EENT Flashcards

1
Q
  • Acute sudden painless monocular vision loss
  • Pale retina with cherry-red macula
A

Central retinal arterial occlusion

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2
Q
  • Acute sudden painless monocular vision loss
  • Extensive retinal hemorrhages (blood and thunder appearance)
A

Central retinal venous occlusion

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3
Q
  • Bilateral progressive central vision loss (including detailed and color vision)
  • Metamorphopsia – straight lines appear bent
  • Drusen bodies = dry form
  • Neovascularization with retinal hemorrhage and scarring = wet form
A

Macular degeneration

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4
Q
  • Conjunctivitis on day 1 = chemical conjunctivitis
  • Conjunctivitis on days 2-5 = gonococcal conjunctivitis
  • Conjunctivitis on days 5-7 = chlamydial conjunctivitis
A

Ophthalmia neonatorum

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5
Q
  • Continuous peripheral vertigo
  • Dizziness, nausea, vomiting, gait disturbances
  • Horizontal or rotary nystagmus
  • Unilateral hearing loss with tinnitus (labyrinthitis)
A

Labyrinthitis and vesticular neuritis

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6
Q
  • Diplopia especially with upward gaze (entrapment of inferior rectus muscle)
  • Blunt trauma to the eye socket
  • Orbital emphysema (air entering from maxillary sinus)
  • “Teardrop sign”: inferior herniation of orbital fat inferiorly (seen on CT Scan)
A

Orbital floor “blowout” fracture

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7
Q
  • Episodic peripheral vertigo (lasts minutes to hours)
  • Fluctuating sensorineural hearing loss
  • Tinnitus
  • Ear fullness
  • Horizontal nystagmus
A

Meniere disease

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8
Q
  • Epistaxis associated with mucopurulent drainage
  • Foul odor
  • Mouth breathing
A

Nasal foreign body

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9
Q
  • Erythematous, painful, warm, nodule or papule on eyelid
A

Hordeolum (AKA: stye)

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10
Q

Eyelids and lashes turned inward (inverted)

A

Entropion

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11
Q

Eyelids and lashes turned outward (everted)

A

Ectropion

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12
Q
  • Leukocoria (presence of an abnormal white reflex instead of the normal red reflex)
  • MC seen in children < 3 years of age
A

Retinoblastoma

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13
Q
  • Muffled “hot potato” voice with trismus
  • Drooling/difficulty in dealing with oral secretions
  • Swollen or fluctuant tonsil
  • Uvula deviation to the contralateral side
A

Peritonsillar abscess

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14
Q
  • Painful loss of vision with decreased color vision
  • Central scotoma (blind spot)
  • Marcus-Gunn pupil: relative afferent pupillary defect)
A

Optic neuritis

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15
Q
  • Painless indurated granuloma of the internal Meibomian sebaceous gland away from eyelid
A

Chalazion

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16
Q
  • Photopsia (flashing lights) followed by floaters
  • Progressive unilateral peripheral vision loss (like “curtain coming down” or a shadow
A

Retinal detachment

17
Q

Purulent discharge with lid crusting (“stuck shut”) in morning

A

Bacterial conjunctivitis

18
Q
  • Slow, progressive bilateral painless peripheral vision loss
  • Tunnel vision
A

Chronic (open angle) glaucoma

19
Q
  • Sudden, episodic peripheral vertigo
  • Short lasting (< 60 seconds)
  • Not associated with hearing loss, tinnitus, or ataxia
  • Canalith repositioning
A

Benign paroxysmal positional vertigo

20
Q
  • Sudden onset of severe unilateral ocular pain
  • Precipitated by mydriasis and dim lights
  • Haloes around lights and loss of peripheral vision
  • Conjunctival erythema
  • “Steamy” or cloudy cornea
  • Mid-dilated fixed pupil
A

Acute narrow angle-closure glaucoma

21
Q
  • Triangular-shaped growing fibrovascular mass
  • Usually starts on medial/nasal side of eye
  • Ultraviolet exposure (surfer’s)
A

Pterygium

22
Q
  • Unilateral sensorineural hearing loss = acoustic neuroma until proven otherwise)
  • Tinnitus
  • Vertigo with ataxia and headache
  • Facial numbness (CN V) or facial paresis (CN VII)
A

Acoustic (vestibular) neuroma

23
Q
  • Unilateral severe ocular pain and photophobia
  • Eye redness
  • Blurred or decreased vision
  • Constricted pupil
  • Ciliary injection (limbal flush)
  • Consensual photophobia
  • Inflammatory “cells and flare” on slit lamp
A

Uveitis

(AKA: iritis)

24
Q
  • Yellow, slightly elevated nodule on conjunctiva
  • Usually located on nasal side of sclera
  • Does not grow onto the cornea
A

Pinguecula