Peds ENT

Question 1

Conjunctivitis is?

Presentation?

Answer 1

Infection of the eye

Hyperemia, edema of the conjunctiva, discharge

Question 2

Neonatal conjunctivitis: Common microbes?

Answer 2

GC/CL
H flu
S pneumo

Question 3

What 3 sxs are NOT seen with conjunctivitis?

Answer 3

Pain, photophobia, decreased vision

Question 4

Serous or watery discharge from eye indicates what?

Answer 4

Viral or allergic conjunctivitis

Question 5

Mucopurulent discharge from eye indicates what?

Answer 5

Viral or chlamydial conjunctivitis

Question 6

Purulent discharge from eye indicates what?

Answer 6

Bacterial conjunctivitis

Question 7

Most common causes of Bacterial Conjunctivitis?

Answer 7

H flu
S pneumo
S areus

Question 8

Most common causes of Viral Conjunctivitis?

Answer 8

Adenovirus
HSV
Coxsackie

Question 9

Viral Conjunctivitis sxs?

Answer 9

Watery discharge
Injection
Rhinitis
Preauricular LAD

Question 10

Allergic Conjunctivitis sxs?

Answer 10

Itching, tearing, redness, chemosis, eyelid edema.

U both eyes

Question 11

Chemosis is?

Answer 11

Swelling of the conjunctiva

Question 12

Strabismus is?

Answer 12

Eye misalignment

Question 13

Esotropia is?

Answer 13

cross-eyes, convergent squint, inwardly turned eyes

Question 14

Exotropia

Answer 14

walleyes, divergent squint, outwardly turned eyes

Question 15

Primary test for strabismus?

Answer 15

Corneal light reflex

Question 16

Amblyopia is?

Answer 16

Decreased central vision due to brain favoring one eye
Not correctible with glasses
Most C cause of decreased vision in kids

Question 17

Dacryoadenitis is?

Most C cause?

Tx?

Answer 17

Inflammation of the lacrimal glands

Viral (self-limiting)

Warm compresses and massage

Question 18

Reintoblastoma is?

Most C presenting sign?

Answer 18

Malignancy of retina

Leukocoria

Question 19

Leukocoria is?

Answer 19

White pupil caused by retinoblastoma

Question 20

Nystagmus U caused by?

Answer 20

PRIMARY:
- Congenital motor: occ motor abn, vision is fine

SECONDARY:

• Due to poor vision
• Initial sign of neuro dz

Question 21

Acute Otitis Media is?

Most C bugs?

Answer 21

Middle ear fluid/inflammation

S pneumo
H flu

Question 22

AOM dx?

Answer 22

1) Abrupt onset
2) TM bulge/dec mvmt or d/c (=effusion)
3) Erythema or pain

Question 23

AOM tx?

Answer 23

Watch/wait if mild or uncertain and 2+yo
Amoxicillin
(Ok for tubes) Ofloxacin otic and Cipro/dexamethasone

Antihist does not help

Question 24

AOM f/u?

Complications?

Answer 24

48 hrs

Hearing loss (neuro or conductive)
Language
TM perf

Question 25

Otitis Externa caused by?

Tx?

Answer 25

S aureus, P aeruginosa
Water, trauma

Cipro/dexamethasone drops

Question 26

TM Perf txt?

Answer 26

Ototopic ABX

ENT referral

Question 27

Labyrinthitis caused by?

Sxs?

Tx?

Answer 27

Spread of OM to inner ear

Toxic, Vertigo, Fever, Hearing loss

IV ABX

Question 28

Mastoiditis caused by?

Sxs?

Tx?

Answer 28

Spread from middle ear

Postauricular pain, Fever, Displaced pinna

IV ABX

Question 29

Acute Pharyngitis U caused by?

Concerning causes?

Answer 29

Viral (90%)

Mono (U postcervical LAD)
Herpangina
HFM dz
Adenovirus (ST + conjuntivitis)

Question 30

Acute Viral Pharyngitis sxs?

Answer 30

ST
P exudates
P URI sxs

Question 31

Acute Bacterial Pharyngitis U caused by?

C sxs?

Answer 31

Group A Strep

Sore Throat AND 1+ of:
Cervical LAD
Tonsillar exudates
Fever

Question 32

Acute Bacterial Pharyngitis tx?

Answer 32

PCN

Azithro

Question 33

Parotitis C cause?

Answer 33

Paraflu