Peds HEENT Wk 2 Questions With Complete Solutions
Allergic Conjunctivitis Correct Answers Presentation: Watery,
string like D/C, red, itchy, swollen lids, injected and edematous
conjunctiva and sclera
Treatment: Removal of allergen, cool compresses, artificial
tears, topical antihistamines/decongestant
Allergic Rhinitis Correct Answers Chronic; salute sign; similar
symptoms to viral but no fever.
Nasal turbinates swollen, PALE PINK
Treatment: Intranasal steroids; intranasal or antihistamines,
leukotriene antagonists, decongestants; avoiding allergens;
saline nasal spray.
Bacterial Conjunctivitis Correct Answers Presentation:
Unilateral or bilateral mucopurulent D/C, painless, crusting,
injected conjunctiva, chemosis, pre-auricular lymph, clear
cornea. Commonly seen winter and younger children
Common Organisms: H. Influenza, Strep Pneumoniae,
Moraxella catarrhalis, Staph Aureus.
Treatment: Broad Spectrum ABX (e-mycin, trimethoprim and
polymixin B if contact use then fluoroquinolones-cipro, levaquin
or aminoglycosides-gent- do not use., streptomycin, tobramycin-
do not use tobradex.)
Bacterial Pharyngitis Correct Answers Sudden onset of sore
throat and at least one:
1. cervical lymphadenopathy
2. tonsillar exudate
3. positive strep
, 4. Fever >38.3C (101F)
Winter and early spring common ages 5-15 years
S. pneumoniae most common cause
Mycoplasma pneumoniae, chlamydia pneumoniae, Group C &
G strep
Bacterial Pharyngitis Treatment Correct Answers Mild to
Moderate:
URI- supportive
Fever, lymphadenopathy, or exudate: negative culture-
symptomatic; positiv culture- Pen VK or Azithromycin if PCN
allergic
Severe:
Unilateral tonsillar swelling- dariange, abx, Decadron
Bilateral swelling- C & S, Mono, CBC w diff
Airway compromise- Urgent ENT consult
Bacterial Rhinosinusitis Correct Answers Acute infection
paranasal sinus lasting <30 days
Preceded by URI (most common), allergies , trauma
Diagnosis based on unresolved URI >10-14 days or worsens
after 5-7 days.
Maxillary and ethmoid most common present from birth
Sphenoid develops 5 years
Frontal develops 7-8 years.
Bacterial Rhinosinusitis S/S Correct Answers Nasal
congestion; facial pressure and pain; nasal drainage; feve;
cough; fatigue; dental pain; ear pressure/fullnes; teeth hurt.
Organisms: S. pneumoniae; H. influenza; M. catarrhalis; beta-
hemolytic streptococci.
Allergic Conjunctivitis Correct Answers Presentation: Watery,
string like D/C, red, itchy, swollen lids, injected and edematous
conjunctiva and sclera
Treatment: Removal of allergen, cool compresses, artificial
tears, topical antihistamines/decongestant
Allergic Rhinitis Correct Answers Chronic; salute sign; similar
symptoms to viral but no fever.
Nasal turbinates swollen, PALE PINK
Treatment: Intranasal steroids; intranasal or antihistamines,
leukotriene antagonists, decongestants; avoiding allergens;
saline nasal spray.
Bacterial Conjunctivitis Correct Answers Presentation:
Unilateral or bilateral mucopurulent D/C, painless, crusting,
injected conjunctiva, chemosis, pre-auricular lymph, clear
cornea. Commonly seen winter and younger children
Common Organisms: H. Influenza, Strep Pneumoniae,
Moraxella catarrhalis, Staph Aureus.
Treatment: Broad Spectrum ABX (e-mycin, trimethoprim and
polymixin B if contact use then fluoroquinolones-cipro, levaquin
or aminoglycosides-gent- do not use., streptomycin, tobramycin-
do not use tobradex.)
Bacterial Pharyngitis Correct Answers Sudden onset of sore
throat and at least one:
1. cervical lymphadenopathy
2. tonsillar exudate
3. positive strep
, 4. Fever >38.3C (101F)
Winter and early spring common ages 5-15 years
S. pneumoniae most common cause
Mycoplasma pneumoniae, chlamydia pneumoniae, Group C &
G strep
Bacterial Pharyngitis Treatment Correct Answers Mild to
Moderate:
URI- supportive
Fever, lymphadenopathy, or exudate: negative culture-
symptomatic; positiv culture- Pen VK or Azithromycin if PCN
allergic
Severe:
Unilateral tonsillar swelling- dariange, abx, Decadron
Bilateral swelling- C & S, Mono, CBC w diff
Airway compromise- Urgent ENT consult
Bacterial Rhinosinusitis Correct Answers Acute infection
paranasal sinus lasting <30 days
Preceded by URI (most common), allergies , trauma
Diagnosis based on unresolved URI >10-14 days or worsens
after 5-7 days.
Maxillary and ethmoid most common present from birth
Sphenoid develops 5 years
Frontal develops 7-8 years.
Bacterial Rhinosinusitis S/S Correct Answers Nasal
congestion; facial pressure and pain; nasal drainage; feve;
cough; fatigue; dental pain; ear pressure/fullnes; teeth hurt.
Organisms: S. pneumoniae; H. influenza; M. catarrhalis; beta-
hemolytic streptococci.
