ENT

Question 1

Mainstay of treatment for acute sinusitis?

Answer 1

Steroids or allergy meds

Abx after 10-14 days: amoxicillin or doxycycline

Question 2

Tx of aphthous ulcer?

Answer 2

topical corticosteroid
cimetidine for maintenance if suspect GI acid

Question 3

Blepharitis tx?

Answer 3

Lid scrub, lid massage

Question 4

Allergic conjuncitivitis tx?

Answer 4

Diphenhydramine
Cetirizine (Zyrtec)
Loratadine (Claritin)
Fexofenadine (Allegra)
Azelastine (eye drop)

Question 5

Viral conjuncitivitis tx?

Answer 5

eye lavage, warm compress

Question 6

Bacterial conjuncitivitis tx?

Answer 6

FQ if contact lens
Sulfonamides
Aminoglycosides

Question 7

Dacrocystitis tx?

Answer 7

Warm compress and abx

Question 8

Anterior epistaxis tx?

Answer 8

Apply direct pressure + sit and lean forward for 15min

*topical decongestant or anesthetics or topical cocaine to vasoconstrict

Question 9

Posterior epistaxis tx?

Answer 9

Posterior epistaxis = bleeding down the back of the throat

High risk – specialist eval and inpatient monitoring

Question 10

Hordeolum tx?

Answer 10

Warm compress

Question 11

Hyphema?
Tx?

Answer 11

Blood pools into the anterior chamber

Refer
Steroid drops + eye patch + limited eye movement + check eye pressure daily

Question 12

Labrynthitis symptoms and findings on physical exam?

Answer 12

Acute severe vertigo, dizziness, recent URI, hearing loss

PE: conductive hearing loss
-W lateralizes to affected side
-R bone conduction is longer

Question 13

Laryngitis characteristic sx?
Tx?

Answer 13

Hoarseness! maybe cough. Pt might be a singer

Tx: vocal rest; if bacterial give erythromycin/augmentin; steroids may hasten recovery

Question 14

Drusen bodies are indicative of?

Answer 14

Macular degeneration