EENT Flashcards
disease CAUSED BY THE GRAM positive s. PNEUMONIAE
COMPS
C conjunctivitis O otitis media M meningitis P Pneumonia S Sinusitis
Disease caused by gram negative H. influenzae
COMPS
C conjunctivitis O otitis media M meningitis P Pneumonia S Sinusitis
1 causative agent on acute bacterial rhinosinusitis
S. Pneumoniae
Matthew is a 29-year-old man who presents with a 6-hour history of sudden onset of inability to raise his eyebrow or smile on the right side. He also reports decreased lacrimation in the right eye and difficulty closing the right eyelid. The rest of his health history and physical examination is otherwise unremarkable
This likely represents paralysis of cranial nerve (CN):
III.
VIII.
IV.
VII.
7
Matthew is a 29-year-old man who presents with a 6-hour history of sudden onset of inability to raise his eyebrow or smile on the right side. He also reports decreased lacrimation in the right eye and difficulty closing the right eyelid. The rest of his health history and physical examination is otherwise unremarkable.
Which of the following is the most appropriate next step in Matthew’s care?
Urgent referral for neuroimaging
Initiating a course of oral corticosteroids
Prescribing a short course of high-dose antiviral therapy
Referral to a neurology specialist within the next 24‒48 hours
INitiating a course of oral steroids
You see a 55-year-old woman who presents for a health maintenance visit. She has longstanding myopia and newer-onset presbyopia, both corrected with eyeglasses. She is normotensive and without ocular complaint. You anticipate the following on today’s eye exam:
Retinal arteries wider than veins.
Equal, sluggish pupillary response.
Sharp disc margins.
Lid ectropion.
Sharp disc margins. this is a normal finding
Caused by increased intracranial pressure, regardless of etiology, with patient report of a new onset “blind spot” in the visual field
papilledema
Stiffened, thickened arterioles, seen with chronic, poorly controlled HTN, usually without visual change
arteriovenous nicking
Caused by high-grade HTN or proliferative DM retinopathy, trauma, with patient complaint of new-onset “floaters” in the visual field
hemorrhagic lesions
As a result of acute angle-closure glaucoma, typically with new onset unilateral eye discomfort, redness, blurred vision
a deeply cupped optic disk
Gradual peripheral vision loss, usually noted in older adult
Untreated open-angle glaucoma
Gradual onset blurring of near vision, most often noted by age mid-late 40s
– Presbyopia
Central vision loss, usually in adult of advanced age –
Macular degeneration
Evaluation of anterior eye structures, including cornea, conjunctiva, sclera, and iris
– Slit-lamp examination
Early detection of macular degeneration –
Amsler grid test
Measurement of intraocular pressure, glaucoma screening test
– Tonometry
During a clinical encounter with a 78-year-old man with presbycusis, the NP considers that communication will be enhanced by all of the following except:
Maintaining eye contact with the patient.
Ensuring the patient can see the NP’s face clearly.
Playing soft music in the background.
Providing adequate illumination in the exam room.
Playing soft music in the background.
The Most common offending organism in otitis externa?
Pseudomonas
treat with ciprofloxacin drops
NEVER USE NEOMYCIN GTTS ID tm PERFORATED
Common causative factor in Suppurative conjunctivitis?
The SS HO Staph Aureus Strep. Pneumoniae H. influenza Outbreaks due to s. pneumon.
Primary TX: FQ occular
Alternative TX: Polymixin B (
Exudative pharyngitis common causative fxs?
Group A, C, G strep, VIRAL
First-line Pen VK
Alternative: second gen cephalosporins
