Eye
What is a painless, inflamed lump in the upper eyelid?
Chalazion
Which of the following would be MOST successful in posterior epistaxis?
Afrin
Silver nitrate
Packing
Direct Pressure
Packing
Jackie voceras you to remind you of the patient you signed up to see an hour ago is still in CIA-5. The patient is immunocompromised with the chief complaint of white plaques on tongue that can be scraped off. What is the treatment?
topical antifungals
You are climbing Mt. Kilimanjaro with Dr. McHugh when he starts to act confused and have trouble walking. In addition to supplemental oxygen and descent, what medication should you administer?
Dexamethasone
Beibelhausen went skiing and forgot his ski goggles. Now his eyes are red and painful. What is the diagnosis?
UV keratitis
How can you tell pre-septal vs post-septal cellulitis before getting a CT scan?
Pain with eye movement, vision impairment, and proptosis all suggest post-septal cellulitis
Your last patient of the day comes in with AMS and no family to give a history. The patient is nonverbal at baseline, but you notice severe otorrhea and granulation tissue in the ear canal. What is your diagnosis?
Malignant otitis externa
A 7 year old at children's has a barking cough you can hear from triage. Triage vitals reveal tachycardia and tahcypnea. On exam, the patient has a tender anterior neck. Chart review reveals they were hear a week ago with barking cough. What is the diagnosis?
Bacterial tracheitis
A patient is on their way to Room 18 when you notice they have an extremely ataxic gait. The patient tells you he believes he is at the grocery store. There is a well documented history of alcohol abuse in the chart. Which physical exam findings would suggest Wernicke's encephalopathy?
Oculomotor dysfunction
Negin's cat gets spooked and jumps on her face. She presents to the Green ED with ciliary flush. What is the diagnosis?
Traumatic iritis
100 For Each Retinal Pathology!
1) blood and thunderous retina
2) cherry red retina
3) cotton wool spots
1) central retinal vein occlusion
2) central retinal artery occlusion
3) diabetic retinopathy
What is the triad seen in Meniere's disease?
episodic vertigo, sensorineural hearing loss, and tinnitus
A 4 year old boy presents to Bath drooling and leaning forward. He does not want to talk due to pain. What bug most commonly causes this etiology in unvaccinated patients?
HiB
Kenton is working in the middle-of-nowhere Ohio and receives an unstable, altered patient with a VP shunt from his local EMS. CT Brain shows worsening, severe ventriculomegaly. What should Kenton do?
complete a sterile shunt tap
Makowski wants you to ultrasound his eyeball during an episode of vision changes. You see a thin, hyperechoic line across the globe that is not tethered to anything. What do you tell him he has?
Vitreous detachment
Lorne tells you his kid has an overflow of tears with unilateral, pain and swelling medial to the eye. Do you prescribe Lorne's kid antibiotics? What is the diagnosis?
Yes, dacryocystitis
Butler has to carry out the "mother's kiss" on little Nicky. Which of the following is the most concerning nasal foreign body?
Button Battery
Magnet
Plastic Bead
Green Bean
Button Battery
inflammation caused by food particles and microorganisms trapped under gum flaps
Pericoronitis
You are evaluating a patient at the medic desk for stroke with Eleni. You notice the patient has left neglect and does not see their left field of vision from either eye. What part of the visual system is affected?
Optic nerve
Optic chiasm
Optic tract
Optic radiation
Optic tract
A patient presents to CCAG downtown with a small, unknown corneal foreign body. You do a slit lamp exam and find a rust ring. What is your next move?
call ophtho because the foreign body and rust ring needs removal
You are evaluating Sveta for acute angle closure glaucoma after she sustained a headache while watching the newest Spider Man movie. Your tono pen reads 42, she has a cloudy cornea, and sluggish pupil. What medication would be contraindicated in her treatment if she told you she has a rare Russian form of sickle cell disease?
Acetazolamide (can alter pH and preciptate sickling)
Suri convinces you to go to her piercing party. Three days after she pierces your helix, your ear becomes swollen, red, and warm. What is the diagnosis?
Perichondritis
What Centor criteria scoreS indicate testing without empiric treatment?
2 and 3
Dr. Watkins feels dizzy on shift. You appreciate unidirectional nystagmus on exam. He wants you do do a HINTS exam to assess his risk of stroke. What findings suggest vestibular neuritis instead of cerebellar stroke?
No eye movement on test of skew OR abnormal head impulse test
What is the likely causative agent of neonatal conjunctivitis if the baby is less than 5 days old?
Gonorrhea