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ENT & Ophtho

QuestionAnswer
White pupil in a baby Retinoblastoma
Patient with sudden severe headache and reports seeing halos. Physical exam reveals mid-dilated pupil that does not react to light. What is the management? administer systemic carbonic anhydrase inhibitors (Diamox) and topical beta-blockers with immediate consult to ophthalmologist
Patient with hot, red, swollen eyelid with dilated and fixed pupil. Management? 1. Orbital cellulitis 2. emergency CT scan and drainage
Patient reports seeing sudden flashes of light and having "floaters" in the eye retinal detachment
What is the management in a patient with suspected embolic occlusion of the retinal artery? vasodilate and shake the clot into a more distal location but having patient breath into a paper bag and repeatedly pressing on the eye
1. Facial nerve paralysis of gradual onset 2. Facial nerve paralysis of sudden onset. 1. facial nerve tumor 2. Bell palsy
Most common tumor found at the angle of the mandible Pleomorphic adenoma
Which organ system is likely involved: 1. Dizziness in which the patient feels the room spinning 2. Patient is unstead on their feet but room in stable 1. inner ear 2. brain
Patient with long history of diabetes develops "floaters" in their vision. Vitreous hemorrhage
Patient with recent cataract removal presents with sudden onset of blurry vision and floaters. retinal detachment
Sudden, painless, loss of vision. Pale retina and cherry-red spot at the fovea on fundoscopic examination. Central retinal artery occlusion
Sudden, painless, loss of vision. Disk swelling, venous dilation and retinal hemorrhages in fundoscopic examination. Central retinal vein occlusion
1. Blood collection in sclera after trauma 2. What is the management 1. subconjunctival hemorrhage 2. no therapy necessary
1. Painful eye. Pain occurs when shining light into the unaffected eye. 2. Treatment 1. uveitis; consensual light reflex constricts contralateral eye 2. topical or systemic steroids