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SmartyPance:EENT > EENT Boards - Sheet1 > Flashcards

EENT Boards - Sheet1 Flashcards

1
Q

Seborrheic, warm compress, baby shampoo

A

Blepharitis

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2
Q

Enophthalmos and Dystopia. Periocular ecchymosis, diplopia, infraorbital nerve damage.

A

Blow out fracture

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3
Q

Opacity of lens. UV light. Absent red reflex

A

Cataract

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4
Q

Chronic painless nodule

A

Chalazion

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5
Q

Ropy watery. Pruritis

A

Allergic Conjunctivitis

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6
Q

Unilateral purulent discharge

A

Bacterial conjunctivitis

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7
Q

Bilateral mucoserous discharge

A

Viral conjunctivitis

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8
Q

Fluorescein staining

A

Corneal Abrasion

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9
Q

Optic neuritis. Increased ocular pressure may or may not occur. No screening.

A

Glaucoma

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10
Q

Halo, headache, vomiting, fixed pupil

A

Closed angle

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11
Q

Warm compress

A

Hordeolum

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12
Q

Central vision loss. > 65. Smoking. Amsler grid. Drusen. AREDS II formulation.

A

Macular Degeneration

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13
Q

Staph and Strep. Pain with movement. EOM paralysis. CT scan.

A

Orbital Cellulitis

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14
Q

Painless vision loss. Curtain being pulled down over their eyes.

A

Retinal Detachment

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15
Q

Amaurosis fugax. Pale retina

A

Retinal artery occlusion

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16
Q

Correct by 4 months. Cover/uncover test

A

Strabismus

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17
Q

Strep, moraxella, haemophilus. Tugging of ear. Immobility of TM. Bulging TM. Amoxicillin.

A

Otitis media

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18
Q

8th cranial nerve. Benign tumor. Sensorineural hearing loss.

A

Acoustic Neuroma

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19
Q

Painless otorrhea. Retraction pockets. CT scan.

A

Cholesteatoma

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20
Q

Swimming and Qtips. Otorrhea. Pain with tragus/pinna movement.

A

Otitis Externa

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21
Q

< 4 weeks. Viral

A

Acute sinusitis

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22
Q

> 12 weeks. Anosmia. CT scan. Glucocorticoids, antibiotics(weeks), nasal saline

A

Chronic sinusitis

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23
Q

Kiesselbach plexus

A

Epistaxis

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24
Q

Centor criteria. Penicillin

A

Pharyngitis

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25
Q

< 3 weeks. Viral

A

Acute laryngitis

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26
Q

White patch bleeds when scraped. Oral Nystatin

A

Oral candidiasis

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27
Q

White patches can’t be scraped. Precancerous. Biopsy

A

Oral leukoplakia

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28
Q

Unilateral sore throat, hot potato voice, truisms, displaced uvula. I&D

A

Peritonsillar Abscess

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29
Q

< 70 yo blindness

A

DM retinopathy (MCC)

30
Q

> 70 yo blindness

A

Macular degeneration

31
Q

Afferent papillary defect, marcus- gunn pupils

A

Optic nerve lesion. Tertiary syphilis (marcus-gunn)

32
Q

Bilateral pinpoint pupils

A

Pontine hemorrhage

33
Q

Bilateral DILATED pu;ils

A

Anticholinergics, TCA, anti- parkinsonian drugs, profound hypoxemia

34
Q

Bilateral hemianopia

A

Optic chiasm lesion

35
Q

Loss of central vision

A

Ipsilateral optic nerve lesion

36
Q

Superior contralateral quadrantopia

A

Temporal optic radiation

37
Q

Temporal field loss

A

Ipsilateral optic tract lesion

38
Q

Eye trauma, diplopia. Exophthalmos, fixed upward gaze, hyphema

A

Orbital blow-out fracture; Immediate ophthalmology referral

39
Q

Painless, nontender nodule on upper or lower eyelid

A

Chalazion

40
Q

Painful swelling of upper or lower eyelid

A

Hordeolum

41
Q

Painless, yellow triangular nodule on conjunctivia

A

Pinguecula (more common on nasal side)

42
Q

Curtain or veil over my eyes, new onset floaters

A

Retinal detachment

43
Q

Transient monocular vision loss

A

Amaurosis fugax - TIA, emboli

44
Q

Painless vision loss. History of TIA, palpitations, arrhythmia, carotid disease, embolic source

A

CRAO (pale retina, cherry red macula)

45
Q

Painless vision loss. History of HTN

A

CRVO (blood & Thunder, retinal hemorrhages)

46
Q

Vision loss over hours to days, painful EOM

A

Optic Neuritis (assoc. w/ MS)

47
Q

Recurrent episodes of vision change, diplopia that resolve

A

MS

48
Q

Red eye, watery discharge, preauricular LAD

A

Viral conjunctivitis

49
Q

Red eye, copious purulent discharge

A

Gonococcal conjunctivitis

50
Q

Red eye, hyperemia, chemosis, nodular conjunctivia

A

Allergic conjunctivitis

51
Q

Acute Painful red eye, halos (or colored rings around lights), hazy, steamy cornea. Pupil is fixed and (mid) dilated. Onset after being in dark room

A

Acute angle-closure glaucoma

52
Q

Diplopia, dysarthria, dysphagia

A

Vertibrobasilar insufficiency

53
Q

Unilateral foul smelling or purulent nasal discharge in a pediatric patient

A

Nasal Foreign body

54
Q

HA, sinus pressure, yellow - green nasal discharge

A

Sinusitis - CT is gold standard

55
Q

Sneezing, clear rhinorrhea, post-nasal drip, nasal congestion seasonal occurance

A

Allergic rhinitis. Nedocromil effective Tx.

56
Q

Pale, edematous, boggy turbinates

A

Allergic rhinitis

57
Q

Bullous myringitis

A

Mycoplasma pneumonia

58
Q

Otitis media

A

Strep. Pneumonia, H. influenza, strep. Pyogenes, moraxella catarhallis

59
Q

Swimmer with ear pain, discharge

A

Otitis externa

60
Q

Diabetic, ear pain

A

MOE, Pseudomonas, IV abx (FQ), CT head

61
Q

Tinnitus and metabolic acidosis

A

Salicylate Ingestion

62
Q

Sudden dizzy, vertigo, hearing loss, tinnitus

A

Meniere’s disease; Treat w/ diuretics & low-sodium diet

63
Q

Dix-hallpike maneuver

A

BPPV

64
Q

Sudden vertigo with changes in head position

A

BPPV

65
Q

Sudden dizzy, N, V. NO tinnitus, hearing loss. Recent URI

A

Vestibular neuronitis, labrynthitis

66
Q

Unilateral nerve deafness in middle age Pt

A

Acoustic neuroma (order MRI)

67
Q

Sensorineural loss > 50yo

A

Presbyacussis (Hi freq sounds 1st to go)

68
Q

Vertical Nystagmus, insidious onset vertigo

A

Central lesion (tumor)

69
Q

Horizontal Nystagmus, acute onset vertigo

A

Peripheral lesion

70
Q

Smoker, white mouth lesion cannot be rubbed off

A

Leukoplakia, rule out oral cancer

71
Q

Gray pharyngeal pseudomembrane, rash, splenomegaly, supraclavicular LAD

A

Diphtheria

72
Q

College student with sore throat. Enlarged tonsils, anterior cervical LAD. Splenomegaly. CBC - elevated atypical lymphoctyes

A

EBV - mononucleosis

SmartyPance:EENT (3 decks)

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