Nurs 5433 Family 2: Module 1 – EENT Q&A
What are the 3 most common causative organisms for bacterial conjunctivitis? - =Strep
pneumoniae, Haemophilus influenzae, Staphylococcus aureus
A 19 year old presents with a complaint of bilaterally itchy, red eyes with tearing that occurs
intermittently throughout the year and is often accompanied by a rope like eye discharge and
clear nasal discharge. This is most consistent with what diagnosis? - =allergic conjunctivitis
Treatment for allergic conjunctivitis - =Corticosteroid ophthalmic drops
Treatment for viral conjunctivitis - =no drops needed
Common cause of anterior epistaxis - =localized nasal mucosa trauma
1st line intervention for epistaxis - =Firm pressure to the area superior to the nasal alar cartilage
Ms Murphy is a 58 year old woman presenting with a sudden left sided headache that is most
painful in her left eye. Her vision is blurred, and the left pupil is slightly dilated and poorly
reactive. The left conjunctiva is markedly injected, and the eyeball is firm. Vision screen with
the Snellen chart is 20/30 OD; and 20/90 OS. What is the most likely diagnosis? - =angle-closure
glaucoma
Mrs. Allen is a 67 year old female with type 2 DM who complains of seeing flashing lights and
floaters, decreased visual acuity, and metamorphopsia in her left eye. What is the most likely
diagnosis? - =Retinal detachment
Which of the following is most likely to be found on the funduscopic exam in a patient with
untreated POAG? - =excessive cupping of the optic disk
,A 22 year old female presents with a "pimple" on her right eyelid. Exam reveals a 2mm pustule
on the lateral border of the right eyelid margin. What is this most consistent with? -
=Hordeolum
A 22 year old female presents with a 'bump" on her right eyelid. Exam reveals a 2 mm hard,
nontender swelling on the lateral border of the right eyelid margin. What is this most consistent
with? - =chalazion
What is an independent risk factor for oral cancer? - =human papillomavirus type 16
What are top 3 causative pathogens for otitis externa? - =Pseudomonas aeruginosa, proteus
Enterobacteriaceae, and staph aureus
What is an appropriate antibiotic therapy for otitis externa with accompanying cellulitis suitable
for outpatient therapy? - =fluoroquinolone
What are the top 3 causative pathogens for otitis media? - =Strep pneumoniae, haemophilus
influenzae, moraxella catarrhalis
What is expected finding in AOM? - =Tympanic membrane immobility
A 25 year old patient has a 3 day hx of left ear pain that began after one week of URI
symptoms. On physical exam, you find that she has AOM. She is allergic to PCN with a flat pink
rash only. She took an oral antimicrobial for the tx of a UTI 2 weeks ago. What is the most
appropriate oral antimicrobial option for this patient? - =cefpodoxime
Drug resistant S. Pneumoniae is least likely to exhibit resistance to which of the following
microbial classes? - =respiratory fluoroquinolones
What are characteristics of M catarrhalis? H. Influenzae? S. pneumoniae? - =-M cat: high rate of
beta-lactamase production
, -H flu: some isolates exhibit antimicrobial resistance via production of beta-lactamase
-S. pneumo: mechanism of antimicrobial resistance usually via altered protein-binding sites
held within the microbe's cell
What are treatment options for streptococcal pharyngitis for a patient with PCN allergy? - =-
azithromycin
-Clarithromycin
-Clindamycin
What are the possible complications of GAS(Group A Streptococcus)? - =Glomerulonephritis,
rheumatic fever
What are the symptoms of Rheumatic Fever? - =Carditis and arthritis
The rash associated with scarlet fever typically occurs how long after the start of the
symptomatic infection? - =2 days
How do decongestants work? - =vasoconstriction
Which of the following medications is most appropriate for allergic rhinitis therapy in an acutely
symptomatic 24 year old machine operator? - =Loratadine(Claritin)
According to Global Resources in Allergy (GLORIA) guidelines, what is recommended for
intervention in persistent allergic conjunctivitis? - =Topical mast cell stabilizer with a topical
antihistamine
What s/s is most consistent with the diagnosis of acute bacerial rhinosinusitis (ABRS)? - =Upper
respiratory tract infection symptoms persisting beyond 7-10 days
What are the 3 most common causative organisms for bacterial conjunctivitis? - =Strep
pneumoniae, Haemophilus influenzae, Staphylococcus aureus
A 19 year old presents with a complaint of bilaterally itchy, red eyes with tearing that occurs
intermittently throughout the year and is often accompanied by a rope like eye discharge and
clear nasal discharge. This is most consistent with what diagnosis? - =allergic conjunctivitis
Treatment for allergic conjunctivitis - =Corticosteroid ophthalmic drops
Treatment for viral conjunctivitis - =no drops needed
Common cause of anterior epistaxis - =localized nasal mucosa trauma
1st line intervention for epistaxis - =Firm pressure to the area superior to the nasal alar cartilage
Ms Murphy is a 58 year old woman presenting with a sudden left sided headache that is most
painful in her left eye. Her vision is blurred, and the left pupil is slightly dilated and poorly
reactive. The left conjunctiva is markedly injected, and the eyeball is firm. Vision screen with
the Snellen chart is 20/30 OD; and 20/90 OS. What is the most likely diagnosis? - =angle-closure
glaucoma
Mrs. Allen is a 67 year old female with type 2 DM who complains of seeing flashing lights and
floaters, decreased visual acuity, and metamorphopsia in her left eye. What is the most likely
diagnosis? - =Retinal detachment
Which of the following is most likely to be found on the funduscopic exam in a patient with
untreated POAG? - =excessive cupping of the optic disk
,A 22 year old female presents with a "pimple" on her right eyelid. Exam reveals a 2mm pustule
on the lateral border of the right eyelid margin. What is this most consistent with? -
=Hordeolum
A 22 year old female presents with a 'bump" on her right eyelid. Exam reveals a 2 mm hard,
nontender swelling on the lateral border of the right eyelid margin. What is this most consistent
with? - =chalazion
What is an independent risk factor for oral cancer? - =human papillomavirus type 16
What are top 3 causative pathogens for otitis externa? - =Pseudomonas aeruginosa, proteus
Enterobacteriaceae, and staph aureus
What is an appropriate antibiotic therapy for otitis externa with accompanying cellulitis suitable
for outpatient therapy? - =fluoroquinolone
What are the top 3 causative pathogens for otitis media? - =Strep pneumoniae, haemophilus
influenzae, moraxella catarrhalis
What is expected finding in AOM? - =Tympanic membrane immobility
A 25 year old patient has a 3 day hx of left ear pain that began after one week of URI
symptoms. On physical exam, you find that she has AOM. She is allergic to PCN with a flat pink
rash only. She took an oral antimicrobial for the tx of a UTI 2 weeks ago. What is the most
appropriate oral antimicrobial option for this patient? - =cefpodoxime
Drug resistant S. Pneumoniae is least likely to exhibit resistance to which of the following
microbial classes? - =respiratory fluoroquinolones
What are characteristics of M catarrhalis? H. Influenzae? S. pneumoniae? - =-M cat: high rate of
beta-lactamase production
, -H flu: some isolates exhibit antimicrobial resistance via production of beta-lactamase
-S. pneumo: mechanism of antimicrobial resistance usually via altered protein-binding sites
held within the microbe's cell
What are treatment options for streptococcal pharyngitis for a patient with PCN allergy? - =-
azithromycin
-Clarithromycin
-Clindamycin
What are the possible complications of GAS(Group A Streptococcus)? - =Glomerulonephritis,
rheumatic fever
What are the symptoms of Rheumatic Fever? - =Carditis and arthritis
The rash associated with scarlet fever typically occurs how long after the start of the
symptomatic infection? - =2 days
How do decongestants work? - =vasoconstriction
Which of the following medications is most appropriate for allergic rhinitis therapy in an acutely
symptomatic 24 year old machine operator? - =Loratadine(Claritin)
According to Global Resources in Allergy (GLORIA) guidelines, what is recommended for
intervention in persistent allergic conjunctivitis? - =Topical mast cell stabilizer with a topical
antihistamine
What s/s is most consistent with the diagnosis of acute bacerial rhinosinusitis (ABRS)? - =Upper
respiratory tract infection symptoms persisting beyond 7-10 days
