HEENT-Dunphy / Lecture Notes
Exam Questions with Correct Answers
What is the most common bacterial cause of otitis media? - Answer-s. pneumoniae
What are some differences in discharge from viral vs bacterial conjunctivitis? - Answer-
viral- watery discharge, matting unusual; contagious 1-2 weeks
bacterial yellow/thick/purulent with matting
what are red eye red flags? resulting in emergency referral - Answer-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)
What is conductive hearing loss? - Answer-unilateral loss of low tones; AC<BC
cx: fluid behind TM, cerumenosis, foreign body, otitis, tumors, perf TM, cholesteotoma
what is sensorineural hearing loss? - Answer-slow onset, usu bilateral, loss of high
frequency tones
cx: ototoxic drugs, hereditary, aging, malformation, inner ear, loud noise injury
Patients who wear contacts are at increased r/f what? - Answer-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
How do you treat bacterial conjunctivitis? - Answer-erythromycin 0.5%
How do you treat viral conjunctivitis? - Answer-Refresh eye drops
no antibiotics
What is a chalazion? - Answer-swelling of an oil gland on the eyelid (Meibomian gland)
painless typically
inversion of the eyelid with redness and swelling
Exam Questions with Correct Answers
What is the most common bacterial cause of otitis media? - Answer-s. pneumoniae
What are some differences in discharge from viral vs bacterial conjunctivitis? - Answer-
viral- watery discharge, matting unusual; contagious 1-2 weeks
bacterial yellow/thick/purulent with matting
what are red eye red flags? resulting in emergency referral - Answer-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)
What is conductive hearing loss? - Answer-unilateral loss of low tones; AC<BC
cx: fluid behind TM, cerumenosis, foreign body, otitis, tumors, perf TM, cholesteotoma
what is sensorineural hearing loss? - Answer-slow onset, usu bilateral, loss of high
frequency tones
cx: ototoxic drugs, hereditary, aging, malformation, inner ear, loud noise injury
Patients who wear contacts are at increased r/f what? - Answer-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
How do you treat bacterial conjunctivitis? - Answer-erythromycin 0.5%
How do you treat viral conjunctivitis? - Answer-Refresh eye drops
no antibiotics
What is a chalazion? - Answer-swelling of an oil gland on the eyelid (Meibomian gland)
painless typically
inversion of the eyelid with redness and swelling
