EENT #4

Question 1

Cause of Strep Pharyngitis

Answer 1

Group A Strep

Question 2

Symptoms of Strep Pharyngitis

Answer 2

• Tonsillar exudate and/or petechiae
• Anterior cervical LAD
• Dysphagia
• Fever

Question 3

Diagnostic for strep pharyngitis

Answer 3

• Best initial (Rapid antigen detection test)

- Definitive (throat culture)

Question 4

Treatment for Strep Pharyngitis

Answer 4

• Penicillin (1st line)

- Macrolides (allergy)

Question 5

Complications for strep pharyngitis

Answer 5

• Rheumatic Fever
• Acute glomerulonephritis
• Peritonsillar Abscess

Question 6

Prevention of teeth erosion

Answer 6

Hygiene, flossing, mouthwash, fluoride, decrease sugary foods/drinks, dentist appointments regularly

Question 7

Torus Palatinus

Answer 7

Harmless, painless, bony growth on the roof of the mouth (hard palate)

Question 8

Treatment for torus palatinus

Answer 8

-Refer to maxofacial surgeon for surgery if problematic

Question 9

Symptoms of TM perforation

Answer 9

• History of penetrating noise trauma, otitis media

- Acute ear pain, hearing loss, bloody otorrhea, tinnitus, vertigo

Question 10

Symptoms of uveitis

Answer 10

-Unilateral severe ocular pain and photophobia
-Eye redness
-Blurry vision
-Miosis (constriction)
Ciliary injection (limbal flush)

Question 11

MCC of viral conjunctivitis

Answer 11

Adenovirus

Question 12

MC site of outbreak for viral conjunctivitis

Answer 12

Swimming pools

Question 13

Symptoms of viral conjunctivitis

Answer 13

• Copious, watery tearing
• Preauricular LAD
• Punctate staining
• Gritty sensation, itching, ocular erythema

Question 14

MCC of Hordeolum (Stye)

Answer 14

Staph Aureus

Question 15

Symptoms of a stye

Answer 15

-Erythematous, painful, warm, nodule or pustule on eyelid

Question 16

Treatment for stye

Answer 16

Warm compresses, I/D may be needed if no resolution

Question 17

Chalazion

Answer 17

Painless, indurated granuloma of internal Meibomian sebaceous gland

Question 18

Pinguecula

Answer 18

-Yellow slightly elevated nodule on nasal side of sclera that does not grow onto cornea.

Question 19

Treatment for barotrauma

Answer 19

-Autoinsufflation (swallowing, yawning, chewing gum)

Question 20

Symptoms of Meniere’s Disease (5 things)

Answer 20

• Episodic peripheral vertigo
• Tinnitus
• Ear fullness
• Sensorineural Hearing Loss
• Horizontal Nystagmus

Question 21

Treatment for Meniere’s Disease

Answer 21

• Initial: avoid salt, caffeine, nicotine, chocolate, and alcohol
• Medical: Meclizine, Hydrochlorothiazide
• Refractory: surgical decompression

Question 22

BPPV is commonly due to

Answer 22

Displaced otolith particles in inner ear

Question 23

BPPV symptoms

Answer 23

• Sudden episodic vertigo and provoked with certain head movements
• No hearing loss
• No tinnitus

Question 24

Treatment for BPPV

Answer 24

• Dix-Hallpike Maneuver helps produce nystagmus

- Epley Maneuver to reposition canalith