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PANCE PREP > PANCE HEENT 8/10/20 > Flashcards

PANCE HEENT 8/10/20 Flashcards

1
Q

pathology when eyelid turns out

A

ectropion

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2
Q

pathology when eyelid turns in

A

entropion

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3
Q

how do you tx

- ectropion

A

lubricating eye drops

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4
Q

how do you tx

- entropion

A

lubricating eye drops

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5
Q

what is an infection of the dacrocyctitis

A

infection of the lacramal sac

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6
Q

what is the MC organism for

dacrocyctitis

A

s aureus

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7
Q

dacrocyctitis PE

A

swelling and redness on the medial side

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8
Q

dacrocyctitis tx

A

clindamyacin

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9
Q

what pathology crusting lid swelling bilaterally

A

blepharitis

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10
Q

blepharitis tx

A

warm compress

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11
Q

painful bumps on eyelid

A

hordeolum

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12
Q

hordeolum tx 3

A
  1. warm compress
  2. erythrymyacin 48 hrs
  3. I and D
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13
Q

hordeolum mc organism

A

staph aureus

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14
Q

non painful bumps on eyelid

A

chalazon

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15
Q

elevated nodule on nasal side of sclera

pathology?

A

pinguecula

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16
Q

elevated nodule on nasal side of eye can grow into sclera

-Pathology?

A

pterygium

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17
Q

trauma with an irregulary shaped pupil of hyphema

A

globe rupture

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18
Q

globe rupture tx 2

A
  • emergency consult

- leave bed at 45

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19
Q

pterygium
pinguecula
Tx

A

removal only if it effects vision

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20
Q

diplopia with upward gaze

pathology

A

orbital floor fx

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21
Q

orbital floor fx parathestheia

A

medial cheek due to infra orbital nerve

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22
Q

orbital floor fx DX test

A

CT

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23
Q

orbital floor fx TX 4

A
  1. nasal decongestents
  2. avoid blowing nose
  3. antibiotics (clinda)
  4. surgical repair
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24
Q

central vision loss an swell at details and color

wavey

A

macular degeneration

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25
Q

Small yellow white spots around the rim

- Drusen

A

macular degeneration

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26
Q

cotton wool spots what pathology 2

A

DM

HTN

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27
Q

what type of vision loss with DM

A

central

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28
Q

what are the 5 types of HTN retinopathy

A 
1. AV narrowing
A. Copper wiring 
B. Silver wiring 
2. AV nicking 
3. flame hemmorages, cotten wool spots 
4. pappilledema
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29
Q
  • Flashing lights
  • floaters
  • curtain coming down
  • loss of central vision
A

retinal detachment

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30
Q

retinal detachment tx

A

emergency

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31
Q

how do you dx corneal abrasion

A

flurescine straining

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32
Q

corneal abrasion what do you do first

A

check visual acuity

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33
Q

who do you not have use a patch for coneal abrasion 2

A
  • small , 5 mm

- contact lense

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34
Q

when do you remove rust ring for coneal abrasion

A

24 hrs

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35
Q

viral conjunctivitis MCC

A

adeno virus

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36
Q

viral conjunctivitis tx

A

supportive

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37
Q

allergic conjunctivitis tx

A

antihistamines

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38
Q

bacterial conjunctivitis MCC 2

A

S aureus

strep pneumo

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39
Q

bacterial conjunctivitis tx non contact lens use

A
  • erythryomyacin
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40
Q

bacterial conjunctivitis tx contact lens use

A
  • cipro
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41
Q 
neonatal conjunctivitis cause 
Day 1
Day 2-5
Day 5-7
Day 7-11
A

Day 1: silver nitrate
Day 2-5: Gonociccal
Day 5-7 chlamydia
Day 7-11 HSV

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42
Q

what is the first tx for a chemical burn in eye

A

immediate irrigation with LR

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43
Q

chemical burn abx

A

moxofloxiacin

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44
Q

redness
poor vision
pain increased with EOM

A

orbital cellulitis

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45
Q

orbital cellulitis dx

A

CT

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46
Q

orbital cellulitis tx 2 (1 OR 2)

A

Vanco

Clinda

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47
Q

mal alightment of the eyes

A

strabismus

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48
Q

strabismus test

A

cover un cover

49
Q

strabismus tx

A

patch the normal eye

50
Q

kertinitis AKA

A

corneal ulcer

51
Q

corneal ulcer MCC (bacteria, viral)

A

bacteria

52
Q

corneal ulcer PE

A
  1. Hazy cornea

2. dendritic lesions with branching (HSV)

53
Q

corneal ulcer Tx

  1. Bacterial
  2. HSV
A
  1. Bacterial: cipro

2. HSV: antiviral

54
Q

lens thickening

A

cataracts

55
Q

cataracts RF 3

A
  1. age
  2. smoking
  3. steroids
56
Q

cataracts tx

A

surgery

57
Q

what causes papilledema

A

increased ICS

58
Q

swollen optic disc with blurred margins

- pathology?

A
  • papilledema
59
Q

papilledema dx

A

funduscopy

60
Q

papilledema tx

A

acetazalamide

61
Q

what pathology is associated with optic neuritis

A
  • MS
62
Q

what medication causes optic neuritis

A

-Ethambutol

63
Q

what increases the pain with optic neuritis

A
  • eye movement
64
Q

PE for optic neuritis

A
  • pupil dilate with light
65
Q

tx for optic neuritis

A

IV steroids

66
Q
  • halos around lights
  • sudden eye pain unilateral
  • nausea vommitng
A

acute narrow angle glaucoma

67
Q

what is the vision loss with glaucoma

A

peripheral

68
Q

what are the three tx for acute closed angle glaucoma

A
  • acetazalamide
  • Beta blocker
  • cholinergics (pilocarpine)
69
Q

what does the physical exam for glaucoma show

A
  • cupping of the optic disc
70
Q

medication for chronic glaucoma

A

lantanoprost

71
Q

temporarily monocular vision loss lasting several min that is the result of an emboli

A

amaurosis fugax

72
Q

what is the subjective / popcorn with amaurosis fugax

A

curtain coming down

73
Q

amaurosis fugax can lead to

A

central artery occultion

74
Q

cherry red spot

box car

A

Central retinal artery occulsion

75
Q

blood and thunder

A

Central retinal vein occulsion

76
Q

Central retinal artery occulsion tx

A

none

77
Q

MCC of otitis externa

A

psudomonas

78
Q

tugging at ear

A

otitis externa

79
Q

otitis externa tx

A
  • cipro

- aminoglycosides

80
Q

what is a bad complication of otits media

A

mastoiditis

81
Q

mastoiditis dx

A

CT

82
Q

AOM tx

A

amoxacillin

83
Q

eustacian tube dysfunction tx

A

decongestiants

84
Q

MCC of sensineural hearing loss

A

presbyacusis

85
Q

sensineural hearing loss webber

A

lateralized to good ear

86
Q

vestibular neuritis what kind of nystagmus

A

horizontal

87
Q

vestibular neuritis tx

A

steroids

88
Q

acoustic neuroma tx

A

surgery

89
Q

what are the organisms for sinusitis

A

same as AOM

90
Q

what is the dx for sinusitis

A

CT waters view

91
Q

what is the tx for sinusitis

A

amoxacillin if > 14 days

92
Q

what is the best tx for rhinitis

A
  • intranasal steroids
93
Q

what is the MCC of nasal polyps

A

allergic rhinitis

94
Q

what is sametrs triad

A
  • ASA allergy
  • asthma
  • nasal polyps
95
Q

first line for epistaxis

A

direct pressure

96
Q

what is the MCC of pharyngitis

A
  1. Viral: adeno

2. Bacterial: strep pyogenys

97
Q

best abx for strep throat 2

A

penicillin G

macrolides

98
Q

what is the MCC of strep throat

A

strep pyogenys

99
Q

what is the lymphadenopathy for strep throat

A

anterior cervical

100
Q

what is the centor score

A
  1. fever
  2. anterior cervical lymphadenopathy
  3. lack of cough
    4, excudates
  4. < 15+ 1
    > 44: -1
101
Q

what is the MCC of peritonsillar abcess

A

strep pyogenys

102
Q

peritonsillar abcess 2 tx

A
  1. abx

2. I and D

103
Q

does thursh brush

A

yes

104
Q

precancerous hyperkeratosis on the tongue

A

oral leukoplakia

105
Q

can oral leukoplakia be brushed off

A

no

106
Q

oral hairy leukoplakia cause

A

EBV

107
Q

painless white plaque on lateral tongue

A

oral hairy leukoplakia

108
Q

oral hairy leukoplakia tx

A

none

109
Q

salivary duct stones AKA

A

sialolithiasis

110
Q

sialolithiasis mc duct

A

whartons duct

111
Q

acute bacterial sialadenitis

A

bacterial infection of of parotid or submandibular gland

112
Q

sialadenitis Dx

A

CT

113
Q

sialadenitis tx

A

nafcillin + clindamycin

114
Q

oral lichen planus is associated with what

A

HCV

115
Q

oral lichen planus what type of pathology

A

autoimmune

116
Q

lacy leukoplaekia of the oral mucosa

A

oral lichen planus

117
Q

oral lichen planus tx

A

steroids

118
Q

precancerous hyperkeratosis due to chronic irritation of the mouth, cannot be scraped off

A

oral leukoplakia

119
Q

painless white oral plaque

A

oral hairy leukoplakia

PANCE PREP (27 decks)

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