PANCE - HEENT QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+

_____________ is cuased by the overzealous use of decongestant drops or sprays containing oxymetazoline or phenyephrine. This cuases a rebound congestion which prompts increased use of the agent, creating a vicious cycle. - rhinits medicamentosa 'fever over 38C, tender anterior cervical adenopathy, LACK OF COUGH and pharngotonsillar exudate' Presence of all 4 of these strongly suggest strep. What is this criteria called? - Centor criteria 3/4 rapid strep test sensitive > 90% 1/4 strep unlikely "A curtain being drawn over the eye from the top to bottom" is the classic description of... - retinal detachment 20 year old female complains of a cold, sinus pain and difficult breathing. She's gained some weight recently. You look in your mouth and you see deviation of the soft palate and assymetric rise of the uvula...likely dx? - peritonsillar abscess deviation of the soft palate and assymetric rise of uvula highly suggestive Allergic shiners are... - bluish discoloration below the eyes Any impediment to the flow of aqeuous humor through the trabecular meshwork and canal of schlemm will increase pressure in the anterior chamber in Glaucoma. T or F - T Avoid this treatment in a corneal ulcer because they will cause further tissue loss and increase risk of perforation - topical steroids CHERRY RED SPOT = - central retinal artery occlusionChildren with allergic rhinits may develop a horizontal nasal crease called __________________ from habitually rubbing the nose. - the allergic salute Cholorquine or phenothiazine are drugs that can cause this disorder of the eye. - macular degeneration Chornic OM may result in what kind of hearing loss? - conductive Commonly associated with water exposure, trauma (ear cleaning or scratching) or exfoliative skin conditions (psoriasis, eczema) - OE consists of bogginess of the nasal mucosa associated with a complaint of stuffiness and rinorrhea. symptoms are labile and can clear quickly - vasomotor rhinits Defined as an increased intraocular pressure w/ optic nerve damage. - Glaucoma Diabetics or immunocompromised patients may develop malignant OE. What treatment will this require? - hospitalization and parenteral antibx Elevated IOP without optic disc damage is known as... - ocular hypertension How do you resolve a CRVO? - w vision typically is resolved w/ time at least partially. a work up for further thrombosis is indicated. neovascularization can be treated with intravitreal injection of vascular endothelial growth factor inhibitors How do you treat a hordeolum (stye)? - Warm compress several times a day for 48 hrs, topical antibiotics if secondary infection develops Incision and drainage may be indicated if it does not resolveHow do you treat an entropion or an ectropion? - Surgical repair if the condition causes trauma (triachiasis), excessiv tearings, exposure keratitis or cosmetic distress How should you treat a corneal ulcer? - REFER TO OPTHALMOLOGIST stain lesion and culture How will papilledema look on fundoscopic exam? - This disc appears swollen and the margins are blurred with an obliteration of the vessels. The patient may be asymptomatic or may cmplain of transient visual alterations that last for seconds. If a patient is having a POSTERIOR nasal bleed, what is the usu. location? - woodruff plexus anterior would be keissenbachs plexus If pressure and position change doesn't stop a nose bleed (anterior), what are options? - topical cocaine (anesthetic and vasoconstrictor), oxymetazoline and topical anesthtetics (lidocaine) rhinorocket If pressure doesn't stop the posterior nosebleed what is aonther option? - specialist eval, surgery packing is dangerous If you suspect mastoiditis after an OM infection what can help you with the dx? - CT IgE mediated reactivity to airborne antigens (pollen, molds, dust). commonly occurs in people who have other atopic dz and those with fam hx. - allergic rhinitis In diabetic or immunocompromised patient who present with auricle pain on movement, and erythematous, swollen ear canal suspect this condition which is a necrotizing infection extending to the blood vessels, bone and cartilage. This requires hopsitalization and parenteral antibx. - malignant OEIn macular degeneration, drusten deposits are found in the ____ membrane, leading to degenerative changes, loss of nutritional supply, atrophy and neovascular degeneration. - bruchen In menieres dz, with caloric testing, nystagmus is gained or lost on the impaired side? - lost