Special senses

Question 1

What condition is associated with acute anterior uveitis?

Answer 1

Ankylosing spondylitis - HLA B27 disease

Question 2

Which autoimmune conditions are associated with dry eyes?

Answer 2

Rheumatoid arthritis

Sjogrens syndrome

Question 3

Which condition is associated with scleritis?

Answer 3

Rheumatoid arthritis

Question 4

When taking a history regarding neck lumps, in addition to socrates, what other question need to be asked in relation to the presenting complaint?

Answer 4

1. ENT specific; otalgia, dysphonia, sore throat, nasal obstruction
2. General; dysphagia, weight loss, night sweats, tremor, palpitations, temperatures
3. Classification; onset, unilateral/bilateral, single/multiple, fluctuating pain?

Question 5

When taking a thyroid history, what thyroid specific questions could be asked?

Answer 5

1. Thyroid eye signs
2. Weight loss/weight gain
3. Bilateral neck swelling
4. Mood changes i.e. depression
5. Dysphagia, bowel habit
6. Menstrual disturbance, loss of libido
7. Palpitations
8. Fatigue

Question 6

In a thyroid exam, when asking the patient to swallow water, what are you looking for?

Answer 6

If a goitre is present, it will move up

Question 7

In a thyroid examination, when asking the patient to stick out their tongue, what are you looking for?

Answer 7

A thyroglossal cyst would move up

Question 8

What are the possible neck swellings that can appear?

Answer 8

1. Goitre
2. Thyroglossal cyst
3. Lymphadenopathy
4. Infected sebaceous gland
5. Cystic hygroma

Question 9

What are the three main types of vertigo?

Answer 9

BPPV
Labyrinthitis
Vestibular neuronitis