EENY final

Question 1

When do you perform RADT

Answer 1

When Criteria is 2 or 3 points

Question 2

When is RADT pointless

Answer 2

When there is Scarlett fever, people around pt have it, Pt previously on antibiotics for strep

Question 3

what is trismus and what diagnoses is it asso. with

Answer 3

spasm of facial or jaw muscles/ peritonsillar abscess(quinsy), Ludwig angina, epiglottis

Question 4

what is gold standard for perit. abscess/ common symptoms

Answer 4

needle aspiration/ u/l tonsillar swelling, uvula deviated

Question 5

supurrative complications of strep

Answer 5

Abscesses

Question 6

Ludwig def./ symptoms

Answer 6

infxn of submental space/severe trismus, drooling, airway obstr, collar edema, tongue lifting/ could be fatal

Question 7

DDX of chronic sore throat: irritation

Answer 7

reflux, vocal chord hygiene, post nasal drip,

Question 8

DDX of chronic sore throat: neoplastic

Answer 8

all the throat carcinomas + retrosternal tumor

Question 9

globus? random reasons?

Answer 9

lump in throat unrelated to swallowing/ stricture, web, gerd, osteophyte,

Question 10

diptheria symptoms

Answer 10

blue white membrane/ corn. bacteria bad endotoxin can cause cardiac depression

Question 11

retropharyn. abscess symptoms/ usually due to?

Answer 11

anterior bulging hot potato voice, fever, stiff neck, stridor/ dental infection

Question 12

epiglottitis symptoms/ what bug?

Answer 12

hot potato, high fever >102, thumb print sign, stridor, head anterior /H flu

Question 13

outer eye structures?

Answer 13

conjunctiva=bulbar(corner of eye)
Palpebral(under the lids)
Sclera= preserves shape and protects inner layers
cornea= outer protective transparent covering

Question 14

middle eye structures?

Answer 14

uvea- ciliary body,iris, choroid, lens
Iris- controls mydrhysis and myosis of pupil
ciliary body- aqueous humor fills anterior chamber - used for light refractory
vitrous body-jelly like substance in interior of eye ball behind lens-incloses vitrous humor
choroid-major blood supply to eye

Question 15

What should we not do to an eye after a trauma

Answer 15

DONT PUSH ON IT

Question 16

what is technically ok on a snellen chart to not be worried

Answer 16

if one line is wrong more suggests corneal abrasion, retinal detachment or lens dilocation

Question 17

treatment on 1st and second day of eye trauma

Answer 17

1st ice 2nd heat

bromelain, plant enzymes

Question 18

aconite

Answer 18

abrasions of the eye

Question 19

symphytum

Answer 19

blunt trauma

Question 20

arnica

Answer 20

injuries to orbit

Question 21

symptoms of subconjuctival hemm.

Answer 21

a spontaneous patch of red over sclera, no vision loss happens in people with vasculature issues ie diabetes

Question 22

what structures are associated with a painful red eye

Answer 22

cornea and iris

Question 23

eyes are painful but not red

Answer 23

may come from sinuses, orbit, neuropathic

Question 24

eyes are red but not painful

Answer 24

subconjunctival hemm or conjunctivitis

Question 25

red eye with impaired vision

Answer 25

refer could be iritis, AAG or corneal disease

Question 26

abrupt onset of red eye? what is hyperacute

Answer 26

gonoc. conjunct.

Question 27

subacute red eye (1-3 days) most likely what?

Answer 27

conjunctivitis

Question 28

chronic or persistent causes of red eye

Answer 28

chlam., staph blepharitis, moraxella bacteria

Question 29

recurrent red eye causes

Answer 29

allergic conjunctivitis, reiters( recurrent iritis)

Question 30

red eye with photophobia causes

Answer 30

uveitis, iritis, corneal dz, AAG

Question 31

conjunctivitis symptoms

Answer 31

mild discomfort- acute/subacute

Question 32

conjunctivitis PE findings

Answer 32

periipheral injxn, spares iris, red bumps under lids

Question 33

iritis symptoms

Answer 33

painful, impaired vision, photophobia

Question 34

iritis PE findings

Answer 34

pupil is poorly reactive to light, ciliary flush, small muddy pupil, decreased visual acuity

Question 35

bacterial conjunctivitis natural treatments

Answer 35

Berberis , Euphrasia, Hydrastis, Hamamelis, Fennel; Calendula

Question 36

bacterial conjunctivitis allopathic treatments

Answer 36

Z pack if chlamidia

Question 37

blepharitis is associated with what Derm issues

Answer 37

seborrhea and rosacea/ chronic staph

Question 38

dacrocystitis def.

Answer 38

inflamm. of lacrimal sac- push on it mucopurulent discharge/ excess tears

Question 39

cataracts RF

Answer 39

Smoking, uv, genetics, ocular dz, injury, galactosemia, DM

Question 40

cataract natural treatment

Answer 40

NAC, Flavanoids, Quercitin

Question 41

cataract herbs

Answer 41

cineraria, NAcetyl carnitine eye drops

Question 42

symptoms of angle closure glaucoma

Answer 42

N/V, diminished vision, red eye, symptoms might come on after being in a dark environment,

Question 43

PE of angle closure glaucoma

Answer 43

cloudy cornea, iris shadow, pupil fixed and dialated

Question 44

pathophys for open angle glaucoma

Answer 44

mechanical(no drainage of aqueous humor = IOP), vascular mechanism(htn), glutamate toxicity (from glutathione def.= oxidative damage)

Question 45

Is angle closure an emergency and what is the RF

Answer 45

yes, could lead to blindness- hyperopia or far vision

Question 46

Open angle RF

Answer 46

myopia, etoh, htn, age, hypothyroid, DM, Fmx

Question 47

PE findings of both glaucomas

Answer 47

loss of peripheral vision could lead to central vision loss, increase in IOP, iris shadow, Increased cup to disc ratio

Question 48

what is the dangerous part about open angle

Answer 48

It's painless and can eventually lead to vision loss due to optic nerve damage

Question 49

tx for glaucoma

Answer 49

cholinergics(pilocarpine), beta blockers, eye drop(forskolin, fennel), avoid vasoconstrictors ie caffeine, antioxidants( vit c, glutathione etc.), ALA*, Magnesium, b12

Question 50

what is keratitis

Answer 50

inflammation of the clear tissue around the eye(cornea)

Question 51

SSX of keratits

Answer 51

FB sensation, decreased visual acuity, mb lymph nodes are enlarged, tearing, *photophobia, rarely vision loss

Question 52

causes of keratitis

Answer 52

infection, dry eyes, chemical or physical injury, underlying medical issues

Question 53

if keratitis is caused by UV damage how long will it take for ssx to appear?

Answer 53

several hours after exposure, can last 24-48 hours

Question 54

macular degeneration tx

Answer 54

control HTn, stop smoking, eat spinach (caratenooids), antioxidants, vit e,c. Basically, take care of your self because your eye is falling apart oh and random... ozone

Question 55

IV therapy for mac. degen

Answer 55

glutathione, Se, Zn

Question 56

most common type of mac degen

Answer 56

dry- atrophic, no macular scar or hemorrhage

Question 57

Dry SSX

Answer 57

painless, *gradual loss of central vision, mb difficult to drive at night, peripheral vision is intact

Question 58

PE finding for both wet and dry mac degen

Answer 58

Drusen bodies= plaque deposits

Question 59

SSX of wet

Answer 59

URGENT, more blood to the deprived tissue = hemorrhages, *acute vision loss (days to weeks), may look like flame hemm. or pooling of blood

Question 60

Tx of wet

Answer 60

injection of anti VEGF