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Nurse Practitioner > EENT > Flashcards

EENT Flashcards

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1
Q

Seborrheic Dermatitis eye Lid edge

A

Blepharitis

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2
Q

Abrupt pain and Redness of eyelid, localized mass

A

Hordeolum (Stye)

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3
Q

Cotton wool spots Retinal Vessel

A

See DM II or HTN

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4
Q

Gray/white circle around the limbus and cloudy cornea

A

Arcus Senilis

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5
Q

Define 20/50 vision

A

Testee has to be 20 ft to see an Avg. person can see 50 ft

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6
Q

Orange/Pink neuroretinal rim with Central white depression on eye

A

Optic Disc

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7
Q

The ratio of optic Disc suspected of Glaucoma

A

Cup > 0.5 Disc Diameter

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8
Q

> 40 yrs; Weakening ciliary & Stiff Lense

A

Presbyopia

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9
Q

Noncancerous wedge shaped growth conjunctiva

A

Pterygium

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10
Q

Mgmt Stye

A

Hot Compress, x2 Atbx (Clinda or Bactrim) + (Augmentin or Cefdinir or Cefpodoxime),
> 2 days opthalmology

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11
Q

Mgmt Blepharitis

A

Hot Compress, Atbx (Bacitracin or Erythromycin), Vigorous lash scrub

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12
Q

Swelling on the eyelid, Eyelid tenderness, Sensitivity to light, and Increased tearing, May cause astigmatism, painless nodule/cyst eyelid

A

Chalazion

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13
Q

Red, scaly, greasy flakes on eye lid edge with thickened crusted lid margin, itching, burning, tearing

A

Blepharitis

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14
Q

Are all pink eye related to Infection?

A

No. Chemical and Allergic (Stringy; Increased tearing)

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15
Q

Mgmt of Viral Conjunctivitis

A

Artificial Tears, Cool compress, NSAID

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16
Q

Mgmt of Bacterial Conjunctivitis

A

Levofloxacin, Ofloxacin, Ciprofloxacin, Tobramycin, Gentamycin

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17
Q

Mgmt of Non-infective conjunctivitis

A

Chemical - NS Flush, Allergic - Oral Antihistamine; Avoid Steroid –> Increase IOP, Activate Herpes

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18
Q

Acute extremely painful with Blurred vision, Halo around the lights with Pupils fixed or dilated

A

Closed Angle Glaucoma

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19
Q

Cupping of Disc, Asymptomatic, and Peripheral visual fields decrease

A

Open Angle Glaucoma

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20
Q

No Red Reflex of the Eye

A

Cataract

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21
Q

Cloudy, blurry, dim vision with Halos around lights,, sensitivity to light, and glare

A

Cataract

22
Q

The opacity of the lens, need a brighter light for reading and other activity, diplopia in a single eye

A

Cataract

23
Q

Visual disturbance Flashes of light; Floaters; Shadow or blindness part of visual field

A

Retinal Detachment

24
Q

Mgmt Otitis Externa

A

Clean/Debride ear; Otic gtt (Hydrocortisone/Neomycin/Polymyxin); NSAID, topical Corticosteroid

25
Q

Tympanic Membrane has diminished light reflex; poor motility bulging and convex

A

Otitis Media

26
Q

Atbx Trmt Otitis Media

A

Augmentin or Cephalosporin (Cefdinir, cefpodoxime or cefuroxime)

27
Q

Peeling layers of scaly keratinized epithelium or sac-filled desquamated keratin, PAINLESS, may present hearing loss, may have tympanic perforation

A

Chronic Otitis Media (Chlesteatoma)

28
Q

Vertigo, Intermittent sensorineural hearing loss, and tinnitus

A

Menniere’s disease

29
Q

Lab/Diagnostic for Vertigo

A

CT, VDRL/RPR (Syphilis), Serum Med Level, Whiper test (Hearing exam), Blood glucose, ECG

30
Q

Positive Dix-Hallpike

A

Benign Paroxysmal positional vertigo

31
Q

Mgmt Vertigo

A

Diazepam (Valium), Meclizine (Antivert), Benadryl, Scopolamine, Antiemetic

32
Q

Hearing loss criteria

A

> 20 dB

33
Q

Ototoxic Drugs

A

Aminoglycoside, Diuretic, Salicylate, NSAID, Antineoplastic

34
Q

Rinne Test Conduction

A

Air Conduction > Bone Conduction

35
Q

Sensorineural Hearing Loss

A

Trauma (Acoustic, Baro, Head), Ototoxic drug, Meniere, Neuroma, Infection

36
Q

Conductive Hearing Loss

A

Impaction, Hematoma, Perforation, Otitis Media, Otitis externa, Otosclerosis

37
Q

Hearing loss - Weber test

A

Conductive: Sound lateralize affected ear
Sensorineural: Sound lateralize unaffected ear

38
Q

Hearing loss - Rinne Test

A

Conductive: Abnormal in the affected ear
Sensorineural: Normal in the affected ear

39
Q

Normal Weber Finding

A

Sounds heard bilaterally

40
Q

Centor Criteria includes

A

Age of Patient, Lack of Cough, Fever, Pharyngo-tonsillar Exudate or swelling, Anterior cervical adenopathy

41
Q

Centor Criteria Score (No testing needed)

A

< 1

42
Q

Atbx Txmt Strep

A

1 Penicillin V then Amoxicillin; if allergic Azithromycin, Clarithromycin, Clindamycin, Cephalexin, Cefadroxil

43
Q

Viral Pharyngitis is associated with?

A

Rhinorrhea

44
Q

Med to shorten Flu

A

24-36 symptom onset; Oseltamivir, Zanamivir (Avoid asthma or COPD –> Bronchospasm), Baloxavir marboxil

45
Q

Posterior cervical adenopathy, with white tonsillar exudate with malaise and fatigue

A

Mononucleosis

46
Q

Contact sports should be avoided for this time frame for mononucleosis. Txtmt med?

A

3 weeks to month; Prednisone/Steroid

47
Q

Most common site for nose bleed

A

Anterior septum

48
Q

Friable erosive nasal septum

A

Inhaled substance abuse

49
Q

Decreased transillumination of the sinuses

A

Sinusitis

50
Q

Bacterial Sinusitis will have

A

Purulent nasal drainage and Fever

51
Q

Mgmt of Sinusitis

A

Hydration, Intranasal saline irrigation, Intranasal corticosteroid, Analgesisc, Atbx Augmentin, Doxycycline

Nurse Practitioner (9 decks)

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