Upper Respiratory

Question 1

You have a sinus infection that got worse, then better, but all of a sudden got worse again. You also feel tooth pain. This is likely?

Answer 1

Acute Rhinosinusitis

Question 2

What is used for Dx and Tx of BPPV (benign paroxysmal positional vertigo)?

Answer 2

Dx: Dix-Hallpike maneuver

Tx: Epley Maneuver

Question 3

What are the Adapted Centor Criteria for when to give antibiotics?

Answer 3

A score of 0-2 means unlikely step and antibiotics should not be given. Score of 3+ needed.

Give one point for: Tonsilar exudates, Fever, Absence of cough, Swollen lymph nodes

Add one point for pts age 3-14

No points for pts age 15-44

Minus one point for 45+

Question 4

What is this called?

Answer 4

Cobblestoning

Question 5

What is this called?

Answer 5

Tonsiloliths (tonsil stones)

Question 6

What are the 3 causes of earaches?

Answer 6

Acute otitis media (AOM)

Otitis media w/ effusion

Otitis externa

Question 7

What is shown here?

Answer 7

Normal Tympanic membrane

Question 8

What is shown here, often appears that the TM is?

Answer 8

Acute Otitis Media: TM appears to be bulging

Question 9

What is shown here?

Answer 9

Otitis Media w/ Effusion

Question 10

What is shown here?

Answer 10

Otosclerosis: abnormal bone growth around stapes

Associated w/ progressive hearing loss beginning as early as young 20s

Question 11

What is shown here?

Answer 11

Otitis Externa - Swimmers ear

*Usually associated w/ pain upon touching the external ear structures

Question 12

Examining adult ear vs. child?

Answer 12

Adult: Pull up, out and away

Child: Pull down, out and away

Question 13

Frontal sinuses are located where, palpated how, and when do they open in child?

Answer 13

• Above the eyebrows, push up under bony brows
• Open after 7 years of age

Question 14

Where are maxillary sinuses located?

Answer 14

Lateral to the nose on both side, push up.