Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
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
EENT LEIK
BOARD REVIEW -EENT
| Question | Answer |
|---|---|
| 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. |
Created by:
krystalcarey
Popular Nursing sets