EENT

Question 1

complication of diptheria

Answer 1

myocarditis

Question 2

tx diptheria

Answer 2

Penicillin plus macrolide (azithromycin)

Question 3

tx otitis media

Answer 3

amoxicillin or azithromycin (macrolide if allergic to penicillin)

Question 4

conductive hearing loss

sensorineuro hearing lsos

Answer 4

Conductive: something blocking (b>a)
Senseurineuro: nerve conduction issue (a>B)?

Question 5

nausea, vomiting, vertigo, without hearing loss

Answer 5

vestibular neuronitis

Question 6

tx vestibular neuronitis

Answer 6

vestibular sedatives (Gravol)

Question 7

workup for sinusitis

Answer 7

bacterial culture of sinuses
CT most sensitive
x-ray

Question 8

candida tx

Answer 8

nystatin

cluconazole

Question 9

causes of glossitis

Answer 9

iron def
niacin def (pellegra)
B12 or folate def
vit c def
hairy leukoplakia (EBV)

Question 10

acute febrile illness with small vesicles on posterior oropharyngeal structures

Answer 10

herpangina

Question 11

white patch with sharp borders of oropharynx, floor of mouth, soft palate, tongue
cannot be scraped off
can become cancerous
associated with smoking and ETOH consumption

Answer 11

leukoplakia

Question 12

quinsy triad for peritonsillar abscess

Answer 12

trismus (can't open)
uvular deviation
dysphonia
other features:
sore throat, dysphagia, painful swalloing, LA

Question 13

workup peritonsillar abscess

Answer 13

throat culture

xray or CT

Question 14

etiology pharyngitis

Answer 14

viral 80% adenoviurs, enterovirus or EBV

Bacterioal 20% GAS

Question 15

CENTOR criteria

Answer 15

exudate
Cerv LA
fever
absence of cough
age < 15
age over 45 minus 1 point

Question 16

Centor criteria scoring

Answer 16

4 points: ab
2-4: test, treat or not
0-1: no tests no ab

Question 17

common ab for ear complaints

Answer 17

penicillins and macrolides

sometimes fluoroqinolones

Question 18

bad sign of eye issue

Answer 18

ciliary injection vs conjunctival injection which is less serious (red around periphery)

Question 19

unilateral, severe eye pain, rapid loss of vision, NS, hazy cornea, fixed, mid-dilated pupil

Answer 19

acute angle closure glaucoma

Question 20

pain, photophobia, blurred vision, tearing, redness, eyelid edema

Answer 20

keratitis

Question 21

most common cause of infectious blindness in western countries often caused by HSV1

Answer 21

keratitis

Question 22

asymptomatic initially, slow progressive loss of peripheral vision, slow rise in intraocular pressure or difference between eye pressure, larger cup to disc ratio

Answer 22

chronic open angle glaucoma

Question 23

central vision loss

Answer 23

macular degeneration

Question 24

peripheral vision loss

Answer 24

glaucoma

Question 25

sudden onset floating spots and flashes of light

hx of recent head trauma

Answer 25

retinal detachment

Question 26

age >50
acute onset floaters (one large one)
decrease in vision

Answer 26

posterior vitreous detachement

Question 27

slow progressive loss of bilateral night vision

retinal pigment changes

Answer 27

retinitis pigmentosa

Question 28

AMslers chart

Answer 28

dx glaucoma

Question 29

how do you dx acute angle closer glaucoma

Answer 29

slit lamp

Question 30

how do you dx causes of vertigo

Answer 30

electronystygmography