Stomps Flashcards

1
Q

Ostiomeatal complex

A

channel that links the frontal sinus, anterior ethmoid air cells and maxillary sinus to the middle meatus, allowing airflow and mucociliary drainage.

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2
Q

MC paranasal Sinusitis

A

Acute Maxillary Sinusitis-MC- larger easily obstructed

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3
Q

ACUTE RHINOSINUSITIS Abx DOC?

A

Amoxicillin-Clavulanate (Augmentin

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4
Q

NASAL VESTIBULITIS MC due to what organism?

A

Staph aureus

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5
Q

NASAL VESTIBULITIS TXT DOc?

A
Dicloxacillin W/
Mupirocin topical (nasal)
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6
Q

INVASIVE FUNGAL SINUSITIS (RHINOCEREBRAL MUCORMYCOSIS causes? What organism?

A

Aspergillus enters Danger triangle/vascular space and causes tissue necrosis

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7
Q

What type of priority is INVASIVE FUNGAL SINUSITIS (RHINOCEREBRAL MUCORMYCOSIS?

A

Medical/surgical ER

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8
Q

DOC to TXT INVASIVE FUNGAL SINUSITIS (RHINOCEREBRAL MUCORMYCOSIS?

A

Amphotericin B

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9
Q

Mainstay TXT of Allergic Rhinitis?

A

(IN) CCS
Pt education - spray into middle turbinate (not septum)
- Hold bottle straight up, head tilted forward, point ipsilateral

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10
Q

MC cause of Olfactory dysfx?

A

Anatomic Blockage

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11
Q

Recurrent epistaxis MC site of bleeding?

A

Anterior bleeds - Kiesselbach’s plexus

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12
Q

Recurrent epistaxis Most severe site of bleeding?

A

bigger arterial supply – Woodruff’s plexus ass/w HTN/athrosclerosis (ADMIT)

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13
Q

MC Fx bone in the body?

A

Nasal Fx

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14
Q

MC cancer found in the sinuses and nasopharynx?

A

SCC

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15
Q

Behcet’s disease

A

INFLAMMATORY DISORDER WITH RECURRENT ORAL AND GENITAL ULCERS

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16
Q

Adult DOC TXT of GAS pharyngitis/tonsilitis?

A

(PO) PCN VK or Benz PCN (IM)

17
Q

Child DOC TXT of GAS pharyngitis/tonsilitis?

A

(PO) PVK (DOC)

(IM) Bicillin C-R

18
Q

Peritonsillar Abscess TXT?

A

Needle aspiration OR
Incision and drainage (fail TXT 24h) OR
Tonsillectomy (Fail TXT 24h)

19
Q

Peritonsillar Cellulitis TXT

A

Severe - (IV) Amox or Clinda

Less severe - (PO) Amox, amox/clav, clinda

20
Q

MC cause of Hoarseness?

A

Acute laryngitis

21
Q

Epiglottitis or supraglottis organsim?

A

HIB

22
Q

XR sign seen w/ Epiglottis?

A

Thumb sign

23
Q

Hoarseness >2w w/out S/S of URI req?

A

Complete ENT exam w/ Hx of tob/Etoh

24
Q

MC cause of unilateral vocal cord paralysis?

A

Iatrogenic injury

25
Q

Vocal cord dysfx is AKA?

A

Paradoxical Vocal Fold Movement (PVFM)

26
Q

PVFM is

A

syndrome of acute and chronic upper airway obstruction characterized by paradoxical vocal cord adduction

27
Q

MC tumor of Childhood is?

A

Hemangiomas

28
Q

Rule of 7s concerning masses

A
7d = inflam
7w-7mo = neoplastic
7yrs = Congenital
29
Q

Suppurative LAD in middle-aged pt w/ Tob/Etoh hx suggest what until R/O?

A

Malig - (Mets SCC)

30
Q

Ludwigs Angina TXT

A

Penicillin + metronidazole, OR clindamycin