ENT

Question 1

AV nicking – artery crosses over vein

Atherosclerosis in eye

Answer 1

HTN

Question 2

Flame hemorrhages

Answer 2

HTN

Question 3

Copper and silver wire arterioles (hard)

Answer 3

HTN

Question 4

At what age can a child see 20/20

Answer 4

6 y/o

Question 5

For Snellen chart, if a person is 20/30 what’s does that mean?

Answer 5

I remember it by thinking “the patient always comes first”. so patient can see at 20 ft what others see at 30 ft. (That’s if it was written 20/30)

Visual acuity is expressed as a fraction.
The top number refers to the distance you stand from the chart. This is often 20 feet (6 meters).
The bottom number indicates the distance at which a person with normal eyesight could read the same line you correctly read.
For example, 20/20 (6/6) is considered normal. 20/40 (6/12) indicates that the line you correctly read at 20 feet (6 meters) away can be read by a person with normal vision from 40 feet (12 meters) away.

Question 6

How to test for early detection of macular

degeneration?

Answer 6

Amsler grid test

Question 7

What is occasionally dull painful
red eye with vision changes, pupil is
constricted, nonreactive and
irregularly shaped.

Answer 7

Uveitis

Question 8

How to treat Uveitis?

Answer 8

Tx with pupil
dilation, corticosteroids, evaluate
underlying cause (autoimmune)

Question 9

Thick eye discharge, pain, redness,
swelling, warmth of lower eyelid,
watery eye, excess tears. what is it?

Answer 9

DACROCYSTITIS

Question 10

How to treat DACROCYSTITIS?

Answer 10

lacrimal sac massage
(downward towards mouth) 2-3
times daily, antibiotics 7-10 days

Question 11

Sound lateralizes to 
affected ear (buzzing 
sound heard louder 
in affected ear) –
otitis media, 
ceruminosis, 
perforation of TM

Answer 11

Conductive

Weber 
Result –
tuning 
fork on 
forehead

Question 12

Sound lateralizes 
to unaffected ear
(buzzing sound not 
at all in affected 
ear- numbness) –
Presbycusis 
Meniere’s disease

Answer 12

Sensorineural

Question 13

BACTERIA OF THE EAR tx ( no previous tx)

Answer 13

Amoxicillin high dose TID
ƒ Augmentin BID
ƒ Cefdinir

Question 14

BACTERIA OF THE EAR tx ( with previous tx)

Answer 14

Augmentin BID

ƒ Levofloxacin or Moxifloxacin

Question 15

Hib vaccine

eradicated in kids

Answer 15

Epiglottitis