HEENT Flashcards

1
Q

what antibiotic do you never give to a mononucleosis patient?

A
no penicillins (rash)
no amoxicillin
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2
Q

what is the treatment for mono?

A

cephalexin (Keflex)

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3
Q

1st line treatment for strep throat

A

penicillin

Azithro or Levaquin if allergic

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4
Q

What virus causes mono?

A

Epstein Barr

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5
Q

1st line treatment for otitis media?

A

amoxicillin

Augmentin or Bactrim if recent amoxicillin use

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6
Q

1st line for bacterial sinusitis

A

augmentin or doxy

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7
Q

bulging, opaque TM with ear pain and fever

A

otitis media
tx amoxicillin
augmentin if recent abx use

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8
Q

what is a cholesteatoma?

A

abnormal, noncancerous skin growth that can develop in the middle section of the ear, behind the eardrum with hearing loss
(purulent exudate with odor, cauliflower like mass)

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9
Q

vertigo + tinnitus + hearing loss

A

Meniere’s Disease

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10
Q

vertigo + severe nausea

no hearing loss

A

vestibular neuritis

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11
Q

Weber test with lateralization to the BAD ear is conductive or sensorineural loss?

A

conductive

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12
Q

Weber test with lateralization to the GOOD ear is conductive or sensorineural loss?

A

sensorineural (associated with disease process)

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13
Q

Which is normal?

AC>BC or AC

A

Normal is AC > BC

AC < BC is conductive hearing loss

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14
Q

What is Xanthelasma?

A

yellow deposits to eyelids, check lipid panel

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15
Q

match:
presbyopia near sighted
hyperopia age related
myopia far sighted

A

presbyopia - age related
hyperopia- far sighted
myopia- near sighted

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16
Q

curtain like shadow over visual field

A

retinal detachment

ER

17
Q

What differs between a hordeolum and a chalazion?

A

hordeolum’s are PAINFUL

18
Q

foreign body sensation in eye, keeps eye closed, severe eye pain

A

corneal abrasion

19
Q

how to diagnose a corneal abrasion?

A

fluorescein staining

20
Q

optic disc swelling without sharp margins is a sign of..?

A

papilledema and increased intraocular pressure due to chronic HTN

21
Q

An IOP greater than ____ is a sign of glaucoma.

A

22

22
Q

what bacteria causes strep throat?

A

group A streptococcus

23
Q

what is medicamentosa?

A

rebound stuffy nose from Afrin use more than 3 days

24
Q

tonometry

A

screening test for glaucoma

25
Q

cones, rods, fovea

What is responsible for color?

A

cones

26
Q

cones, rods, fovea

What is responsible for low light and night vision?

A

rods

27
Q

cones, rods, fovea

What is responsible for sharp vision?

A

fovea