NBEO Part II | latest 2023/24 with complete solution

NBEO Part II | latest 2023/24 with complete solution Antibiotic Treatment of Dacryocystitis - Augmentin 500 mg PO TID x 10 days or Bactrim (sulfamethoxazole+trimethoprim) 1 double strength tablet PO BID x 10 days if penicillin allegories Describe difference of papillae appearance in AKC vs VKC - AKC - small papillae inf palpebral conj VKC - large papillae sup palpebral conj Differentiate chemises caused by idiopathic orbital pseudo tumor from allergic symptoms - In idiopathic orbital pseduotumor you would expect unilateral chemosis without itching and occurs to its age 20-50 Treatment for high-flow carotid cavernous fistulas vs low flow carotid cavernous fistulas - High Flow - balloon embolization Low Flow - monitor without treatment unless vision/life affecting Tarsorrhaphy vs Canthorrhaphy - Both are treatments for severe ocular surface diseases which cause exposure to eye Tarsorrhaphy - upper/lower eyelids sewn together can involved middle portion of eyelids Canthorrhaphy - shorten palpebral fishes via suturing medial/lateral cants Treatment for optic neuropathy (ON compression) secondary to TED - Oral Prednisone 100 mg QD for 2-14 days - reduce inflammation of EOM and remove compression of ON Orbital Pseudotumor treatment - Similar to TED oral Prednisone 60-100 mg QD for 2-3 weeks (longer than TED), slow taper (5-10mg/week) Longterm Steroid prescription should be accompanied by .... - H2 receptor or proton pump inhibitor to protect the stomach lining (cox-1) Treatment Course for Orbital Cellulitis - Initial IV steroids typically ceftriaxone Then 10 day oral antibiotic (augmenting 250-500mg or cycler 250-500mg/2nd gen) TID Squamous vs Viral Papillomas - Viral - rare chance of malignancy, caused by HPV Squamous - benign caused by squamous hyperplasia Diagnosis procedure for suspected nasolacrimal duct obstruction in children vs adults - children - valve of hasher issue wait -- digital massage -- probe -- DCR adults - involutional, sinus infection Jones 1--2-- DCR Epiphoria Differential Diagnosis - Increased lacrimation - infection, uveitis, trichiasis, irriation Decreased drainage - dacryocysitits, cana