Causes of epiphora
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dry eye, exposure to an irritant, or even an obstruction in the ducts of the
eyes
Risk Factors For eye disease
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, older than 40
autoimmune disease (Sjogren's, lupus, scleroderma, rheumatoid arthritis,
DMII, thyroid disorders, vitamin A deficiency.)
higher in women
smoking or dry environments
hot air heating systems, windy conditions
Martin, age 24, presents to the office with an erythematous ear canal and pain on
manipulation of the auricle. He is on vacation and has been swimming daily at the
resort. What is your diagnosis?
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External otitis.
A 10-year-old male in 5th grade presents to the pediatric office with his mother
complaining of itchy and red eyes for 1 day. The patient complains of watery drainage
in both eyes, associated with repetitive itching. On physical exam, he has no fever or
constitutional symptoms. His vision is normal, with no decrease in extraocular
movements. The patient has a sibling that just started day care recently. He also has
bilateral preauricular lymph nodes that are inflamed. What is the patient's diagnosis?
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Viral conjunctivitis.
You have a patient you are considering starting on bupropion (Wellbutrin) for
tobacco cessation and depression. What in the patient's past medical history would
prevent you from prescribing this?
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History of epilepsy.
Corneal ulceration presents as?
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a red, watery and bloodshot eye; severe eye pain and pus or other eye
discharge.
The antibiotic of choice for recurrent acute otitis media (AOM) and/or treatment
failure in children is:
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Amoxicillin and potassium clavulanate (Augmentin)
Which meds to avoid for asthma patients?
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Beta-blockers, over-the-counter pain relievers like non-steroidal anti-
inflammatory drugs (NSAIDs), including aspirin, and angiotensin-converting
enzyme (ACE) inhibitors
, Keaton, age 6, comes to the clinic with his mother for a 3-month follow-up visit for his
asthma. His mother reports he has symptoms 2 days a week but not more than once
each day, he has had only 1 episode of nighttime awakening because of his asthma, he
is able to play soccer without provoking an attack, and his peak flow personal best is
80% or higher. His current treatment includes a short-acting beta agonist and a
leukotriene receptor antagonist. Based on the level of control, your plan for adjusting
therapy includes:
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Maintaining the current step
What must be done if a patient presents with eye pain?
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refer them to ophthalmologist
Mary, age 69, has chronic obstructive pulmonary disease (COPD). Her oxygen
saturation is less than 85%. She is to start on oxygen therapy to relieve her symptoms.
How often must she be on oxygen therapy to actually improve her oxygen
saturation?
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15 hours per day.
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dry eye, exposure to an irritant, or even an obstruction in the ducts of the
eyes
Risk Factors For eye disease
Give this one a try later!
, older than 40
autoimmune disease (Sjogren's, lupus, scleroderma, rheumatoid arthritis,
DMII, thyroid disorders, vitamin A deficiency.)
higher in women
smoking or dry environments
hot air heating systems, windy conditions
Martin, age 24, presents to the office with an erythematous ear canal and pain on
manipulation of the auricle. He is on vacation and has been swimming daily at the
resort. What is your diagnosis?
Give this one a try later!
External otitis.
A 10-year-old male in 5th grade presents to the pediatric office with his mother
complaining of itchy and red eyes for 1 day. The patient complains of watery drainage
in both eyes, associated with repetitive itching. On physical exam, he has no fever or
constitutional symptoms. His vision is normal, with no decrease in extraocular
movements. The patient has a sibling that just started day care recently. He also has
bilateral preauricular lymph nodes that are inflamed. What is the patient's diagnosis?
Give this one a try later!
Viral conjunctivitis.
You have a patient you are considering starting on bupropion (Wellbutrin) for
tobacco cessation and depression. What in the patient's past medical history would
prevent you from prescribing this?
,Give this one a try later!
History of epilepsy.
Corneal ulceration presents as?
Give this one a try later!
a red, watery and bloodshot eye; severe eye pain and pus or other eye
discharge.
The antibiotic of choice for recurrent acute otitis media (AOM) and/or treatment
failure in children is:
Give this one a try later!
Amoxicillin and potassium clavulanate (Augmentin)
Which meds to avoid for asthma patients?
Give this one a try later!
Beta-blockers, over-the-counter pain relievers like non-steroidal anti-
inflammatory drugs (NSAIDs), including aspirin, and angiotensin-converting
enzyme (ACE) inhibitors
, Keaton, age 6, comes to the clinic with his mother for a 3-month follow-up visit for his
asthma. His mother reports he has symptoms 2 days a week but not more than once
each day, he has had only 1 episode of nighttime awakening because of his asthma, he
is able to play soccer without provoking an attack, and his peak flow personal best is
80% or higher. His current treatment includes a short-acting beta agonist and a
leukotriene receptor antagonist. Based on the level of control, your plan for adjusting
therapy includes:
Give this one a try later!
Maintaining the current step
What must be done if a patient presents with eye pain?
Give this one a try later!
refer them to ophthalmologist
Mary, age 69, has chronic obstructive pulmonary disease (COPD). Her oxygen
saturation is less than 85%. She is to start on oxygen therapy to relieve her symptoms.
How often must she be on oxygen therapy to actually improve her oxygen
saturation?
Give this one a try later!
15 hours per day.
