EYE
EYE/MOUTH
Vertigo/Mouth/ear/nose
EYE
Mouth
100
What is a typical physical exam finding for strabismus?
What is abnormal corneal light reflex
100
51 year old comes in with pain and swelling of the soft tissue of the left eye - warm, redness, tenderness around the eye, pain when asked to look up? What needs to be done to evaluate?
What is periorbital cellulitis - worried about orbital cellulitis!; CT scan
100
Findings of central vertigo? findings of peripheral vertigo?
What is ataxic gait, vertical nystagmus, older patient, stroke symptoms = uncontrolled HTN, diabetes, and A. fib, and focal neuro findings; preceding viral infection, and hearing loss
100
Where do the meibomian glands lie? When is a complete eye exam deferred? What is chalazion? Treatment of chalazion? Is there malignant potential associated with xanthelasma? Treatment of xanthelasma? Cause of acute blepharitis?
What is tarsal plate; suspect globe rupture or chemical exposure; chronic and painless nodule; warm compresses (15 minutes), massage base of lash with q-tip, topical Abx if secondarily infected; NO; surgical excision; seborrheic dermatitis
100
What is Centor's criteria - score of 2? score of 3? Group A Strep presentation for pharyngitis? If you suspect someone with EBV what physical exam should you perform? What is a sequel of Group A Strep?
What is pharyngitis - no cough, exudative tonsillopharyngitis, swollen anterior cervical lymph nodes, fever, 2 = culture all with rapid antigen, 3 = Abx if culture +; EMESIS; abdominal exam - hepatosplenomegaly; acute glomerulonephritis - treatment does not prevent
200
In unilateral diplopia, if you cover up the right eye and your vision is fine, but when you cover up the left eye you have diplopia in your right eye, what is the cause?
What is dislocated lens
200
You have a 1 week old with bilateral purulent conjunctival discharge? how do you diagnose what's going on? Treatment? When can we discharge?
What is gonorrhea or chlamydia; STAT gram stain but DO NOT WAIT TO TREAT; chlamydia = oral Abx, gonorrhea = IV Abx; cannot discharge until gram stain is normal and does not show a negative diplococci!
200
Most common etiology of mastoiditis? Eustachian tube in children? ET - connecting point, which is always open, function?
What is Strep pneumo (complication of otitis media); horizontal, ear to nasopharynx, bony is always open, equalize pressure
200
Cause of pterygia? What is a SE of topical steroids in the eye? What is commonly found with varicella zoster? What is commonly found in the eye with HSV?
What is collagen degeneration and fibrovascular proliferation; increase IOP; Hutchinson's sign; dendritic keratitis
200
Initial treatment for rheumatic fever? What is the most common organism for peritonsillar abscess, and what is a common physical exam finding? What is the study of choice for a retropharyngeal abscess? What is the most important treatment for a retropharyngeal abscess? What is a complication of retropharyngeal abscess? What to do if a patient has a persistent voice change?
What is PCN; group A strep and contralateral deviation of the uvula; CT with IV contrast; airway stabilization; mediastinitis; refer to ENT
300
If a patient presents with painless visual loss in the left eye and you see a blood and thunder fundus what are you thinking? what could cause this problem? What if the patient has an underlying A. fib? what if the patient had sickle cell disease?
What is CRVO, and recent surgery; CRAO; hyphema or increase IOP
300
What are the RF for submandibular sialadenitis?
What is Sjogren's, anticholinergics, autoimmune, excessive dental work, previous radiation
300
Medication that is best for congestion, with rapid onset, and can be used chronically?
What is Nasal antihistamine = Astelin
300
What is chronic dacryoadenitis? What is the usual underlying chronic disease associated with dacryoadenitis? Management of dacryocysitis? What is the number 1 cause of epiphora and eye discharge in children?
What is more common than acute, bilateral, painless enlargement of the lacrimal gland; sarcoidosis; Augmentin; Dacryostenosis
300
What is the most organism for epiglottis? When doing a lateral neck x-ray (bedside) what do you expect to see? What is the most important management? How to treat someone with chronic laryngitis (>3 weeks)?
What is Hib; thumb sign; ensure airway stability; ENT referral
400
Patient presents with a right sided headache behind the eye, decreased visual acuity in the right eye, and the globe is firm to palpation?
What is glaucoma (increase in IOP)
400
What are the RF for Parotitis? Most common etiology?
What is vaccination status - MUMPS, and post-op patients, elderly in the ICU. Staph (unilateral)! not MUMPs - bilateral.
400
What is hyphema? If on physical exam, you see white depression lesions in the eye what are you thinking? What causes enophthalmos? Medical management of an orbital fracture? What are you thinking if you find drusen - discrete, yellow lipid deposits in the deep layers of the retina?; self-monitoring of AMD?
What is red blood cells in the anterior chamber; corneal ulcers; downward displacement of the orbital floor; oral Abx; age related macular degeneration (AMD); Amsler grid
400
Which duct is associated with the submandibular gland?
What is Wharton's duct
500
What is an intervention for corneal abrasions? what are you thinking if the eye was pushing anteriorly? What should a patient be put on after cataracts surgery? What is the definitive treatment for strabismus? What is the cause of esotropia?
What is cycloplegics (dilate the eye); and obstruction of aqueous humor; STEROIDS; surgery; problem with medial rectus - problem bringing the eye in
500
What are the RF for oral cancer?
What is smoking, alcohol, HPV 16!
500
Where can you typically find squamous cell carcinoma in the mouth? what is the mnemonic for SCC? Can you scape off oral candidiasis? Treatment of thrush? How does HSV present? What is the prodrome for HSV? How to evaluate HSV? What are you thinking if you see ovoid ulcers with a grayish center, how do you treat?
What is floor of the mouth; RULE R = redness U = ulcerated L= lump E = extending for > 3 weeks; yes; clotrimazole; vesicles with an erythematous base; neurovirulence; Tzank smear; aphthous ulcers, topical steroids
500
If a pt presents with new-onset floaters and flashing lights what are you thinking? RD involving what has the worst prognosis? If you find cotton-wool spots what are you thinking? What are you thinking if you find a cherry red macula? What are you thinking if you find swollen disc (papillitis), how do you manage?
What is retinal detachment; macula; diabetic retinopathy; CRAO; Optic neuritis, high dose IV steroids
500
How to treat sialadenitis?
What is Clinda
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