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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
< 3 weeks. Viral
Acute laryngitis
26
White patch bleeds when scraped. Oral Nystatin
Oral candidiasis
27
White patches can't be scraped. Precancerous. Biopsy
Oral leukoplakia
28
Unilateral sore throat, hot potato voice, truisms, displaced uvula. I&D
Peritonsillar Abscess
29
< 70 yo blindness
DM retinopathy (MCC)
30
> 70 yo blindness
Macular degeneration
31
Afferent papillary defect, marcus- gunn pupils
Optic nerve lesion. Tertiary syphilis (marcus-gunn)
32
Bilateral pinpoint pupils
Pontine hemorrhage
33
Bilateral DILATED pu;ils
Anticholinergics, TCA, anti- parkinsonian drugs, profound hypoxemia
34
Bilateral hemianopia
Optic chiasm lesion
35
Loss of central vision
Ipsilateral optic nerve lesion
36
Superior contralateral quadrantopia
Temporal optic radiation
37
Temporal field loss
Ipsilateral optic tract lesion
38
Eye trauma, diplopia. Exophthalmos, fixed upward gaze, hyphema
Orbital blow-out fracture; Immediate ophthalmology referral
39
Painless, nontender nodule on upper or lower eyelid
Chalazion
40
Painful swelling of upper or lower eyelid
Hordeolum
41
Painless, yellow triangular nodule on conjunctivia
Pinguecula (more common on nasal side)
42
Curtain or veil over my eyes, new onset floaters
Retinal detachment
43
Transient monocular vision loss
Amaurosis fugax - TIA, emboli
44
Painless vision loss. History of TIA, palpitations, arrhythmia, carotid disease, embolic source
CRAO (pale retina, cherry red macula)
45
Painless vision loss. History of HTN
CRVO (blood & Thunder, retinal hemorrhages)
46
Vision loss over hours to days, painful EOM
Optic Neuritis (assoc. w/ MS)
47
Recurrent episodes of vision change, diplopia that resolve
MS
48
Red eye, watery discharge, preauricular LAD
Viral conjunctivitis
49
Red eye, copious purulent discharge
Gonococcal conjunctivitis
50
Red eye, hyperemia, chemosis, nodular conjunctivia
Allergic conjunctivitis
51
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
Acute angle-closure glaucoma
52
Diplopia, dysarthria, dysphagia
Vertibrobasilar insufficiency
53
Unilateral foul smelling or purulent nasal discharge in a pediatric patient
Nasal Foreign body
54
HA, sinus pressure, yellow - green nasal discharge
Sinusitis - CT is gold standard
55
Sneezing, clear rhinorrhea, post-nasal drip, nasal congestion seasonal occurance
Allergic rhinitis. Nedocromil effective Tx.
56
Pale, edematous, boggy turbinates
Allergic rhinitis
57
Bullous myringitis
Mycoplasma pneumonia
58
Otitis media
Strep. Pneumonia, H. influenza, strep. Pyogenes, moraxella catarhallis
59
Swimmer with ear pain, discharge
Otitis externa
60
Diabetic, ear pain
MOE, Pseudomonas, IV abx (FQ), CT head
61
Tinnitus and metabolic acidosis
Salicylate Ingestion
62
Sudden dizzy, vertigo, hearing loss, tinnitus
Meniere's disease; Treat w/ diuretics & low-sodium diet
63
Dix-hallpike maneuver
BPPV
64
Sudden vertigo with changes in head position
BPPV
65
Sudden dizzy, N, V. NO tinnitus, hearing loss. Recent URI
Vestibular neuronitis, labrynthitis
66
Unilateral nerve deafness in middle age Pt
Acoustic neuroma (order MRI)
67
Sensorineural loss > 50yo
Presbyacussis (Hi freq sounds 1st to go)
68
Vertical Nystagmus, insidious onset vertigo
Central lesion (tumor)
69
Horizontal Nystagmus, acute onset vertigo
Peripheral lesion
70
Smoker, white mouth lesion cannot be rubbed off
Leukoplakia, rule out oral cancer
71
Gray pharyngeal pseudomembrane, rash, splenomegaly, supraclavicular LAD
Diphtheria
72
College student with sore throat. Enlarged tonsils, anterior cervical LAD. Splenomegaly. CBC - elevated atypical lymphoctyes
EBV - mononucleosis

SmartyPance:EENT (3 decks)

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