Opthamology

Question 1

Fixed, painful, red pupil acutely is concerning for _______, treated with ______

Answer 1

Acute angle closure glaucoma

Pilocarpine, acetazolamide (decreases vitreous production), lantanoprost (aqueous outflow), timolol, brimonidine (a agonist, aqeuous outflow)

Else mannitol —> Laser trabeculoplasty

Question 2

For optic neuritis _____ study is necessary

Answer 2

MRI

Question 3

___ and ___ can be diagnosed with flourescein stain.

Answer 3

herpes keratitis, corneal abrasion

Question 4

Herpes keratitis, treatment is _____

Answer 4

topical acyclovir/gancicyclovir

Question 5

_____ is a complication of sinusitis, can present with diplopia, proptosis, gaze palsies (CN 3,4,6), diagnosed with _____. Treated with ____ and _____

Answer 5

cavernous venous sinusitis

MRI

MRSA antibiotics, anticoag

Question 6

Most accurate test for malignant otitis externa____

Answer 6

Bone biopsy, best initial = CT/MRI

Question 7

Most common organism now for otitis media _____

Answer 7

Non typable H.Influenzae, Moraxella,

Question 8

Most important thing to do before drug de-sensitization______

Answer 8

Stop the b blocker, in case epinephrine is needed

Question 9

Cromolyn mechanism of action_____

Answer 9

Mast cell stabilization

Question 10

Isolated vertigo without hearing loss, occurs regardless of position______

Answer 10

Vestibular Neuritis

Question 11

Treatment of Labrynthitis ______

Answer 11

meclizine, steroids