Eye
Ear
Nose
Mouth
Throat
100
Painful acute nodule
Hordeolum (hoarders live in a pig-stye; stye = HORDeolum)
Compare to: Chalazion which is chronic and non-painful
100
This first line medication is used to treat bacterial acute otitis media
Amoxicillin
Recurrent AOM is treated with Augmentin, if still recurring should be referred to ENT for myringotomy.
100
This vessel is responsible for the majority of epistaxis
Kiesselbach's Plexus (responsible for anterior bleeds which accounts for 90% of bleeds)
100
Patient had a dental infection recently and is now presenting with painful / difficulty swallowing and difficulty opening mouth. Exam shows raised tongue with woody texture of the floor of the mouth. This is the next step(s) in management.
IV ABx and straight to the OR for airway management
100
Name the diagnosis 
Epiglottis
200
This condition causes sudden, painless, unilateral vision loss 
Central Retinal Vein Occlusion
Compare to: Central Retinal Artery Occlusion which will have a pale fundus, and cherry red spot.200
This item inside the ear canal requires emergency removal
Button Battery
200
Epistaxis from this vessel can cause airway compromise
Sphenopalatine Artery (responsible for posterior bleeds which can be life threatening and often require airway monitoring/management)
200
Patient presents with severe dental pain at the site of a dental extraction 4 days after the procedure. He didn't listen and has been smoking a pack of a cigarettes a day since extraction. This is the most likely diagnosis
Alveolar Osteitis (ie, Dry Socket)
200
This is the most feared iatrogenic complication of management of this condition 
Injury to the Carotid Artery
300
Most commonly seen on days 2 - 7 of life.
Gonococcal Conjunctivitis: presents at day 2 - 7 of life (peak days 3 - 5)
Compare to: Chlamydia, has similar appearance but presents day 7 - 14
300
This condition causes acute vertigo + hearing loss + tinnitus and usually presents after a viral illness.
Labyrinthitis
Compare to:
(1) Vestibular Neuritis: same as labyrinthitis but will NOT have hearing loss. (N in neuritis, N for no hearing loss)
(2) Meniere's: same vertigo + tinnitus + hearing loss, but more chronic/progressive course; not related to viral infections. Presentation is more focused on vertigo/tinnitus as hearing loss is progressive and occurs later.
(3) Acoustic Neuroma (Vestibular Schwannoma): same vertigo + tinnitus + hearing loss, also more chronic like Meniere's but presentation is usually more focused on hearing loss as the other symptoms occur later.
300
DAILY DOUBLE!
"Cell and flare" finding on slit lamp is suggestive of which condition(s)
Uveitis, Iritis, Choroiditis, Chorioretinitis
300
Name this condition 
Herpes Gingivostomatitis
Compare to: Hand Foot Mouth - HFM affects posterior pharynx and spares the anterior pharynx, buccal mucosa, gingiva and tongue. Herpes Gingivostomatitis can involve any/all those areas.
300
Child with recent URI now presenting with sudden onset of very high fevers, ill appearance, cough, and stridor. Name the diagnosis
Bacterial Tracheitis
Compare to: Croup will have lower grade fever, insidious onset of stridor, and kids generally are not ill appearing.400
A woman presents with an acute onset headache which started after entering a movie theater. Eye exam is as below. These medications are used to treat this emergent condition. 
Carbonic Anhydrase Inhibitor (acetazolamide)
Beta Blocker 9timolol)
Osmotic Diuresis (Mannitol)
Alpha Agonist (apraclonidine)
400
DAILY DOUBLE:
This condition presents with swelling around the eye, proptosis, headache, and fevers. Exam will show an ill appearing patient with a lateral gaze palsy.
Cavernous Sinus Thrombosis
Compare to: Orbital Cellulitis - will present very similarly however does not have gaze palsies unless the infection has spread to the cavernous sinus.
400
Application of this medication can help distinguish a septal hematoma from soft tissue edema.
Oxymetazoline (will decrease size of edema, but will have no effect on hematoma)
400
Patient with h/o HIV presents with red swollen gums that have a foul odor. Physical exam seen below. This is the diagnosis, treatment, and disposition. 
Acute Necrotizing Ulcerative Gingivitis.
Tx: Oral antibiotics (amox + flagyl or cipro or doxy +\- fluconazole/nystatin)
Dispo: Discharge! The only "necrotizing" infection you'll likely ever discharge home.
400
SURPRISE EYE QUESTION!
What is the treatment for this condition 
Intraocular and Systemic Antibiotics
500
This finding confirms the diagnosis.
Elevated opening pressure on LP
500
Diabetic, elderly, ear pain x 2 weeks despite using topical antibiotics. Exam shows below, you note otalgia out of proportion to the exam as well. Work up must include assessment for this severe complication
Osteomyelitis of the mastoid segment of petrous bone.
500
Patient presents with congestion. The following is seen on exam. This medication is prescribed. 
Intranasal Glucocorticoids
500
Patient presents with pain and swelling under their tongue. You see the following on ultrasound. What is the treatment for this condition 
Sialogogue (eg: something sour!)
500
Young healthy patient with recent peritonsillar abscess now presenting for persistent throat pain, fevers, and general weakness. Patient is ill appearing. What is the diagnosis and the name of the bacteria causing his condition.
Fusobacterium necrophorum causing Lemierre's Syndrome (IJ thrombophlebitis)