ent look at

Question 1

burrow’s solution

Answer 1

aluminum acetate
works on both bacteria and fungus
good for tx of OE and prevention

Question 2

cortisporin suspension

Answer 2

polymyxin b, neomycin, hydrocortisone

4 drops for adults 3 for kids use 5-7 days.

Question 3

aurlagan

Answer 3

used for otitis media
Auralgan This medication is used to relieve pain, congestion, and swelling caused by middle ear inflammation (Acute otitis media). It also helps remove earwax. Contains benzocaine (topical anesthetic that numbs the pain) and antipyrine which is an analgesic that decreases pain and inflammation and it also contains glycerin which softens ear wax.

Question 4

debrox

Answer 4

Carbamide peroxide 6.5% otic solution
OTC
used to remove cerumen

Question 5

abx for acute sinusitis

Answer 5

amoxicillin 500 mg tid 7-10 days
augmentin (500/125) 875/125 1 po bid 7 days
doxycycline
azithromycin

Question 6

uncomplicated sinusiits

Answer 6

pseudoephidrine(sudafed) 30 mg (warning HTN, CVD, DM, thyorid)
oxymetazoline (afrin)
nasal spray

Question 7

if pt has been exposed to abc in last 30 days or sinus infxn is getting worst or chronic sinusitis

Answer 7

augment 2000/125
levoflox
moxifloxacin

Question 8

acute otitis media symptomatic tx

Answer 8

Ibuprofen
auralgan
topical lidocaine (lignocaine)

Question 9

meds for Acute otitis media for peds

Answer 9

amoxicillin (1st line if haven’t received beta lactam abc in 30 days)
augmentin
10 day course if less then 2 yrs old. if older then 6 then 5-7 days

Question 10

AOM meds in adults

Answer 10

amoxicillin 500 mg 5-7 days
augmentin
if allergic to pcn (but not anaphylactic) use a cephalosporin (cefdinir, cefuroxime, cefpoxdime)
if severely allergic to pcn use azithromycin AND sulfisoxazole)

Question 11

malignant otitis externa

Answer 11

ciprofloxacin 750 mg po bid

this is usually caused by p aeruoginosa

Question 12

first step to do w/ otiitis externa

Answer 12

clean ear canal (remove cerium, skin cells, and purulent discharge

Question 13

what is otic solution of choice if tympanic membrane rupture cannot be ruled out

Answer 13

ofloxacin .3%

Question 14

tobradex

Answer 14

tobramycin and dexamethasone

Question 15

domeboro

Answer 15

acetic acid in aluminum acetate
bacterialcidal and fungicidal
used for prophylactically after swimming

Question 16

tx for labrythitis

Answer 16

meclizine (antivert)

diazepam

Question 17

meniere tx

Answer 17

fx- episodic vertigo, tinitus,
must test for syphillis
Diuretics (consider if diet does not control) (hydroclorathiazide unless allergic to sulfa)
Antiemetics (meclizine (antivert))
Anxiolytics (atarax (hydroxyzine) or valium (diazepam)
Antihistamines
Scopolamine

Question 18

for allergic rhinitis

Answer 18

Intranasal steroids (1st line)
First Generation:
Beclomethasone (Beconase AQ) 1 spray PN QD
Flunisolide (Nasalide) 1 spray PN BID
Budesonide (Rhinocort Aqua)
Second generation:
Fluticasone (Flonase) 2 sprays PN once daily or 1 spray bid
Mometasone (Nasonex) 2 sprays (100mcg) PN once daily