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NR511 Midterm-HEENT Questions With Complete Solutions
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NR511 Midterm-HEENT Questions With Complete Solutions
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NR511 Midterm-HEENT Questions With CompleteSolutions
Acute Otitis Media (AOM) Diagnostics Correct Answer 1.
Pneumatic otoscopy
2. Tempanometery
3. CBC not necessary but would show leukocytosis
4. Recurrent: Sinus xray films and CT scans
5. Weber/Rinne: Conductive hearing loss
Acute Otitis Media (AOM) education Correct Answer 1. Avoid
swimming
2. Protect TM
3. Avoid blowing nose hard
4. Nasal saline to loosen nasal drainage
5. Stop smoking
6. Return 48 hrs if still having symptoms
7. Not contagious
Acute Otitis Media (AOM) Findings Correct Answer 1. Fever
2. Deep ear pain
3. Unilateral hearing loss
4. Otic discharge
5. Recent URI
6. Dizziness, n/v, vertigo, tinnitus
7. TM rupture, relieves pain
8. TM: amber/yellow/orange/pink, gray/firey red
9. TM: buldging, full, absent/obscured landmarks and cone light
reflex
10. Auditory canal w/o discharge unless perf
11. Chronis: TM perf, granulation tissue
,12. Lymphadenopathy (preauricular, post. cerv. node)
Acute Otitis Media (AOM) Risk Factors Correct Answer 1.
Infants/children
2. Winter
3. Older adults
4. Allergies
5. Sinusitis
6. Rhinitis
7. Pharyngitis
8. URI
9. Anatomical abnormalities
10. Perf TM
11. Down Syndrome
12. Smoking
Acute Otitis Media (AOM) Treatment Correct Answer 1.
Watchful waiting 42-72 hours
2. Analgesics
3. Amoxicillin: BID 10 days
4. Second line: Amox-clavulanate, cefdinir, cefurozime,
cefpodoxime, IM ceftriazone
5. Azithromycin in PCN allergy
Bacterial Conjunctivitis diagnostics Correct Answer 1. Clinical
2. Can culture exudate if really bad
3. If recurrent: immunocomp testing
4. Fluorescnce test for herpes simplex or chlamydia
Bacterial Conjunctivitis education Correct Answer 1. Hand
hygiene
, 2. Clean washcloth
3. Change pillowcase, contacts, make up
4. Warm compress
5. Avoid contacts
6. Proper use of eye drops
7. Improvement in 2-4 days
8. Return to activities in 24 hrs after abx
Bacterial Conjunctivitis findings Correct Answer 1. Purulent
eye exudate: c/o "stuck shut" in am
2. Sensation of foreign body in eye
3. Reddened conjunctiva
4. Eyelid swelling
5. Starts on one side, becomes two sides
Bacterial Conjunctivitis risk factors Correct Answer 1. Direct
contact
2. Contact lens
3. Eye rubbing
4. Trauma
Bacterial Conjunctivitis treatment Correct Answer 1. Self-
limiting; can wait 3 days before treatment
2. Azithromycin gtts (BIDx2d, QDx5d)
3. Polytrim/trimethoprim/polymixin
4. Erythromycin
5. Tobramycin
6. gentamicin
7. Sodium sufacetamide
8. Ciprofloxacin
9. Contact lens wearer: fluoroquinolones (Levofloxacin)
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