF LIGHT, COMPARE BOTH SIDES FRONTAL SINUS: PLACE LIGHT ON UNDER THE SUPRAORBITAL RIDGE IN MEDIAL ASPECT
TREAT SINUSITIS ? WITHOUT ANTIBIOTICS IF MILD- WAIT 10 DAYS TO SEE IF WORSENS OR RESOLVING ANTIBIOTICS IF SEVERE SYMPTOMS (PURULENT DRAINAGE, FEVER, PAIN, PSOTNASAL DRIP 2-3 DAYS) OR SYMPOTOMS HAVE BEEN LASTING LONGER THAN 10 DAYS
FIRST LINE TREATMENT FOR SINUSITIS IN ADULTS AUGMENTIN 1,000/62.5 OR 2000/125 PO BID X 5-7 DAYS
HOW DO YOU TREAT SINUSITIS IF PT IS ALERGIC TO PCN LEVOFLOXACIN 750MG PO QD OR DOXY BID X 5-7 DAYS IF PT ONLY HAD RASH AND NOT ANAPHLAXIS TO PCN: CEFDINIR, CEFPODOXIME (VANTIN), CEFUROXIME (CEFTIN) PO BID X 5-7 DYAS
OTC RELEIF OF SINUSTIS SYMPTOMS PAIN: NAPROXEN, TYLENOL COUGH: ORAL DECNGESTANTS (SUDAFED, OR MUCINEX D) TOPICAL DECONGESTANTS LIKE AFRIN FOR ONLY 3 DAYS!! SALINE NASAL SPRAY STERIOID NASAL SPRAY (FLONASE) IF ALLERGIC RHINITS MUCOLYTIC - GUAFENESIN
OTC COUGH RELIEF DEXTROMETHORPHAM QID (ROBITUSSIN) BENZONATATE (TESSALON PERLES) DO NOT CRUSH! TOXIC FOR KIDS STOP SMOKING AND DRINKING NO SYSTEMIC STEROIDS ADVISED
EMERGENCY COMPLICATIONS R/T OM AND RHINOSINUSITIS MASTOIDITS PREORBITAL OR ORBITAL CELLULITIS MENINGITIS CAVERNOUS SINUS THROMBOSIS
OM TREATMENT PLAN ORAL DECONGESTANTS STEORID NASAL SPRAY SALINE NASAL SPRAY WITH LONG ACTING ANTIHISTAMINE LIKE ZYRTEC
BACTERIAL INFECTION OF SKIN OF THE EXTERNAL EAR CANAL OTITIS EXTERNA
PATHOGENS COMMON IN OTITIS EXTERNA PSEUDOMONAS AERUGINOSA (-) S. AUREUS (+)
PT COMPLAINS OF PRURITIS, HEARING LOSS, SWELLING , EAR PAIN THINK? OTITS EXTERNA
TREATMENT OF OTITIS EXTERNA POLYMYXN B-NEOMYCIN-HYDROCORTISONE (CORTISPORIN OTIC) 4GTTS QID X7 OFLOXACIN OTIC OR CIPRFLOXACIN OTIC BID X 7
REOCCURNT EPISODES OF OTITIS EXTERNA PROPHYLAXIS OTIC DOMEBORO (BORIC) OR ALCOHOL AND VINGER (VOSOL)
AFTER EPSTEIN BARR VIRUS INFECTION IT CAN LAY LATENT IN OROPHARYNGEAL TISSUE AND BECOME REACTIVATED T/F TRUE
HOW IS EBV SHED? MAINLY SALIVA
WHAT NODES ENLARGE WITH MONO? POSTERIOR CERVICAL NODES
HOW WILL PT PRESENT WITH MONO USUALLY TEENAGER WITH SORE THROAT , MAILAISE , ENLARGED POSTERIOR CERVICAL NODES, FATIGUE FOR WEEKS- MONTHS. POSSIBLY ABD PAIN FROM ENLARGED LIVER OR SPLEEN
DO YOU NEED TO DO LABS WITH MONO YES, CBC WILL SHOW ATYPICAL LYMPHOCYTE SAND LYMPHCYTOSIS REPEAT CBC UNTIL RESOLVES WILL HAVE ABNORMAL LFT FOR SEVERAL WEEKS
RASH WITH MONO? YES , GENERALIZED RED MACULOPAPULAR RASH
OTHER DIAGNOSTIC TEST THATS EASY FOR MONO MONOSPOT TEST (HETEROPHILE ANTIBODY TEST (80-90%)
SERIOUS COMPLICAITONS OF MONO ENLARGED SPLEEN THAT RUPTURES! NEURO COMPLICATIONS : GUILLAIN -BARRE , ASPETIC MENINGITIS, OPTIC NEURITIS ETC
HOW LONG SHOULD ATHLETE AVOID SPORTS FOR WITH ENLAGED SPLEEN 4-6 WEEKS NEED TO VERIFY RESOLUTION WITH ULTRASOUND
FIRST LINE TREATMENT FOR ALLERGIC RHINITIS FLONASE
WHY IS ZYRTEC BETTER THAN BENADRYL NON-SEDATING AND LASTS 24 HOURS
TREATMENT FOR OTITIS EXTERNA CORTISPORIN OTIC DROPS (HAVE STERIOD IN THEM)
WHITISH CAULIFLOWER LIKE MASS IN EAR IS CALLED: CHOESTEATOMA
WHAT ANTIBIOTICS CLASSES ARE SAFE WITH PEN ALLERGIC PTS MACROLIDES, GRAM POSITIVE COVERAGE QUINOLONES AVOID CEPHALOSPORINS IF ANAPHALACTIC REACTION TO PCN
BC>AC = CONDUCTIVE HEARING LOSS
CARAMIDE PEROXIDE IS ??? OTC TREATMENT FOR CERUMINOSIS- REMOVE EAR WAX
HERPES SIMPLEX OR VARICELLA ZOSTER (SHINGLES OF TIRGEMINAL NERVE CAN CAUSE WHAT EMERGECY SITUATION HERPES KERATITIS ER AND OPTHALMOGIST STAT
FLUORESCEIN STRIPS USED FOR CORNEAL ABRASIONS AND KERATITIS DX.
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Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

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