3P EXAM () QUESTIONS AND VERIFIED RATIONALIZED ANSWERS.100% CORRECT ANSWERS

3PEXAM()QUESTIONSAND
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VERIFIEDRATIONALIZEDANSWERS,100% V V V




GUARANTEE PASS
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herpes keratitis - correct answer-cause: herpes simplex virus or shingles
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symptoms: abrupt eye pain, blurred vision, tearing, vesicles on temporal side dx:
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fluorescein dye with fern like lesion
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tx: ophthalmologist or ER
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corneal abrasion - correct answer-
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symptoms: abrupt pain, abrasion that is round/irregular, foreign body sensation dx:
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fluorescein dye to r/u herpes keratitis
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tx: erythromycin ointment QID 3-5 days, DONT PATCH THE EYE
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alternatives meds: sulfacetamide, cipro, ofloxacin
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acute angle-closure glaucoma - correct answer-
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s/s: acute onset of eye pain, double vision, headache, nausea/vomiting, cloudy cornea, pupil dilated a nd
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does not react to light
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normal ICP: 8-21, AAG= >21 V V V V




tx: ER stat
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papilledema - correct answer- V V V




s/s: optic disc swelling w/ blurred edges d/t increase ICP secondary to bleed, tumor, pseudo tumor tx:
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ER
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primary open angle glaucoma - correct answer-
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s/s: CN 2, gradual vision changes, peripheral vision first then central
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tx: IOP- elevated: ophthalmologist, medications: BB- timolol, and xalantan prostaglandin
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Cataracts - correct answer-s/s: night vision, glare w/ driving at night or alot of sun
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,screen: red reflex absent from affected eye, normal reddish/orange glow
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Macular Degeneration - correct answer-
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s/s: painless loss of vision where straight lines appear curved, peripheral vision is preserved tx:
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amsler grid and refer to ophthalmologist
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retinal detachement - correct answer-s/s: flashes of light, looking through curtain, painless tx:
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ER
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dacryocystitis - correct answer-def: infx of lacrimal sac from blockage
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s/s: thick discharge, pain, redness, swelling, warmth
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tx: lacrimal sac massage: downward toward mouth 2-3 times per day, systemic abx 7-10 days
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allergic rhinitis - correct answer-def: inflammatory changes, seasonal or daily
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s/s: congestion w/ clear mucus, itchy nose, sneezing, cough that is worse when lying down, blue/pale
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boggy turbinates
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tx: nasal steroid f/b antihistamine, decongestant, avoiding triggers
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epistaxis: nosebleed - correct answer-def: anterior nose bleed tx:
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blow their nose, tip forward, decongestant nasal
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Meneire's Disease - correct answer-s/s: triad = dizziness, tinnitus, hearing loss
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mnemonic: VAST = vertigo, aural fullness, sensorineural loss, tinnitus
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tx: supportive, antihistamine, antiemetics
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Acoustic Neuroma - correct answer-s/s: years 30-
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60, gradual hearing loss one side, sensorineural loss w/ tinnitus and facial numbness dx:
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MRI: bengin tumor
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tx: surgery
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,cholesteatoma - correct answer- V V V




s/s: cauliflower inside the ear, foul smell, hearing loss, erode bone = CN 7 tx:
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surgery
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Battle Sign: Basilar Skull Fracture - correct answer-
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s/s: parietal bone fracture, raccoon eyes, bruising behind the mastoid, drainage from nose/ear tx:
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ER
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Benign Paroxysmal Positional Vertigo BPPV - correct answer- s/s:
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vertigo from sudden movements, lose balance, falls
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dx: GOLD STANDARD: Dix-Hallpike
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tx: Epley Maneuver by PT
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vestibular neuritis/labryinthitis - correct answer-cause: viral infx or inflammation
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s/s: severe vertigo w/ n/v for 1-2 days then lessen, tinnitus, sensorineural loss
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tx: zofran, methylprednisolone taper
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Acute Otitis Media: AOM - correct answer-cause: strep pneumo
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s/s: unilateral ear pain, popping/mufled hearing, fever, TM rupture-
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blood/pus on pillow, TM red and bulging, TM immobile
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Tx: amoxicillin, recent ABX use = augmentin, cephalosporin
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Penicillin allergy: Type 1: levofloxacin, doxcycline. Type 2: 3 generation of cef
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hearing test: conductive hearing loss, Weber-lateral to bad ear, Rinne BC > AC
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Otitis Media w/ effusion - correct answer-
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s/s: painless, follow AOM d/t rhinitis, clear fluid in ear w/ pressure resulting in hearing loss. TM not re
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d or bulging
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tx: treat like allergies, supportive therapy, oral decongestant, steroid nasal spray
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Hearing test: Weber: lateral to affected ear, Rinne BC>AC
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Otitis Externa - correct answer-cause: pseudomonas aeruginosa
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, s/s: red/swollen ear canal that is tender, external ear pain, green, itching, hearing loss
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tx: topical steroid and antibiotic: Cortisporin or Cipro ear drops, NSAID, keeping out of water hearing
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test: Weber: lateral to affected ear, Rinne: BC>AC
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presbycusis - correct answer- V V V




s/s: sensorineural hearing loss w/o lateralization, inner ear, aging adult and high frequency
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acute bacterial rhinosinusitis - correct answer-cause: strep pnuemo, H. influenzae, viral
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s/s URI for longer than 10 days, unilateral facial pain/fullness, purulent nasal drip. Transilluminate: dull er
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on affected side
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tx: augmentin, nasal irrigation, nasal steroids, NSAID
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Penicillin allergy: levofloxaxin or doxy
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infectious mononucleosis - correct answer-cause: Epstein bar virus
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s/s: sore throat w/ white exudate, posterior lymphadenopathy, fatigue for several weeks, rash, hepato megaly,
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splenomegaly
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Triad: fever, sore throat, lymphadenopathy
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dx: monospot
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tx: symptomatic, rest, AB US
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strep and mono= give macrolide
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oral leukoplakia - correct answer-def: white patches on tongue
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tx: refer to ENT for biopsy
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Sialolithiasis - correct answer- V V V




s/s: pain lump on submandibular gland, pain w/ eating, calculi or salivary stones
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aphthous stomatitis - correct answer-s/s: painful shallow ulcers 7-10 days on tongue/cheek tx:
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magic mouthwash: steroid, lidocaine, benadryl
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