ENT

Question 1

Severe eye pain, photophobia, tearing, blurred vision w/ fern-like lines on corneal surface
MGMT -

Answer 1

Herpes keratitis
MGMT - opthamology referral

Question 2

headache, nausea, vomiting, halos around lights and decreased vision - name that condition?
What may you find on objective exam?

Answer 2

acute angle closure glaucoma
cloudy cornea
cupping of optic nerve
mid-dilated pupil that is oval shaped

Question 3

monocular, visual loss of central vision and eye pain w/ EOM lasting 1-2 weeks. Name the diagnosis?
What condition is it associated with?
What may you find on ocular exam?

Answer 3

optic neuritis
Associated w/ MS
afferent pupillary defect?

Question 4

Orbital cellulitis is associated with recent history of ____
How to manage?

Answer 4

URI
-refer to ED

Question 5

What physical exam can discern preseptal cellulitis from orbital cellulitis.

Answer 5

Orbital cellulitis has pain w/ EOMs

Question 6

Cauliflower growth accompanied by foul smelling ear discharge
How to manage?

Answer 6

CT of temporal bone and referral

Question 7

ie. Trismus, hot potato voice
what might you notice on physical exam?
How to manage?

Answer 7

Peritonsillar abscess
uvula deviation away from affected side
Refer to ED

Question 8

Grey pharyngeal pseudomembrane, bull neck, croup like cough, cervical lymphadenopathy

Answer 8

Diptheria –> refer to ED

Question 9

Presbyopia

Answer 9

Difficulty accommodating w/ age d/t stiffening of lens. Occurs at age 40 and onwards

Question 10

Frontal sinus develops at ___ years and sphenoid at __ years

Answer 10

5 years
12 years

Question 11

Kopliks spots

Answer 11

pathomnemonic for measles

Question 12

Answer 12

Hairy leukoplakia
Pathomnemonic for HIV, caused by EBV

Question 13

Childs vision should be 20/20 by what age?

Answer 13

6 years

Question 14

Webber and Rinne, explain
Sensorineural hearing loss
Conductive hearing loss

Question 15

How long for chalazion to improve

Answer 15

2-8 weeks

Question 16

Acute eye pain, severe frontal headache and decreased vision

Answer 16

Acute angle closure glaucoma

Question 17

Straight lines or doors appear distorted or curved

Answer 17

AMD
AMSLER grid

Question 18

dry eyes, dry mouth for > 3 months. Both eyes have sandy/gritty sensation. Marked increase in dental caries and on exam swollen and inflamed salivary glands
This condition can be associated w/ what?

Answer 18

Sjogrens syndrome, associated w/ autoimmune conditions –> refer to rheumatology`

Question 19

Rhinitis medicamentosa

Answer 19

Use of topical nasal decongestants > 3 days

Question 20

Treatment of GAS pharyngitis

Answer 20

oral PCN V x 10 days

Question 21

3 most common pathogens for AOM

Answer 21

strep pneumo
H. flu
Moraxella catarrhalis

Question 22

Bullous myringitis
How to treat?

Answer 22

Same as bacterial AOM
Amoxicillin or doxy if allergic

Question 23

First line treatment (in book) for sinusitis (bacterial)

Answer 23

amox-clav x 5-7 days

Question 24

Most common organisms w/ Otitis externa

Answer 24

Pseudomonas
Staph aureus