Pance ear practice questions12/24/2022 ![]() ![]() Ludwig's angina, rheumatic fever and (peri)tonsillar abscess. TX IS PCN or Ertyhro.Ĭomplications of untreated bacterial pharyngitis? 38/100.4, anterior cervical lymphadenopathy, lack of cough with pharyngotonsillar exudates. Viral lacks exudate, high fever and lymphadenopathy - whereas bacterial does. viral and bacterial pharyngitis? Rule of thumb? What is rebound congestion in vasomotor rhinitis?Īllergic (IgE with *atopy of atopic dermatitis/eczema/asthma* +/- nasal polyps & ASA sensitivity, allergic salute and shiners), Vasomotor (boggy, stuffy and rhinorrhea) and Rhinitis medicamentosa (2/t oxymetolazine or phenylephrine).ĭifference btw. No! Wait until 12w to discern subacute vs. CAUTIOUS polymixin B, aminoglycosides and aminoglycosides.ĭo you give a Z-pack for acute sinusitis? is otic abx + Burow's Solution lavage (acetic acid + AlSO4). children and teens 2/t Pseudomonas, Proteus, Enterobacteriaceae (or pre-existing eczema, seborrheic dermatitis or psoriasis). ![]() ![]() PCN allergic: erythro or clarithromycins. is amox / amox-clav / erythro+sulfonamide / Bactrim. 4-24 months 2/t S.aureus, S.pneumo, M.cat, H.flu (and S.pyogenes). Top causes of infant and childhood hearing loss?Īsphyxia (think CP), erythroblastosis, MMR, pertussis, influenza, meningitis and labrynthitis.Įsp. What does the cover-uncover test look for?īlue or cyanotic sclera in infants is caused by what?ĮNT reason for pain out of proportion to exam?īullous myringitis (other non-ENT reasons are mesenteric ischemia and compartment syndrome). Macular degeneration, cataracts, glaucoma or tumors. ESR -> Pred), embolic amaurosis fugax or TIA.ĬRAO, CRVO, optic neuropathy, papillitis and retrobulbar neuritis. GCA/temporal arteritis (tender, fever, malaise, inc. pneumo, Moraxella > Chlamydia and Gonorrhea (Gram and Giemsa stain for PMNs & only Gonorrhea will show Gram - diplococci as Chlamydia will not). Watery, not goopy, d/c -> saline otic lavage bid +/- antihistamines. Most common cause of viral conjunctivitis?Īdenovirus 3, 8 or 19. Caused by S.aureus, GBHS, S.epi and Candida.īlepharitis -> Chalazion both meibomian glands. Median age and top offenders for dacrostenosis?ĩ months. Can present w/ osteomyelitis or cavernous sinus thrombosis.Īdmit for broad spectrum IV abx while awaiting cx. MRSA and 2/t chronic sinusitis in adults (given viral sinusitis more common s/p URI). Median age and top offenders for orbital cellulits?ħ-12yo. Occur 2/t systemic DM and HTN > pre/eclampsia, blood dyscrasias and HIV. What is the leading cause of blindness in the US? Painless and 2/t emboli, thrombosis and vasculidities. What is box-carring with a cherry-red spot?ĬRAO. *#1 cause of irreversable central vision loss.* Turn pt to affected side.Ĭlassic causes and presentation of macular degeneration?Īge > chloroquine or phenothiazine -> Drusen deposits in Bruch's membrane causing metamorphopsia w/ neovascularization (give anti-VEGF). Spontaneous or 2/t trauma or severe myopia. VN does not, and labrynthitis does, have hearing loss (with acute vertigo and tinnitus s/p Otitis or viral infection -> meclizine, promethazine or dimenhydrinate).ĪC > BC = SNL (though both AC and BC impaired)Ĭlassic presentation for laryngeal cancer? How to discern vestibular neuritis from labrynthitis? PRESBYCUSIS > Meniere's, Acoustic neuroma, acoustic trauma. Top reasons for sensorineural hearing loss? WAX > OE/OM, TM perf, foreign body (don't remove batteries, refer), otosclerosis, cholesteatoma. Gent/Vanc/Erythro/Neomycins, Quinidine, Chemotx, Loops, ASA, Chloramphenicol. PANCE ENT PANCE Opthalmology and Otolaryngology Question ![]()
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