Eye

Question 1

50% of orbital fractures are

Answer 1

zygomatic complex fx

Question 2

weakest areas of orbit is

Answer 2

medial wall
orbital floor
and lamina papyracea

Question 3

what views for blowout fx

Answer 3

Waters and Caldwell

Question 4

tear drop sign on xray

Answer 4

blowout fx

Question 5

what to do after seeing teardrop sign on xray

Answer 5

CT scan orbitals with coronal and sagittal view to dx and eval tissue damage
r/o CN injuries and if sx is being considered

Question 6

hyperacute onset of Copious purulent white-yellow discharge
Eyelash and lid crusting 
Conjunctival papillae
Chemosis
\+preauricular adenoapathy

Answer 6

Gonoccal Conjunctivitis

Question 7

conjunctivitis + inclusion cysts

Answer 7

chlamydial conjunctivitis

Question 8

Tx gonococcal conjunctivits

Answer 8

Lavage mucous
Ceftiaxone 1 gm IM single dose or azithromycin 1 gm P.O.
Do not use fluoroquinolones in men who have sex with men due to resistance

Question 9

tx bacterial conjunctivitis

Answer 9

Self limiting 10 to 14 days (if treated 1 to 3 days)

Broad spectrum topical antibiotics (sulfonamides, tetracycline, or erythromycin

Question 10

tx allergic conjunctivitis

Answer 10

Topical antihistamines-vasoconstrictor agents

Short course of topical steroids

Question 11

tx viral conjunctivitis

Answer 11

Artificial tears
Cool compresses
Herpes conjunctivitis use acyclovir