NUR 621 (Adult_Gero Acute) MOD #12, part 1 (HEENT) Questions with CORRECT Answers (Grade A+)

NUR 621 (Adult_Gero Acute) MOD #12, part 1 (HEENT) Questions with CORRECT Answers (Grade
A+)


Question 1:

ear condition caused by reactivation of varicella zoster in the ears

- ipsilateral facial paralysis, ear pain, and vesicular

rash/lesions in ear or auditory canal

Answer:

Ramsey Hunt Syndrome (also known as herpes zoster oticus)

Question 2:

diagnosis and DD's for Ramsey Hunt Syndrome (RHS)

Answer:

diagnosis - ESR, CRP, elevated WBC's, viral cultures DD- Bell's Palsy, postherpetic neuralgia,

trigeminal neuralgia

Question 3:

treatment of RHS

Answer:

oral steroids, antiviral therapy

Question 4:

Which best differentiates RHS from Bell's Palsy?

Answer:

vesicular rash in auditory canal

Question 5:

so again, severe ear pain, ipsilateral facial paralysis, and vesicular rash lesions in ear think

Answer:

RHS (herpes zoster oticus)

Question 6:

rare life threating infection that spreads to temporal bone

, -common in diabetics/immunocompromised

-severe relentless ear pain

-cranial nerve 8 abnormalities

Answer:

malignant otitis externa

Question 7:

diagnosis malignant otitis externa

Answer:

CT, biopsy

Question 8:

most common organism causing malignant otitis external

Answer:

pseudomonas

Question 9:

treatment malignant otitis externa

Answer:

IV fluroquinolones + topical antibiotics/steroids

-surgery if severe

-early diagnosis is key

Question 10:

so again, DM or immunocompromised with severe ear pain think

Answer:

malignant otitis externa

Question 11:

again, most common organism causing malignant otitis externa

Answer:

pseudomonas