HEENT

Question 1

i. Eyelids may be “crusted shut” in a.m.
i. Antibiotic ointment-infants
- treat both eyes

Answer 1

1. Bacterial conjunctivitis

- unilateral

Question 2

viral conjunctivitis

cause

Answer 2

adenovirus

- bilateral

Question 3

a. itchy, watery, red eyes

Answer 3

1. Allergic Conjunctivitis

Question 4

i. infections arising ANTERIOR to the orbital septum

i. vision & EOMs are NORMAL

Answer 4

1. Preseptal: periorbital cellulitits

Question 5

1. Preseptal: periorbital cellulitits

treatment

Answer 5

i. oral/systemic antibiotics

Question 6

i. Pain w EOMs, proptosis (protruding eye)

ii. Emergent Opthalmology Consult; IV abx

Answer 6

1. Orbital Cellulitis

Question 7

i. Widespread inflammation of medium and small arteries, including the coronary arteries
ii. Asian boys

Answer 7

1. Kawasaki disease

Question 8

1.Kawasaki disease traetment

Answer 8

IVIG + asprin

Question 9

complications of kawasaki

Answer 9

coronary artery aneurysm

Question 10

a. Most common cause of persistent tearing & eye discharge in infants & children

Answer 10

Dacryostenosis

Question 11

a. Functional reduction in visual acuity
b. Caused by abnormal vision development early in life
c. Most common cause of pediatric visual impairment

Answer 11

1. Amblyopia

Question 12

1. Strabismus

Answer 12

Misalignment of the eyes

Question 13

who do you observe for AOM

Answer 13

1. unilateral
2. mild
3. no drainage

Question 14

what antibiotic do you give for AOM

Answer 14

Amoxicillin

Question 15

who do you give antibiotics to for AOM (2)

Answer 15

1. < 2 years old
2. 48 hours
   if they have tubes use cipro

Question 16

i. Presence of middle-ear effusion (fluid buildup) without infection
ii. Pain, pressure, “popping”, decreased hearing, disequilibrium

Answer 16

Serous otitis media

Question 17

if they have a patent TM what kind of drops do they want to use in the ear

Answer 17

fluroquinolone

Question 18

Atopic triad

Answer 18

= allergies,
asthma
eczema

Question 19

1. Sinusitis

pathogen for

Answer 19

H- flu
M- cat
Strep penumo
S

Question 20

a. Exudative tonsillitis, cervical lymphadenopathy, fatigue & malaise, headache, fever, splenomegally

Answer 20

1. Pharyngitis: EBV

Question 21

what is the gold strandard for GABHS

Answer 21

throat culture

Question 22

what is the gold standard for GABHS treatment

Answer 22

Pen vK

Question 23

who gets rehumatic fever

Answer 23

post group A strep

Question 24

Jones criteria is for

Answer 24

Rheumatic heart disease

Question 25

1 cause of acquired valve disease worldwide!

Answer 25

Rheumatic heart disease

Question 26

Jones criteria major 3

Answer 26

1. Large joints
2. Chorea
3. Subcutaneous nodules

Question 27

Rheumatic Fever Dx

Answer 27

i. Antistreptolysin-O (ASO) titers

Question 28

i. Edema
ii. Coca colored urine
iii. Htn

Answer 28

a. Post-streptococcal Glomerulonephritis (PGN)

Question 29

a. Progression of bacterial tonsillitis

b. Change in vocal quality (muffled/”hot potato“)

Answer 29

1. Peritonsillar abscess

Question 30

i. Oral lesions (“Herpangina”), esp on tongue, palate & tonsillar pillars

Answer 30

1. Coxsackie virus- Hand, foot & mouth disease

Question 31

1. Herpetic Gingivostomatitis pathogen

Answer 31

a. Primary HSV-1 infection

Question 32

1. Herpetic Gingivostomatitis presentation

Answer 32

a. Ulcerated lesions that bleed if disturbed

Question 33

a. maculopapular, blanching rash beginning on the face and spreading to the neck, trunk and extremities

Answer 33

1. Measles

Question 34

Koplik’s Spots

Answer 34

1. Measles

Question 35

1. Impetigo- cause

Answer 35

Usually Staph aureus (poss Strep)

Question 36

1. Diaper candidiasis

Answer 36

NO STEROIDS