Final practical

Question 1

stye/chalazion exam procedure

Answer 1

external eye exam

Question 2

stye/chalazion treatment

Answer 2

warm compress, educate patient to refrain from popping it, wash eye once it pops, MD may prescribe antibiotics

Question 3

myopia/hyperopia exam procedures

Answer 3

snellen, rosenbaum, peripheral fields

Question 4

myopia/hyperopia treatment

Answer 4

refer to optometrist for corrective lenses, LASIK

Question 5

macular degeneration exam procedures

Answer 5

amsler grid, snellen, peripheral fields

Question 6

macular degeneration management

Answer 6

non-curable, optometrist follow-up
conservative: ocular vitamins

Question 7

retinal detachment exam procedures

Answer 7

peripheral fields, snellen, fundoscopic

Question 8

retinal detachment treatment

Answer 8

ER referral, swingling light test

Question 9

glaucoma exam procedures

Answer 9

tangential lighting, fundoscopic exam
(can optionally add central field test such as snellen/rosenbaum)

Question 10

glaucoma treatment

Answer 10

ER referral
other: topical medications

Question 11

otitis externa/media exam procedures

Answer 11

external ear exam, tug test, mastoid press, otoscopic exam
(can add hearing acuity, weber, rhinne)

Question 12

otitis externa/media treatment

Answer 12

muncie, galbreath, ossicle maneuver, ear pump

Question 13

cholesteatoma exam procedures

Answer 13

hearing acuity, weber, rhinne
otoscopic exam: may see tumor/middle ear disruption

Question 14

cholesteatoma treatment

Answer 14

medical management, eventually surgery for removal, possible antibiotics if infection present

Question 15

vertigo exam procedures

Answer 15

Dix-Hallpike, head fixed-body turn

Question 16

vertigo treatment

Answer 16

epley’s maneuver and sleep with head elevated for BPPV, CMT, muscle work for cervicogenic

Question 17

sinusitis exam procedures

Answer 17

external nose exam, otoscopic nose including pen light, nasal patency

Question 18

sinusitis treatment

Answer 18

sinus pump, massage, trigger points

Question 19

broke nose w/ or w/out epistaxis exam procedures

Answer 19

external nose exam, internal nose exam with pen light and otoscope

Question 20

broken nose treatment

Answer 20

referral for rhinoplasty if need or packing if posterior epistaxis is present, advice patient to protect nose

Question 21

strep throat/GAHBS exam procedures

Answer 21

mouth exam, cervical lymph nodes, throat exam

Question 22

strep throat/GAHBS treatment

Answer 22

medical follow up first, + other conservative management procedures (adjust upper cervicals/occiput)

Question 23

thrush exam procedures

Answer 23

mouth exam

Question 24

thrush treatment

Answer 24

referral for anti-fungals, advise patient to use spacer if they have asthma and rinse mouth after use

Question 25

croup exam procedures

Answer 25

neck and mouth exam

Question 26

croup treatment

Answer 26

adjust upper cervicals, occiput, thoracic when indicated, thoracic percussion, mist therapy, cold therapy

Question 27

epiglottitis exam procedures

Answer 27

neck and mouth exam

Question 28

epiglottitis treatment

Answer 28

ER referral, DO NOT ADJUST

Question 29

stye/chalazion presentation

Answer 29

painful, tender, red, pus-filled infection of the glands at the base of the eyelashes; looks like a pimple

Question 30

myopia/hyperopia presentation

Answer 30

myopia: object in the distance blurred, near objects clear hyperopia: far objects seen clear, near object blur

Question 31

macular degeneration presentation

Answer 31

gradual blurring of central vision, difficulty reading and recognizing faces

Question 32

retinal detachment presentation

Answer 32

sensation of flashing light, many "floaters", blurred vision, shadow on part of field of vision

Question 33

glaucoma presentation

Answer 33

blind spots, decreased night vision, rainbow halos around lights, headache, nausea, vomiting

Question 34

otitis externa/otitis media presentation

Answer 34

externa: infection and inflammation of ear canal, itching, swelling, pain, tenderness, discharge media: irritability, crying, poor feeding and sleeping in kids, tugging at ear, fever, recent URI

Question 35

cholesteatoma presentation

Answer 35

hearing loss, dizziness, pressure in ear, earache, drainage of pus

Question 36

vertigo presentation

Answer 36

BPPV: dizziness with certain head positions cervicogenic: dizziness with certain neck movements

Question 37

sinusitis presentation

Answer 37

nasal obstruction, difficulty breathing through nose, throbbing facial pain, pressure, facial swelling, fatigue

Question 38

broken nose presentation

Answer 38

nose pain, swelling, bleeding

Question 39

strep throat presentation

Answer 39

fever, lymphadenopathy, swollen pharynx and tonsils, white tonsillar exudates, pain, absence of cold symptoms

Question 40

thrush presentation

Answer 40

white plague build-up that scrapes off

Question 41

croup presentation

Answer 41

toddler who develops seal-like barking cough after several days of cold symptoms

Question 42

epiglottitis presentation

Answer 42

fever, dysphagia, drooling, distress, no hx of recent cold symptoms, tripod stance