EENT

Question 1

Etio and tx blepharitis

Answer 1

Etio: eyelid gland secretions or Staph
Tx: baby shampoo and/or topical ABX

Question 2

Viral conjunctivitis etio

Answer 2

Adenovirus 3, 8, 19

Question 3

Bacterial conjunctivitis pathogens

Answer 3

Strep pneumoniae
Staph aureus
H flu
Moraxella

Question 4

Pathogen Dacrocystitis

Answer 4

Staph> Strep. Tx with Keflex or augmentin

Question 5

Complication of orbital cellulitis

Answer 5

Encephalitis: admit pts with orbital cellulitis (usually pets) to prevent encephalitis

Question 6

Tx of corneal abrasion from contact lenses

Answer 6

Fluroquinolone drops to cover Pseudomonas

Question 7

Prolonged steroid use can cause what eye condition?

Answer 7

Cataracts

Question 8

Retinal detachment associated with what 2 comorbidites?

Answer 8

Diabetes

Sickle cell disease

Question 9

Tx Hyphema

Answer 9

Eye drops to dilate

Question 10

Strabismus associated with what other condition?

Answer 10

Retinoblastoma

Question 11

Conductive hearing loss: weber, rinne

Answer 11

CONDUCTIVE:
Weber: localize to bad ear
Rinne: BC>AC (negative Rinne)

Question 12

Sensorineural loss: weber, rinne

Answer 12

SENSORY LOSS:
Weber: localizes to good ear
Rinne: AC>BC (positive Rinne)

Question 13

Nasal polyps associated with what other condition?

Answer 13

Cystic fibrosis (about 1/4 of ppl with cystic fibrosis have nasal polyps)

Question 14

Most important diagnostic to order in a pt with Meinere’s?

Answer 14

MRI: R/O acoustic neuroma

Question 15

Anterior vs posterior blepharitis

Answer 15

anterior: Staph or seborrheic
Posterior: meibomian gland dysfunction

Question 16

Most common cause of orbital cellulitis?

Answer 16

Paranasal sinusitis

Question 17

Tx herpes keratitis

Answer 17

Topical Trifluridine 1% q 2 hours x 10-14d
Avoid topical steroids
Can use oral antivirals (zovirax) if pt is not pregnant and does not have renal disease if pt cannot use a topical agent or has bilateral eye disease

Question 18

Most common eye tumor in children

Answer 18

Retinoblastoma. Sx: strabismus, leukocoria (white pupil)

Question 19

Giant cell arteritis associated with what eye condition?

Answer 19

Retinal artery occlusion

Question 20

Reiters syndrome triad

Answer 20

arthritis
conjunctivtis
urinary sx
(Can’t see, can’t pee can’t climb a tree= Reiter’s)

Question 21

Amblyopia definition

Answer 21

permanent loss of visual acuity in a child from abnormal visual experience during the maturation phase of sight development. Can be caused by Strabismus

Question 22

Sx acute angle closure glaucoma

Answer 22

Halos around lights
pain
pupil mildly reactive and mid dilated
nausea
IOP> 40

Question 23

Normal appearing TM with conductive hearing loss noted with tuning fork tests.

Answer 23

Otosclerosis

Question 24

Pt has conductive hearing loss (wax) in the Right ear. Weber and Rinne?

Answer 24

Weber lateralizes to the bad (right) ear.

Rinne negative : BC>AC

Question 25

Pt has sensorineural hearing loss in the right ear. Weber and Rinne?

Answer 25

Weber lateralizes to the good (left) ear.

Rinne positive : AC>BC

Question 26

Horner’s

Answer 26

Miosis and Ptosis

Question 27

Argyll Robinson pupils

Answer 27

Syphilis
Maybe DM neuropathy
Accommodate but do not react to light