3P EXAM () QUESTIONS AND
VERIFIED RATIONALIZED ANSWERS, 100%
GUARANTEE PASS
herpes keratitis - correct answer-cause: herpes simplex virus or shingles
symptoms: abrupt eye pain, blurred vision, tearing, vesicles on temporal side
dx: fluorescein dye with fern like lesion
tx: ophthalmologist or ER
corneal abrasion - correct answer-
symptoms: abrupt pain, abrasion that is round/irregular, foreign body sensation
dx: fluorescein dye to r/u herpes keratitis
tx: erythromycin ointment QID 3-5 days, DONT PATCH THE EYE
alternatives meds: sulfacetamide, cipro, ofloxacin
acute angle-closure glaucoma - correct answer-
s/s: acute onset of eye pain, double vision, headache, nausea/vomiting, cloudy cornea, pupil dilated a
nd does not react to light
normal ICP: 8-21, AAG= >21
tx: ER stat
papilledema - correct answer-
s/s: optic disc swelling w/ blurred edges d/t increase ICP secondary to bleed, tumor, pseudo tumor
tx: ER
primary open angle glaucoma - correct answer-
s/s: CN 2, gradual vision changes, peripheral vision first then central
tx: IOP- elevated: ophthalmologist, medications: BB- timolol, and xalantan prostaglandin
Cataracts - correct answer-s/s: night vision, glare w/ driving at night or alot of sun
,screen: red reflex absent from affected eye, normal reddish/orange glow
Macular Degeneration - correct answer-
s/s: painless loss of vision where straight lines appear curved, peripheral vision is preserved
tx: amsler grid and refer to ophthalmologist
retinal detachement - correct answer-s/s: flashes of light, looking through curtain, painless
tx: ER
dacryocystitis - correct answer-def: infx of lacrimal sac from blockage
s/s: thick discharge, pain, redness, swelling, warmth
tx: lacrimal sac massage: downward toward mouth 2-3 times per day, systemic abx 7-10 days
allergic rhinitis - correct answer-def: inflammatory changes, seasonal or daily
s/s: congestion w/ clear mucus, itchy nose, sneezing, cough that is worse when lying down, blue/pale
boggy turbinates
tx: nasal steroid f/b antihistamine, decongestant, avoiding triggers
epistaxis: nosebleed - correct answer-def: anterior nose bleed
tx: blow their nose, tip forward, decongestant nasal
Meneire's Disease - correct answer-s/s: triad = dizziness, tinnitus, hearing loss
mnemonic: VAST = vertigo, aural fullness, sensorineural loss, tinnitus
tx: supportive, antihistamine, antiemetics
Acoustic Neuroma - correct answer-s/s: years 30-
60, gradual hearing loss one side, sensorineural loss w/ tinnitus and facial numbness
dx: MRI: bengin tumor
tx: surgery
,cholesteatoma - correct answer-
s/s: cauliflower inside the ear, foul smell, hearing loss, erode bone = CN 7
tx: surgery
Battle Sign: Basilar Skull Fracture - correct answer-
s/s: parietal bone fracture, raccoon eyes, bruising behind the mastoid, drainage from nose/ear
tx: ER
Benign Paroxysmal Positional Vertigo BPPV - correct answer-
s/s: vertigo from sudden movements, lose balance, falls
dx: GOLD STANDARD: Dix-Hallpike
tx: Epley Maneuver by PT
vestibular neuritis/labryinthitis - correct answer-cause: viral infx or inflammation
s/s: severe vertigo w/ n/v for 1-2 days then lessen, tinnitus, sensorineural loss
tx: zofran, methylprednisolone taper
Acute Otitis Media: AOM - correct answer-cause: strep pneumo
s/s: unilateral ear pain, popping/muffled hearing, fever, TM rupture-
blood/pus on pillow, TM red and bulging, TM immobile
Tx: amoxicillin, recent ABX use = augmentin, cephalosporin
Penicillin allergy: Type 1: levofloxacin, doxcycline. Type 2: 3 generation of cef
hearing test: conductive hearing loss, Weber-lateral to bad ear, Rinne BC > AC
Otitis Media w/ effusion - correct answer-
s/s: painless, follow AOM d/t rhinitis, clear fluid in ear w/ pressure resulting in hearing loss. TM not re
d or bulging
tx: treat like allergies, supportive therapy, oral decongestant, steroid nasal spray
Hearing test: Weber: lateral to affected ear, Rinne BC>AC
Otitis Externa - correct answer-cause: pseudomonas aeruginosa
, s/s: red/swollen ear canal that is tender, external ear pain, green, itching, hearing loss
tx: topical steroid and antibiotic: Cortisporin or Cipro ear drops, NSAID, keeping out of water
hearing test: Weber: lateral to affected ear, Rinne: BC>AC
presbycusis - correct answer-
s/s: sensorineural hearing loss w/o lateralization, inner ear, aging adult and high frequency
acute bacterial rhinosinusitis - correct answer-cause: strep pnuemo, H. influenzae, viral
s/s URI for longer than 10 days, unilateral facial pain/fullness, purulent nasal drip. Transilluminate: dull
er on affected side
tx: augmentin, nasal irrigation, nasal steroids, NSAID
Penicillin allergy: levofloxaxin or doxy
infectious mononucleosis - correct answer-cause: Epstein bar virus
s/s: sore throat w/ white exudate, posterior lymphadenopathy, fatigue for several weeks, rash, hepato
megaly, splenomegaly
Triad: fever, sore throat, lymphadenopathy
dx: monospot
tx: symptomatic, rest, AB US
strep and mono= give macrolide
oral leukoplakia - correct answer-def: white patches on tongue
tx: refer to ENT for biopsy
Sialolithiasis - correct answer-
s/s: pain lump on submandibular gland, pain w/ eating, calculi or salivary stones
aphthous stomatitis - correct answer-s/s: painful shallow ulcers 7-10 days on tongue/cheek
tx: magic mouthwash: steroid, lidocaine, benadryl
VERIFIED RATIONALIZED ANSWERS, 100%
GUARANTEE PASS
herpes keratitis - correct answer-cause: herpes simplex virus or shingles
symptoms: abrupt eye pain, blurred vision, tearing, vesicles on temporal side
dx: fluorescein dye with fern like lesion
tx: ophthalmologist or ER
corneal abrasion - correct answer-
symptoms: abrupt pain, abrasion that is round/irregular, foreign body sensation
dx: fluorescein dye to r/u herpes keratitis
tx: erythromycin ointment QID 3-5 days, DONT PATCH THE EYE
alternatives meds: sulfacetamide, cipro, ofloxacin
acute angle-closure glaucoma - correct answer-
s/s: acute onset of eye pain, double vision, headache, nausea/vomiting, cloudy cornea, pupil dilated a
nd does not react to light
normal ICP: 8-21, AAG= >21
tx: ER stat
papilledema - correct answer-
s/s: optic disc swelling w/ blurred edges d/t increase ICP secondary to bleed, tumor, pseudo tumor
tx: ER
primary open angle glaucoma - correct answer-
s/s: CN 2, gradual vision changes, peripheral vision first then central
tx: IOP- elevated: ophthalmologist, medications: BB- timolol, and xalantan prostaglandin
Cataracts - correct answer-s/s: night vision, glare w/ driving at night or alot of sun
,screen: red reflex absent from affected eye, normal reddish/orange glow
Macular Degeneration - correct answer-
s/s: painless loss of vision where straight lines appear curved, peripheral vision is preserved
tx: amsler grid and refer to ophthalmologist
retinal detachement - correct answer-s/s: flashes of light, looking through curtain, painless
tx: ER
dacryocystitis - correct answer-def: infx of lacrimal sac from blockage
s/s: thick discharge, pain, redness, swelling, warmth
tx: lacrimal sac massage: downward toward mouth 2-3 times per day, systemic abx 7-10 days
allergic rhinitis - correct answer-def: inflammatory changes, seasonal or daily
s/s: congestion w/ clear mucus, itchy nose, sneezing, cough that is worse when lying down, blue/pale
boggy turbinates
tx: nasal steroid f/b antihistamine, decongestant, avoiding triggers
epistaxis: nosebleed - correct answer-def: anterior nose bleed
tx: blow their nose, tip forward, decongestant nasal
Meneire's Disease - correct answer-s/s: triad = dizziness, tinnitus, hearing loss
mnemonic: VAST = vertigo, aural fullness, sensorineural loss, tinnitus
tx: supportive, antihistamine, antiemetics
Acoustic Neuroma - correct answer-s/s: years 30-
60, gradual hearing loss one side, sensorineural loss w/ tinnitus and facial numbness
dx: MRI: bengin tumor
tx: surgery
,cholesteatoma - correct answer-
s/s: cauliflower inside the ear, foul smell, hearing loss, erode bone = CN 7
tx: surgery
Battle Sign: Basilar Skull Fracture - correct answer-
s/s: parietal bone fracture, raccoon eyes, bruising behind the mastoid, drainage from nose/ear
tx: ER
Benign Paroxysmal Positional Vertigo BPPV - correct answer-
s/s: vertigo from sudden movements, lose balance, falls
dx: GOLD STANDARD: Dix-Hallpike
tx: Epley Maneuver by PT
vestibular neuritis/labryinthitis - correct answer-cause: viral infx or inflammation
s/s: severe vertigo w/ n/v for 1-2 days then lessen, tinnitus, sensorineural loss
tx: zofran, methylprednisolone taper
Acute Otitis Media: AOM - correct answer-cause: strep pneumo
s/s: unilateral ear pain, popping/muffled hearing, fever, TM rupture-
blood/pus on pillow, TM red and bulging, TM immobile
Tx: amoxicillin, recent ABX use = augmentin, cephalosporin
Penicillin allergy: Type 1: levofloxacin, doxcycline. Type 2: 3 generation of cef
hearing test: conductive hearing loss, Weber-lateral to bad ear, Rinne BC > AC
Otitis Media w/ effusion - correct answer-
s/s: painless, follow AOM d/t rhinitis, clear fluid in ear w/ pressure resulting in hearing loss. TM not re
d or bulging
tx: treat like allergies, supportive therapy, oral decongestant, steroid nasal spray
Hearing test: Weber: lateral to affected ear, Rinne BC>AC
Otitis Externa - correct answer-cause: pseudomonas aeruginosa
, s/s: red/swollen ear canal that is tender, external ear pain, green, itching, hearing loss
tx: topical steroid and antibiotic: Cortisporin or Cipro ear drops, NSAID, keeping out of water
hearing test: Weber: lateral to affected ear, Rinne: BC>AC
presbycusis - correct answer-
s/s: sensorineural hearing loss w/o lateralization, inner ear, aging adult and high frequency
acute bacterial rhinosinusitis - correct answer-cause: strep pnuemo, H. influenzae, viral
s/s URI for longer than 10 days, unilateral facial pain/fullness, purulent nasal drip. Transilluminate: dull
er on affected side
tx: augmentin, nasal irrigation, nasal steroids, NSAID
Penicillin allergy: levofloxaxin or doxy
infectious mononucleosis - correct answer-cause: Epstein bar virus
s/s: sore throat w/ white exudate, posterior lymphadenopathy, fatigue for several weeks, rash, hepato
megaly, splenomegaly
Triad: fever, sore throat, lymphadenopathy
dx: monospot
tx: symptomatic, rest, AB US
strep and mono= give macrolide
oral leukoplakia - correct answer-def: white patches on tongue
tx: refer to ENT for biopsy
Sialolithiasis - correct answer-
s/s: pain lump on submandibular gland, pain w/ eating, calculi or salivary stones
aphthous stomatitis - correct answer-s/s: painful shallow ulcers 7-10 days on tongue/cheek
tx: magic mouthwash: steroid, lidocaine, benadryl
