UWORLD ENT/Opthalmalogy /Immuno 10/5/2018

Question 1

Retinitis thats a full thickness retinal inflammation, edema and scarring. Patient has blurred vision, floaters, and photopsia.
Fundoscopy shows yellow white, fluffy, hemorrhagic lesions or exudates along the vasculatur.

Answer 1

CMV retinitis

Question 2

Treatment for CMV retinitis

Answer 2

vlagancyclovir

Question 3

Eye pain, vesicular rupture rash over the face.

Answer 3

Herpes Zoster Opthalmicus

Question 4

HIV patient with cotton wool retinla lesions, that resolve in weeks or months. No floaters or blurred vision

Answer 4

HIV retinopathy

Question 5

HIV patient or Immunocompromised, eye pain, decreased vision. Lesion has nonvascular distribution.

Answer 5

Toxoplasmic chorioretinitis

Question 6

Patient with HIV has hearing loss in the left ear, and weber test lateralizes to the left. He denies any fever, chills or signs of infection. What kind of hearing loss is it and the cause

Answer 6

Noninfectious effusion.

Question 7

How do you differentiate acute rejection after a liver transplant, vs a bacterial infection of the liver.

Answer 7

Rapid onset hemodynamic instability, leukocytosos, and high fever is more characteristic of a bacterial infection.

Question 8

How long after transplant surgery would you see an opportunistic infection?

Answer 8

1-6 month - CMV, Aspergillus, Mycobacterium

Question 9

Laryngomalacia vs Vascular ring

Answer 9

Laryngomalacia - inspiratory stridor worse when supine.

Vascular RIng - biphasic stridor better when supine

Question 10

How do you CONFIRM Laryngomalacia

Answer 10

Laryngoscopy

Question 11

Describe Diabtetic Retinopathy

Answer 11

decreased vision in both eyes. Microaneurysms, dot and blot hemorrhages, hard exudates, and macular edema.

Question 12

Tx for Diabetic Retinopathy complication prevention

Answer 12

Argon Laser Photocoagulation

Question 13

Loss of central vision, has exudative and atrophic form

Answer 13

Macular Degeneration

Question 14

Suden unilateral visual impairment that is usually noted when waking up. Disc swelling, venous dilation, and tortuosity, retinal hemorrhage and cotton wool spots

Answer 14

Central Retinal Vein Occlusion

Question 15

Recurrent sinopulmonary and GI infections, no lymphoid tissue, decreased B cells, normal T cells. What is Tx

Answer 15

IVIG and constant Abx

Question 16

What two conditions where stem cell transplant is the best long term treatment

Answer 16

SCID and WIskott aldrich

Question 17

8 year old Patient has ruccernt sinusitis, giardia, and pneumonias. You suspect immunodeficiency, but Leukocyt count is normal. Theyve had vaccinations bu they dont work. What disease

Answer 17

CVID - normal luekocytes, but decreased Immunoglobulins accorss the board.

Question 18

Cupping of optic disc

Answer 18

open angle glaucoma

Question 19

Tx for Gonococcal Conjunctivitis

Answer 19

IM ceftriaxone once infections sets in. or Cefotaxime

Question 20

Tx for Chlamydial COnjunctivitis

Answer 20

Oral macrolide.

Question 21

vessicles and dendritic cells in the cornea

Answer 21

HSV Keratitis.

Question 22

cornea appears hazy after a trauma or foreign body. THeres a central ulcer with adjacent stromal abcesses. May have hypopnyon - anterior chamber of the eye looks foggy and yellow

Answer 22

Bacterial Conjunctivitis.

Question 23

Fundoscopy shows sudden floaters, dark red glow after a sudden loss of vision in one eye. He has a hx of diabetes

Answer 23

Vitreous hemorrhage