3 Ear & Eye

Question 0

Cholesteatoma

Answer 0

Growth of squamous cell epithelium of middle ear

Question 1

Otosclerosis

Answer 1

Abnormal bone remodeling of middle ear

Question 2

Presbycusis

Answer 2

Age related hearing loss

Question 3

Caloric testing

Answer 3

Cold water to external canal (will produce tonic eye deviation to side of cold water and horizontal nystagmus to opposite side)

Question 4

Otalgia

Answer 4

Ear pain

Question 5

Otorrhea

Answer 5

Ear discharge

Question 6

Hyperopia

Answer 6

Far sightedness

Question 7

Myopia

Answer 7

Near sightedness

Question 8

Astigmatism

Answer 8

Refraction is unequal between eyes. May present as near or far sighted

Question 9

Presbyopia

Answer 9

Slow loss of ability to see close or small print. Assoc with aging

Question 10

Scotoma

Answer 10

Blind spot

Question 11

Myodesopia

Answer 11

Perception of floaters

Question 12

Hemanopsia

Answer 12

Blindness in half of visual field of one or both eyes

Question 13

Acute allergic/vernal conjunctivitis

Answer 13

Bilateral swelling of conjunctiva and lids. Spring-summer

Question 14

Chronic allergic conjunctivitis

Answer 14

Velvety projections on palpebral conjunctiva

Question 15

Giant papillary conjunctivitis

Answer 15

allergy to soft contacts

Question 16

Viral conjunctivitis

Answer 16

Assoc w adenovirus. 1-2 weeks

Could be HSV–> dendritic keratitis

Question 17

Bacterial conjunctivitis

Answer 17

From staph or strep. Copious, thick purulent discharge.

From Neiserria or Chlamydia

Question 18

Trachoma

Answer 18

Granular conjunctivitis from chlamydia throchoma

Question 19

Pinguecula

Answer 19

Harmless, raided bumps of fatty deposits

Question 20

Pterygium

Answer 20

Conjunctival thickening from wind, dust, occupational irritants

Question 21

Blepharospasm

Answer 21

Spasm of lid

Question 22

Corneal ulcer.

Answer 22

From HSV. Hutchinson sign

Question 23

Band keratopathy

Answer 23

Calcified plaques over eye

Question 24

Arcus senilis

Answer 24

Whitish deposits around limbus

Question 25

UV keratitis

Answer 25

Cumulative damage to cornea. Snow blind.

Question 26

Acute uveitis

Answer 26

Inflammation of uveal tract

Question 27

Ankylosing spondylitis

Answer 27

Fusing of SI joint

Question 28

Cataracts

Answer 28

Opacity of the lens with painless, progressive vision loss

Question 29

Acute closed angle glaucoma

Answer 29

Emergency. Block of outflow channels in angle. Red eye.

Question 30

Chronic open angle glaucoma

Answer 30

90% of cases.malfunction of eye's drainage system. Assoc with aging

Question 31

Preseptal cellulitis

Answer 31

Inflammation of eyelid/skin anterior to septum

Question 32

Orbital cellulitis

Answer 32

Emergency. Infection of skin/muscles posterior to septum

Question 33

Retinal detachment

Answer 33

Emergency. Painless dark floaters. Blurred vision.

Question 34

Posterior Retinal Detachment

Answer 34

With age, vitreal gel collapses and pulls forward

Question 35

Diabetic retinopathy

Answer 35

Venous dilation and small, red, well demarcated lesions--> macular edema

Question 36

Hypertensive retinopathy

Answer 36

Vascular changes with htn

Question 37

Retinitis pigmentosa

Answer 37

Inherited, slowly progressive, bilateral retinal degeneration

Question 38

Blepharitis

Answer 38

Inflammation of lid margins--> itching, irritation, red eye

Question 39

Hordeolum

Answer 39

Stye. Localized infection of eyelids involving sebaceous glands. Staph.

Question 40

Chalazion.

Answer 40

Meibomian cyst.

Question 41

Entropion

Answer 41

Lid inversion

Question 42

Ectropion

Answer 42

Lid eversion.

Question 43

Dacryoadenitis

Answer 43

Enlarged lacrimal gland on lateral aspect of eye

Question 44

Dacryocystitis

Answer 44

Inflammation of lacrimal sac. Infants.

Question 45

Dacryostenosis

Answer 45

Congenital narrowed lacrimal duct in neonates

Question 46

Acute otitis externa

Answer 46

Itching, discharge, pain.

Question 47

Chronic otitis externa

Answer 47

Follows seborrheic dermatitis, psoriasis, eczema, allergy, fungus

Question 48

Perichondritis

Answer 48

Inflammation of ear cartilage

Question 49

Ear tumors

Answer 49

Bcc, scc, sebaceous cysts, osteomas, gouty deposits

Question 50

Acute otitis media

Answer 50

Strep, H flu, Moraxella. Throbbing pain, fever, tug on ear, irritable.

Question 51

Otitis media with effusion

Answer 51

Chronic. Fluid in middle ear due to incomplete resolution of AOM

Question 52

Chronic suppurative otitis media

Answer 52

Chronic inflammation, >6 weeks, TM peroration, otorrhea

Question 53

Myringitis

Answer 53

Inflammation of TM. Secondary to uri

Question 54

Mastoiditis

Answer 54

Suppurative inflammation of mastoid air cells. Complication of AOM

Question 55

Tympanosclerosis

Answer 55

From chronic OM, t-tubes. Stiffening--> conductive hearing loss

Question 56

Viral labrynthitis

Answer 56

Uri--> hearing loss, vertigo, nausea, vomiting. Unique form: herpes zoster oticus

Question 57

Bacterial labrynthitis

Answer 57

Bacterial invasion/toxins in inner ear

Question 58

Vestibular neuritis

Answer 58

Benign, temporary. Vertigo NOT assoc w hearing loss

Question 59

Benign paroxysmal positional vertigo

Answer 59

Movement --> nystagmus. Due to canaliathis or cupulolithiasis

Question 60

Acoustic neuroma

Answer 60

*consider unilateral SNHL this* | Tumor from Schwann cells of CN VIII

Question 61

Meniere

Answer 61

TRIAD: SNHL, vertigo, tinnitus

Question 62

Toxic vestibulopathy

Answer 62

Central disorder. From ingesting toxins

Question 63

Tumarkin crises

Answer 63

Such vertigo that you collapse. Characteristic of meniere

Question 64

Hyphema

Answer 64

Hemorrhage into ant chamber from trauma, fluid line