Week 3

Question 1

Dacryocystitis

Answer 1

Infection of lacrimal sac
Suddenly onset of pain and redness in medial canthal region
Purulent

To: systemic abx

Question 2

Chalazion

Answer 2

Granulomatous inflammation of meibomian gland
Chronic lid discomfort
Hard painless lid nodule

Question 3

Hordeolum

Answer 3

Stye
Localized erythematois tender nodule at lid margin

Tx: warm compress to allow drainage
I&D if >1-2 wks

Question 4

Chlamydia neonate conjunctivitis time, sx, tx

Answer 4

Time: 5-14 days 
Sx: 
mild eyelid swelling 
Watery, mucopurulent discharge 
To: PO macrolide

Question 5

Gonococcal neonate conjunctivitis time sx tx

Answer 5

Time: 2-5 days 
Sx: 
Marked eyelid swelling 
Profuse purulent discharge
Cornea edema or ulcer 
Tx: IM ctx

Question 6

CP is associated eith what on MRI brain

Answer 6

White matter degeneration

Question 7

Supraspinatous injury (nerve and symptoms)

Answer 7

Suprascapulae nerve
Weakness with imitation of abduction, external rotation
Atrophy of dorsal scapula by scapular spine

Question 8

Frontal lobe lesion

Answer 8

Brocas aphasia
Impaired initiative, planning, responsibilities
Deviation of eyes to side of lesion
Contra lateral weakness
Inability to initiate purposeful movement despite no paralysis

Question 9

Parietal lobe lesion

Answer 9

Contralateral loss of sensory
Dominant: tactile agnostic
Nondominant: hemineglect

Question 10

Temporal lobe lesion

Answer 10

Contralateral difficulty recognizing direction or distance
Wernicke
Uncal: olfaction

Question 11

Toxoplasmosis symptoms diagnosis and treatment

Answer 11

Headache fever seizures etc
MRI ring enhancing lesion
ELISA testing for ab
Pyrimethamine + sulfadiazine