ENOT/optho

Question 1

What is the MC atopic dz?

Answer 1

allergic rhinitis

Question 2

Tx for allergic rhinitis

Answer 2

Avid triggers

Antihistamines, decongestants

Cromolyn nasal soln, topical steroids

Question 3

Oral Candidiasis tx

Answer 3

Infants: oral nystatin swabs for 7-14 d, boiling of bottle nipples and pacifiers

Older children: oral nystatin rinses or systemic fluconazole if severe

Question 4

Peritonsillar Abscess tx

Answer 4

Abx covering staph and strep IV ampicillin-sulbactam or IV clindamycin If no resp to initial Abx add vancomycin, needle aspiration or I and D followed by supportive care

Question 5

Acute Pharyngotonsillitis
(strep throat) tx

Answer 5

Penicillin or amoxicillin

Question 6

Acute Pharyngotonsillitis
(strep throat) tx if penicillin allergic

Answer 6

cephalexin, cefadroxil, clindaqmycin, azithromycin and clarithromycin

Question 7

OM etiology

Answer 7

S. pneumo

Question 8

OM tx

Answer 8

Amox 90mg/kg/day divided into 2 doses x 10 days for younger kids

2nd line → Augmentin (amoxicillin Clavulante)

PCN allergy→ ceftriaxone

Question 9

TM perf tx

Answer 9

Keep dry

From trauma: no abx but refer for hearing loss

If d/t infection → amoxicillin PO + ofloxacin otic drops

Question 10

What side does weber lateralize to with CHL?

Answer 10

TO the affected ear

Question 11

What side does weber lateralize to with SNHL?

Answer 11

away from the affected ear

Question 12

what does it mean if Rinne shows that AC>BC

Answer 12

hearing is either normal or there is SNHL

Question 13

what if rinne shoes BC>AC

Answer 13

CHL

Question 14

Tx for ETD

Answer 14

Nasal decongestants: sudafed, afrin for 3 days max

Nasal steroids: (flonase, nasonex)

Question 15

orbital cellultiis tx

Answer 15

Broad spectrum IV abx until fever subsides then 2-3 wks of po abx

Nafcillin, metronidazole or clindamycin, 2nd or 3rd gen cephalosporins and fluoroquinolones

Vanc if MRSA is suspected