Eye Ear Nose Throat Disorders

Question 1

Acute Bacterial Rhinosinusitis (ABRS) Presentation

Answer 1

Acute Bacterial Rhinosinusitis (ABRS) Presentation
* Nasal congestion, obstruction
* Purulent nasal discharge*
* Maxillary tooth discomfort
* Facial pain, pressure worse with bending forward*

Question 2

Suggestive of ABRS

Answer 2

• Symptoms >10 days without clinical improvement
• Onset with severe symptoms (fever, purulent drainage) lasting at least 3 consecutive days at the beginning of
  the illness
• Symptoms worsened after initial improvement
• 40-70% of patients with ABRS will clear spontaneously

Question 3

Strep Centor Criteria

Answer 3

absence of cough
positive anterior cervical nodes
temp >100.4
tonsillar exudates
screen if >2

Question 4

infectious mononucleosis assessment findings tetrad

Answer 4

fatigue
fever
pharyngitis
lymphadenopathy

Question 5

activity resumption if infectious mono

Answer 5

no earlier than 21 days after illness onset
rupture risk for spleen down after 4th week
resolution of fatigue

Question 6

epiglottitis presentation

Answer 6

sore throat
fever
muffled voice
DROOLING
“thumb sign”

Question 7

epistaxis management

Answer 7

spray nares with oxymetazoline
pinch nose
silver nitrate stick
nasal packing balloon

Question 8

allergic rhinitis most effective treatment

Answer 8

intranasal glucocorticoids

Question 9

conductive hearing loss examples

Answer 9

cerumen impaction
ear plugs
fluid

Question 10

Angle-Closure Glaucoma: Clinical Presentation

Answer 10

• Decreased vision
• Halos around lights
• Headache, eye pain
• Nausea and vomiting
• Rapid rise in pressure
   Red conjunctiva
   Corneal cloudiness
   Shallow anterior chamber
   Mid-dilated pupil (4-6 mm, reacts poorly to light)

Question 11

Chalazion

Answer 11

• Hard nontender nodule of the eyelid caused by inflammation of the Meibomian gland

Question 12

Stye (hordeolum)

Answer 12

• Inflammation of the sebaceous glands at the base of the eyelashes (usually tender)

Question 13

rhinosinusitis tx goals

Answer 13

relieve symptoms
promote drainage

Question 14

acute bacterial rhinosinusitis tx

Answer 14

amox x5-7 days

Question 15

should see noticeable improvement with abx for tx of abrs after

Answer 15

72 hours

Question 16

group a strep correlation with which enlarged lymph nodes

Answer 16

symmetric anterior

Question 17

first line tx GAS

Answer 17

PCN

Question 18

lymph nodes correlated with mono

Answer 18

posterior symmetric

Question 19

preferred test for mono

Answer 19

viral capsid antigen

Question 20

ruptured ear drum associated with

Answer 20

otitis media

Question 21

purulent nasal drainage associated with

Answer 21

bacterial sinusitis

Question 22

tragal tenderness associated with

Answer 22

otitis externa

Question 23

mastoid tenderness associated with

Answer 23

bone infection