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LIEK Review > HEENT 4 > Flashcards

HEENT 4 Flashcards

1
Q

swelling of the optic disc aka

A

papilledema

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2
Q

which finding on a fundoscopy exam warrants rapid lowering of the blood pressure

A

papilledema - this occurs when increased intracranial pressure spreads to the optic nerve sheath

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3
Q

measles (rubeola) stages

A

incubation 6-21 days
prodrome
exanthem (red maculopapular rash)
recovery

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4
Q

prodrome phase of measles s/sx

A

fever
malaise
anorexia
conjunctivitis
coryza
cough

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5
Q

otorrhea

A

ear drainage

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6
Q

HINTS exam is used to

A

assess peripheral vertigo in patients

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7
Q

BPPV is caused by

A

calcium carbonate crystals in the semicircular canals

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8
Q

initial treatment for BPPV

A

Epley maneuver -head is turned sequentially, which helps move the crystals in the semicircular canals by gravity

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9
Q

gold standard test for BPPV

A

Dix-Hallpike - it is positive if classic rotary nystagmus is seen

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10
Q

Lachman maneuver

A

test for the anterior cruciate ligament of the knee ACL

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11
Q

test used to check for acute appendicitis

A

obturator test

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12
Q

Finkelstein test is used to assess for

A

De Quervain’s tenosynovitis

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13
Q

test to check for ACL tear

A

Lachman maneuver

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14
Q

name of area that causes anterior epistaxis

A

kiesselbach’s plexus

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15
Q

presbycusis

A

type of sensorineural hearing loss that is caused by normal aging of the auditory system

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16
Q

hyphema

A

blood that is trapped in the anterior chamber of the eye and is usually painful

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17
Q

presents on the edge of an eyelid as a painful abscess

A

blepharitis

18
Q

when can patient return to sports with enlarged spleen from mono

A

about 4-6 weeks, after f/u visit confirms no more enlargement; most splenic ruptures occur within 3 weeks of illness

19
Q

decreased vision, halos around lights, HA, severe eye pain =

A

acute primary angle closure glaucoma

20
Q

Meniere’s disease - most patient’s present with

A

vertigo as a rotatory spinning or rocking with NV, hearing loss, and tinnitus

21
Q

rapid onset of severe vertigo with NV and gait instability

A

labyrinthitis

22
Q

asymmetric sensorineural hearing loss often indicates

A

vestibular schwannoma

23
Q

best initial screening test for the diagnosis of vestibular schwannoma

A

audiometry

24
Q

TM is thickened and erythematous

A

bullous myringitis

25
Q

xanthelasma

A

soft, yellow plaques often appearing symmetrically on the medial aspects of the eyelids and may be associated with hypercholesterolemia

26
Q

an abnormal ___ test is seen in patients with conductive hearing loss

A

Rinne

27
Q

the weber test - sensorineural vs conductive hearing loss

A

weber test suggests sensorineural hearing loss if the sound lateralized to the good side; conductive hearing loss is suggested if the sound lateralized to the bad side

28
Q

which structure of the eye is responsible for color perception

A

cones

29
Q

fever, drolling, airway stridor and respiratory distress =

A

epiglottis

30
Q

most common pathogens responsible for external otitis media
3

A

pseudomonas aeruginosa
stephylococcus epidermidis
staph aureus

31
Q

meniere disease is what

A

an inner ear disorder characterized by tinnitus, vertigo, and hearing loss; thought to occur due to accumulation of endolymphatic fluid in the cochlea and the vestibular organ

32
Q

what test confirms sensorineural hearing loss

A

audiometry

33
Q

common s/sx of Meniere’s disease
4

A

reduced hearing
tinnitus
fullness in affected ear
vertigo lasting 20 mins to 12 hours

34
Q

initial therapy for Meniere’s disease

A

lifestyle modifications such as salt restriction and limiting of caffeine and alcohol consumption

35
Q

test for near vision

A

rosenbaum card

36
Q

test for color vision
2

A

Ishihara test
Hardy Rand Rittler test

37
Q

anterior uveitis is characterized by

A

pain and redness and the presence of leukocytes in the anterior chamber of the eye on slit lamp exam

38
Q

ointment for angular cheilitis positive for staph infection

A

mupirocin ointment

39
Q

ointment for angular cheilitis positive for fungal infection

A

miconazole ointment

40
Q

gold standard to dx angle closure glaucoma

A

gonioscopy

41
Q

peripheral vertigo is caused by disorders of the

A

vestibular apparatus of the inner ear or by the inflammation of the vestibular nerve

LIEK Review (44 decks)

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