ENT 3

Question 1

Tx for a patient with dendritic branching corneal ulceration with fluorescein staining.

Answer 1

PO acyclovir

topical antivirals.

Question 2

Treatment for:

Unilateral severe ocular pain and photophobia, eye redness, or blurred vision.

Constricted pupil.

Occurs in systemic inflammatory and autoimmune diseases.

Answer 2

Uveitis

treatment is topical glucocorticoids.

Question 3

Treatment for papilledema other than treating the underlying cause?

Answer 3

Acetazolamide

Question 4

Management for optic neuritis?

Answer 4

IV methylprednisolone

Question 5

Acute inflammatory demyelination of the optic nerve.

Seen in MS or medications such as Ethambutol.

Presents as a painful loss of vision, decreased color vision, blind spot, and usually unilateral.

Marcus-gunn pupil.

Pain worse with eye movement.

Answer 5

Optic neuritis.

Question 6

Treatment for:

Sudden severe unilateral ocular pain, halos around lights and loss of peripheral vision.

Conjunctival erythema, cloudy steamy cornea, mid-dilated fixed pupil.

Tonometry shows increased intraocular pressure > 21mmHg

Answer 6

Acute angle-closure glaucoma

Topical agents: Timolol, Apraclonidine, or pilocarpine.

with acetazolamide or mannitol

Question 7

slow progressive painless bilateral peripheral vision loss. (tunnel vision)

Cupping of the optic disc.

Answer 7

Chronic glaucoma

Question 8

Transient monocular vision loss.

Caused by retinal emboli or ischemia.

Vision loss descending over the visual field described as a temporary curtain or shade that comes down but resolves within 1 hour.

Answer 8

Amaurosis fugax

Question 9

Occurs in patients with a hx of atherosclerotic disease.

Emboli from the carotid artery. Cardiogenic emboli is second mc cause.

Acute sudden painless monocular vision loss.

Exam shows pale retina with a cherry-red macula and boxcar appearance of the retinal vessels.

Answer 9

Central retinal artery occlusion.

Question 10

Sudden onset of painless monocular vision loss.

Exam shows extensive retinal hemorrhages described as blood and thunder appearance.

RFs are HTN, DM, glaucoma, polycythemia, smoking.

Answer 10

Central retinal vein occlusion

Question 11

A painless erythematous, soft, velvety patch in the oral cavity, is most likely to show what biopsy?

Answer 11

Erythroplakia

Squamous cell carcinoma

Question 12

Where is the MC location of sialolithiasis?

Answer 12

Whartons duct in submandibular gland.

Stensen’s duct is in the parotid gland

Question 13

First line therapy for Sialolithiasis

Answer 13

Sialagogues such as tart candies.

Question 14

What is oral hairy leukoplakia a mucocutaneous manifestation of?

Answer 14

EBV

exclusively seen in HIV patients