ENT Medications

Question 1

Topical aminoglycoside or fluoroquinolone x7-10 days

Answer 1

OE

Question 2

High dose Amoxicillin 80-90mg divided twice daily

Answer 2

1st line tx for AOM

Add Ofloxacin if TM perf

Question 3

Cephalosporin, Doxy or macrolide

Answer 3

AOM tx for penicillin allergic

Add Ofloxacin if TM perf

Question 4

Removal of infected debris, earplug use AND topical or oral abx

Answer 4

Chronic OM

Question 5

Antibiotic drops

Surgical removal

Answer 5

Tx for Cholesteatoma

Question 6

Intranasal and oral decongestants

Answer 6

ETD

Question 7

Oral decongestants a few hours before air travel and nasal decongestants 1 hour before descent

Answer 7

Otic Barotrauma

Question 8

Anticholinergics/Antihistimines/Benzodiazepines

Answer 8

All vestibular suppresents for tx of Labyrinthitis

Question 9

Acetazolamide and low salt diet

Answer 9

Menier’s disease

Question 10

Amoxicillin-clavulanate (Augmentin) 500/125mg TID or 875/125mg BID

Answer 10

Acute bacterial Rhinosinusitis

Question 11

Doxycycline or 3rd gen Cephalosporin +/- Clinda

Answer 11

Penicillin allergic- Acute bacterial Rhinosinusitis

Question 12

Mast cell stabilizer

Answer 12

Allergic rhinitis

Question 13

Topical intranasal corticosteroids + Surgical excision

Answer 13

Nasal polyps

Question 14

Augmentin

OR

Bactrim or Clinda + Amox, Augmentin, Cefdinir, or Cefpodoxime

Answer 14

Augmentin= tx for periorbital cellulitis if MRSA not suspected

The other treatment is for if MRSA is suspected

Question 15

IV Vanco + Ceftriaxone

Answer 15

Orbital cellulitis

Question 16

Erythromycin ointment and Fluoroqinolone drops (Moxi, Cipro)

Answer 16

Bacterial conjunctivitis

Question 17

IV Vanco and Clinda

Answer 17

Dacrocystitis

Question 18

Artificial tears, anti-inflammatories

Answer 18

Pterygium

Question 19

Topical lubricants, antibiotics

**LUBRICATE

Answer 19

Chemical conjunctivitis

Question 20

Oral diuretic (Acetazolamide)
Topical diuretic (Dorozolamide)
Topical cycloplegic (Atropine)
\+/- topical steroid

Answer 20

Hyphema

Bed rest is also a tx

Question 21

Topical abx drops (Moxifloxacin, Azithromycin)

Answer 21

Corneal abrasion

Question 22

Moxifloxacin or Topical acyclovir 9x/day

Answer 22

Corneal ulcer (Bacterial vs HSV)

Question 23

Topical steroids (Prednisolone)
Topical Cycloplegics (Cyclopentolate)

Answer 23

Uveitis

Question 24

Empiric tx with Augmentin en route

Answer 24

Blow out fx

Question 25

1. IV acetazolamide (Diamax) followed by oral doses QID
2. Topical Timolol
3. +/- Miotic drop

Answer 25

AACG

Question 26

Topical anti-ocular hypertensives (Timolol, Dorzolamide

Answer 26

COAG

Question 27

Penicillin V 500mg BID-TID x10 days

Answer 27

GABHS

Question 28

Macrolides

Answer 28

GABHS- Penicillin allergic

Question 29

IV Ampicillin-sulbactam or Clinda
+
oral Augmentin or Clinda x14 days

Answer 29

Peritonsillar abscess

Question 30

IV 3rd gen Cephalosoprin + Vanco

Answer 30

Epiglottitis

Question 31

Antivirals + Analgesics

Answer 31

HSV

Question 32

Topical corticosteroids in adhesive base + TOpical analgesics

Answer 32

Aphthous ulcers

Question 33

Antifungal (Clotrimazole troches, nystatin, fluconazol, etc)

Answer 33

oral candidiasis

Question 34

Corticosteroids
cyclosporines
retinoids
tacrolimus

Answer 34

Oral lichen planus

Question 35

1. IV abx
2. Hydration
3. Surgical I&D (if no improvement in 48 hrs)

Answer 35

Suppurative parotitis

Question 36

Secure airway (potentially tracheostomy)
IV abx

Answer 36

Ludwigs Angina

Question 37

IV methylprednisolone x3 days, then oral taper

Answer 37

Optic neuritis

Question 38

Zinc vitamins

Answer 38

Age related macular degeneration

Question 39

Aspirin

Answer 39

Central retinal vein occlusion (only if underlying coagulopathy)

Question 40

VEGF inhibitors

intravitreal steroids

Answer 40

Central retinal vein occlusion- if macular edema