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midterm test questions HEENT and Cardiac
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midterm test questions HEENT and Cardiac
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Prematurity increases the risk of developing which one of the following?a. nystagmus
b. astigmatism
c. myopia
d. glaucoma
myopia
fluorescein staining of the eye is used to detect a?
a. keratitis
b. foreign body
c. corneal abrasion
d. hyphema
corneal abrasions
Trauma to the eye increases the risk of developing all but which one of the following?
a. strabismus
b. glaucoma
c. cataracts
d. hyphema
strabismus
corneal abrasions can be managed with topical application of which of the following?
a. anesthetic to control pain
b. steroids to prevent adhesions
c. antibiotics to prevent infections
d. atropine to present ciliary spasms
antibiotics to prevent infections
The greatest risk in a patient with a hyphema is which one of the following?
a. glaucoma
b. infection
c. rebleed
d. cataracts
rebleed
a 16 year old was hit in the eye 1 day ago and now has ecchymoses on the upper and lower lids with 5 out of 10 pain. all
but which of the following would be appropriate to obtain at this time?
a. visual acuity
b. intraocular pressure
c. CT scan
d. fluorescein stain
intraocular pressure
a 10 year old has marked ear pain, not wanting anyone to touch his ear. The canal is edematous and exudate is present.
TM is normal, how should this be managed?
a. topical fluoroquinolone
b. oral steroids and topical neomycin
c. oral amoxicillin and topical anesthetic
d. oral amoxicillin and topical steroid
topical fluoroquinolone
Patients with otitis externa should be instructed to do which one of the following?
a. keep ear dry until symptoms improve
b. limit swimming for remainder of summer
c. wear ear plugs at all times with swimming
d. use alcohol drops before swimming each day
keep ear dry until symptoms improve
, all but which one of the following patients are at an increased risk of developing otitis media?
a. 2 year old with cleft palate repair at 1 year of age
b. 15 month old with down syndrome
c. 9 month old with lactose intolerance
d. 3 year old with IgA immune deficiency
C.
a 15 month old failed treatment with amoxicillin for otitis media. At his 2 week recheck, his TM remained red with distorted
landmarks and he persisted with nasal congestion and poor nighttime sleeping and he has had a 101 fever for the past 2
days. The next best step would be
a. a 10 day course of augmentin
b. a 3 week course of a cephalosporin
c. a higher dose of amoxicillin and topical antibiotics
d. ceftriaxone and an antihistamine
a 10 day course of augmentin
a 2 year old with a history of chronic serous otitis media is noted to have a pearly white opacity in his upper outer
quadrant of his TM. He currently has no symptoms and appears to hear adequately. The most likely diagnosis and
appropriate management would be:
a. tympanosclerosis; no treatment is necessary
b. persistent perforation; prescribe topical antibiotics drops
c. foreign body; preform an ear wash for removal
d. cholesteatomal refer to otolaryngology
cholesteatomal, refer to ENT
a 7 year old has experienced recurrent nose bleeds in the past 2 months. What findings on the physical exam would
suggest an underlying medical cause for the epistaxis
a. wheezing
b. grade II murmur
c. petechiae
d. tonsil hypertrophy
petechiae
an 8 year old has chronic intermittent nasal congestion. All but which one of the following would support allergic rhinitis
a. pale boggy turbinates
b. darkened areas on the lower eyelids
c. increased basophils on CBC
d. itchy, watery eyes
Increased basophils on CBC
Acceptable management options for allergic rhinitis include all of the following except:
a. oral cetirizine
b. oral montelukast
c. nasal beclomethasone
d. nasal neosynephrine
nasal neosynephrine
Which foreign body in the nose needs immediate removal?
a. bean
b. bead
c. stone
d. battery
battery
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