Eye, Ear, Nose, Throat Disorders

Question 1

What is the first line therapy for ABR? (2)

Answer 1

Amoxicillin-Clavulanate OR Doxycycline

Question 2

Treatment for ABR in beta-lactam allergy (Allergic to antimicrobials with beta-lactam ring, such as penicillins, cephalosporins)? (3)

Answer 2

Doxycycline
OR
Levofloxacin 
OR 
Moxifloxacin

Question 3

Treatment for ABR when there is risk for antibiotic resistance or failed initial therapy? (3)

Answer 3

Amoxicillin-Clavulanate 
OR
 Levofloxacin
OR
Moxifloxacin

Question 4

Treatment for Allergic Rhinitis (AR)-Controller Therapy? (2)

Answer 4

1. Intranasal corticosteroids (INCS)-1st line controller. Ex. Flucticasone propionate (flonase), triamcinolone (Nasacort AQ)
2. Intranasal antihistamine (IAH)-Examples Azelastine (Astelin, Astepro)

Question 5

Reliever therapy for AR? (2)

Answer 5

1. 2nd generation antihistamines (Loratadine (Claritin), Cetirizine (Zyrtec)
2. Ocular antihistamines-Helpful in managing allergic conjunctivitis

Question 6

Treatment for suppurative conjunctivitis (non-gonoccocal, non-chlamydial)? (1)

Answer 6

Primary-Ophthalmic treatment with FQ ocular solution (cipro-, levo, moxi)

Question 7

Treatment for otitis externa (swimmers ear)? (2)

Answer 7

Mild disease: Acetic Acid with propylene glycol and hydrocortisone (VoSoL) drops?
Moderate-to-severe disease: Otic drops with ciprofloxacin with hydrocortisone

Question 8

Treatment for exudative pharyngitis? (2)

Answer 8

Penicillin or one time IM dose of benzathine penicillin if adherence an issue