Peer 8 - HEENT

Question 1

tx of otitis externa?

Answer 1

cortisporin otic - neomycin, polymixin B, and hydrocortisone

Question 2

unilateral hearing loss with vertigo? (peripheral)

Answer 2

meniere disease

Question 3

tx of malignant otitis externa

Answer 3

oral fluoroquinolones

Question 4

sx of acute angle closure glaucoma?

Answer 4

headache, eye pain, vomiting, eye pressures > 30

Question 5

tx of acute angle closure?

Answer 5

topical beta blocker (timolol), topical alpha-agonist (clonidine),o topical steroid, iv acetazolamide or iv mannitol

Question 6

hsv infection in eye presents as?

Answer 6

slit lamp shows corneal epithelial defect in the shape of a dendrite

Question 7

tender red nodule under the eyelid caused by blockage of the meibomian oil glands?

Answer 7

chalazion

Question 8

pustule caused by staph ifection of hair follicles of the eyelash or oil glands

Answer 8

sty - can be on lid itself

Question 9

tx of chalazions

Answer 9

topical abx, surgical removal

Question 10

corneal ulcer with collection of wbcs in anterior chamber?

Answer 10

hypopyon

Question 11

cause of retropharyngeal abscess?

Answer 11

staph, mrsa, group a beta hemolytic strep, gram negative or aneurobe

Question 12

cause of periorbital or preseptal cellulitis?

Answer 12

staph aureus and strep species

Question 13

sx of retinal detachment?

Answer 13

flashing lights, floaters, and filmy or cloudy vision leading to decreased visual acuity

Question 14

sx of central retinal vein occlusion?

Answer 14

painless sudden onset loss of vision in his right eye, appears like blood and thunder on exam with diffuse hemorrhages and dilated vessels

Question 15

sx of central artery occlusion

Answer 15

pale retina with cherry red macula

Question 16

first line and second line tx of epistaxis?

Answer 16

direct pressure

oxymetazoline (afrin)

Question 17

cause of posterior epistaxis?

Answer 17

sphenopalatine artery, not directly compressible

Question 18

tx of fb in nostril not requiring restraint or sedation?

Answer 18

mouth to mouth blowing

Question 19

sore throat, fever, drooling, stridor, right neck mass, edema to the floor of the mouth describes?

Answer 19

ludwig’s angina

Question 20

best airway approach for ludwig’s angina?

Answer 20

fiberoptic or nasotracheal intubation is a reasonable approach

Question 21

inflammation of the nasolacrimal duct with obstruction or discharge of mucus or exudate from the conjunctiva

Answer 21

dacrocystitis