EENT

  1. What should the cup to disk ratio be less than?
    < 0.5
  2. Which are larger in the eye - arteries or veins?
    Veins (they also pulsate)
  3. Abrupt onset of severe eye pain accompanied by headache, nausea/vomiting, halos around lights, decreased vision. Exam reveals a mid dilated pupil that is oval shaped, cornea is cloudy, and there is cupping of the optic nerve. What does the patient most likely have?
    Acute Angle Closure Glaucoma (medical emergency)
  4. Cauliflowerlike growth accompanied by foul smelling ear discharge. Hearing loss on the affected ear. No tympanic membrane is visible because of the obstruction from the tumor. Patient has had a long history of otitis media infections.
    Cholesteatoma
  5. Bruise behind the ear over the mastoid area, patient has clear golden serous discharge from ear & nose. What does the patient have?
    Battle Sign - Basilar Skull Fracture
  6. Patient has sore throat, low grade fever, markedly swollen “bull neck.” What does the patient have?
    Diphtheria (very contagious - Refer to ED)
  7. Treatment for otitis externa?
    Cortisporin Otic drops
  8. Lateral or Veritcal nystagmus is normal?
    Lateral (vertical is always abnormal)
  9. Otitis externa’s most common bacterial pathogen is what?
    Pseudomonas
  10. A patient has mono what should he avoid and for how long? When can the patient resume?
    Avoid contact sports for 4 weeks until ultrasound documents resolution
  11. Periorbital sinusitis complication
    Cholesteatoma
  12. You should not use amoxicillin within what type of time frame?
    3 months - use augmentin or Ceftin
  13. PNC allergic patient - what antibiotics should you void? Should you use?
    Avoid Cephalosporins- (especially if class 1 reaction)

    Use Macrolides & Sulfas
  14. Weber exam should be symmetric for both ears or laterialize to one ear?
    Symmetric
  15. Weber & Rinne are testing what CN?
    8
  16. Rinne test result that is indicative for conductive hearing loss is?
    BC > AC
  17. Normal finding of Rinne test?
    AC > BC
  18. Place tuning for midline on forehead is what type of test?
    Weber test
  19. A patient has 20/60 vision. What does that mean?
    Patient can see at 20 feet what a person with normal vision can see at 60 feet
  20. Most common OTC treatment for cerumenosis?
    Carbamide Peroxide
  21. Chronic autoimmune disorder characterized by decreased function of lacrimal and salivary glands, chief complaint is “dry eyes.”
    Sjogren’s Syndrome
  22. Chart used for colorblindness?
    Ishihara
  23. A chronic inflammation of the meiboman gland (specialized sweat gland) of the eye lid. Patient complains of gradual onset of small superficial nodule that feels like a bead in the upper eyelid. Painless. Benign, changes slowly overtime. What is it?
    Chalazion
  24. A yellow triangular thickening of the bulgar conjuctiva. Located on the inner and outer margins of the cornea. Caused by UV light damage to collagen.
    Pinguecula
  25. A yellow triangular thinkening of the conjuctiva that extends to the cornea. Due to UV damaged collagen from chronic sun exposure. Usually assymptomatic. What is it?
    Pterygium
  26. First line treatment for strep throat?
    PNC x10 days

    (Azithromycin if PNC allergic)
  27. Chronic use of steroids can cause what eye condition?
    Cataracts
  28. Small sized red papules with blue-white centers inside the cheeks by the lower molars are called what?
    Koplik’s spots
  29. Diabetic Retinopathy can cause what 2 things?
    • -Microaneurysms
    • -Cotton Wool spots
  30. Arteries indent & displace veins from HTN - “mild retinopathy”
    AV Nicking
  31. Cotton wool spots is caused by?
    • HTN
    • DM
    • Microinfarct occurs - considered “mild retinopathy”
  32. Loss of central vision over the years and the first sign is a central blind spot?
    Macular Degeneration
  33. Pt has + strep test but mono is suspected. What ABX should be prescribed?
    • Keflex
    • Duracef (cefadroxil)
  34. S/S of mono?
    3 Fs & an L

    • -Pharyngitis
    • -Fever
    • -Fatigue
    • -Lymphadenopathy
  35. Considered moderate retinopathy - blot & for hemorrhages, hard exudates caused by DM & HTN
    Flame Hemorrhages
  36. Which chart measure central vision?
    Snellen Eye Chart
  37. Blind spot in visual field is referred to as ?
    Scotoma
  38. Appears as fern like lines when using fluorescein dye stain?
    Herpes Keratitis
  39. A painful acute bacterial infection of the hair follicle on the eyelid that has a pustule.
    Hordeolum (Stye)
  40. Most common type of glaucoma - peripheral vision is lost first & then central vision. IOP >22mmHG (High).
    Primary Open Angle Glaucoma - Refer pt to ophthalmologist
  41. Sudden blockage of aqueous humor causes marked increase of IOP, pt has severe frontal headache with blurred vision and tearing. Halos around lights.
    Primary Angle Closure Glaucoma - refer pt to ED
  42. High risk in autoimmune disorders, RA, Lupus, Ankylosing Spondylitis, Syphillis where pt complains of red and sore eyes.
    Anterior Uveitis (Iritis)
  43. Who is macular degeneration most common in?
    • Elderly
    • Smokers
  44. High dose vitamins containing antioxidants & zinc may be given for what type of eye condition?
    Macular Degeneration
  45. Chronic condition of the base of the eyelashes caused by inflammation and can be scrubbed with Johnson’s Baby Shampoo
    Blepharitis
  46. Treatment for Allergic Rhinitis?
    • Nasal Steroid
    • Decongestants
    • Zyrtec
  47. Rhinitis Medicamentosa
    Prolonged use of topical nasal decongestants >3 days that causes rebound effects
  48. Complains of ear pain, popping noises. Muffled hearing with recent history of a cold.
    OM
  49. When is a transillumination test positive?
    If the Glow of light is duller on one side versus the other
  50. First line medication for OM?
    Amoxicillin 500-875mg x 10-14 days
  51. Positive Brudzinki’s or Kernig’s Sign is indicative of what?
    Meningitis
  52. Tympanic membrane bulged/retracted with fluid level with bubbles is indicative of ?
    OM with effusion
  53. Diagnostic for Mono?
    • CBC - increased lymphocytes (>50%) -repeat CBC until lymphocytes normalize
    • Monospot - Positive
    • EBV Titers
    • Hepatomegaly/Spleenomegaly (increased ALT/AST)
  54. Skin fissures and maceration at the corners of the mouth. Tx?
    Cheilosis - triple antibiotic topical
  55. Cheilosis may be caused by what etiologies?
    • IDA
    • Vitamin deficient
    • Over salivation
  56. How long do you treat Acute Sinusitis for? First line med?
    5-7 days (Amoxicillin first line)
  57. What is the most common pathogen in pharyngitis?
    Streptococcus Pyogenes
  58. How long does strep last and why do we treat it anyways?
    It will last 2-5 days but we treat it to prevent sequella (rheaumatic fever, etc.)
  59. On exam you notice a patient has thumb sign, what condition does the patient have?
    Epiglottitis
  60. Patient has sore throat, muffled voice, drooling, stridor, hoarseness, fever, & thumb Sign. What does the patient have?
    Epiglottitis (do not ever examine throat)
  61. Which lymph nodes are commonly swollen in patients who have mono?
    Posterior cervical lymph nodes
  62. Where is the most likely place for a nose bleed?
    Kiesselbach’s Plexus
  63. What drug is first line for initial management of allergic rhinitis?
    Topical Nasal steroid
  64. Which eye structure is responsible for color vision?
    Cones
  65. The Weber and Rinne test what CN?
    8
  66. Cones in the retina are responsible for what?
    • Color
    • Central Vision
  67. Patient has a gray ring around the edge of he Iris, what is this called and what is it caused by?
    Arcus Senilis - caused by lipid deposits therefore screen for hyperlipidemia
  68. Small, dark red round dots on the retinal surface are called what?
    Microaneurysm
  69. Bright, reflective white/cream colored lesions on the retina that are an accumulation of lipid & protein are known as what?
    Exudates
  70. Small areas of dull, yellow white coloration in the retina is know as what?
    Cotton wool spots (DM & HTN)
Author
Brt25874
ID
345733
Card Set
EENT
Description
Eent
Updated