HEENT Dunphy Lecture Notes
Questions With Correct Answers
\Q\.What is the most common bacterial cause of otitis media? - ANSWERS✔-s. pneumoniae
\Q\.What are some differences in discharge from viral vs bacterial conjunctivitis? - ANSWERS✔-
viral- watery discharge, matting unusual; contagious 1-2 weeks
bacterial yellow/thick/purulent with matting
\Q\.what are red eye red flags? resulting in emergency referral - ANSWERS✔-flashing
lights/photopsias (retina problem)
acute onset of double vision or floaters
severe pain with eye movement (optic neuritis)
photophobia (uveitis)
concurrent vesicle on face/lips/nose (HZO)
injury with foreign body
new onset vision changes
new onset blurry vision with halos and headache (acute angle closure glaucoma)
\Q\.What is conductive hearing loss? - ANSWERS✔-unilateral loss of low tones; AC<BC
cx: fluid behind TM, cerumenosis, foreign body, otitis, tumors, perf TM, cholesteotoma
, \Q\.what is sensorineural hearing loss? - ANSWERS✔-slow onset, usu bilateral, loss of high
frequency tones
cx: ototoxic drugs, hereditary, aging, malformation, inner ear, loud noise injury
\Q\.Patients who wear contacts are at increased r/f what? - ANSWERS✔-infectious keratosis-
infection of the cornea
happens when pts wear their contacts during the night and with poor contact hygiene
may need strong drops- fluoroquinolones
\Q\.How do you treat bacterial conjunctivitis? - ANSWERS✔-erythromycin 0.5%
\Q\.How do you treat viral conjunctivitis? - ANSWERS✔-Refresh eye drops
no antibiotics
\Q\.What is a chalazion? - ANSWERS✔-swelling of an oil gland on the eyelid (Meibomian gland)
painless typically
inversion of the eyelid with redness and swelling
\Q\.How is a Chalazion treated? - ANSWERS✔-warm compress over the eye
eye hygiene-water/baby shampoo 1:1 BID
do not pop can cx infection
no eye make up or contacts
Questions With Correct Answers
\Q\.What is the most common bacterial cause of otitis media? - ANSWERS✔-s. pneumoniae
\Q\.What are some differences in discharge from viral vs bacterial conjunctivitis? - ANSWERS✔-
viral- watery discharge, matting unusual; contagious 1-2 weeks
bacterial yellow/thick/purulent with matting
\Q\.what are red eye red flags? resulting in emergency referral - ANSWERS✔-flashing
lights/photopsias (retina problem)
acute onset of double vision or floaters
severe pain with eye movement (optic neuritis)
photophobia (uveitis)
concurrent vesicle on face/lips/nose (HZO)
injury with foreign body
new onset vision changes
new onset blurry vision with halos and headache (acute angle closure glaucoma)
\Q\.What is conductive hearing loss? - ANSWERS✔-unilateral loss of low tones; AC<BC
cx: fluid behind TM, cerumenosis, foreign body, otitis, tumors, perf TM, cholesteotoma
, \Q\.what is sensorineural hearing loss? - ANSWERS✔-slow onset, usu bilateral, loss of high
frequency tones
cx: ototoxic drugs, hereditary, aging, malformation, inner ear, loud noise injury
\Q\.Patients who wear contacts are at increased r/f what? - ANSWERS✔-infectious keratosis-
infection of the cornea
happens when pts wear their contacts during the night and with poor contact hygiene
may need strong drops- fluoroquinolones
\Q\.How do you treat bacterial conjunctivitis? - ANSWERS✔-erythromycin 0.5%
\Q\.How do you treat viral conjunctivitis? - ANSWERS✔-Refresh eye drops
no antibiotics
\Q\.What is a chalazion? - ANSWERS✔-swelling of an oil gland on the eyelid (Meibomian gland)
painless typically
inversion of the eyelid with redness and swelling
\Q\.How is a Chalazion treated? - ANSWERS✔-warm compress over the eye
eye hygiene-water/baby shampoo 1:1 BID
do not pop can cx infection
no eye make up or contacts
