Exam (elaborations)
3P Exam: Questions And Correct Answers (Solved)
3P Exam: Questions And Correct Answers (Solved)
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3P Exam: Questions And Correct Answers (Solved)Snellen Chart Right Ans - CN II (optic), tests visual acuity
Large discrepancy between eyes in Snellen chart Right Ans - refer to
ophthamologist
Pterygium Right Ans - fleshy growth, unilateral, dry, itching, gritty eye,
starts from corner and moves towards iris, Can effect vision
Pinguecula Right Ans - raised yellow growth from conjunctiva not covering
the iris, turns into pterygium
Cataract Right Ans - damage to the LENS of the eye, diminished and
opacified red reflex
Eye findings with HTN, DM Right Ans - cotton wool spots, gradual vision
loss, AV nicking, flame hemorrhages,
Papilledema Right Ans - CSF pressure increases compressing the optic
nerve sheath, impeding the axoplasmic substances at the lamina cribrosa, loss
of peripheral vision, indicative of increased ICP, blurred retina veins, loss of
optic cup, hemorrhages around the cup
foreign body in the eye Right Ans - Use fluorescein stain in BOTH eyes for
corneal defects, if not embedded remove.
If embedded, tetanus shot, patch, refer for ophthalmologist
Hyperopia Right Ans - Axis of eye shortens, causing FAR sightedness.
(hyper people run far)
Myopia Right Ans - Near sighted, axis of eye is too long. (I am near myself)
Allergic Rhinitis Right Ans - part of the triad atopic dermatitis + asthma
IgE mediated
Bilateral clear drainage
Pale boggy mucosa
Dark under eyes
Enlarged tonsils/adenoids
, CBC- High eosinophils
Tx: Nasal steroids + antihistamines, topical cromolyn
acute sinusitits Right Ans - Secondary to URI
Tx: Amoxicillin
(If PCN Allergy give doxy, moxy or floxy)
If they've has antibiotics within 30 days, give augmentin
Lasts more than 10 days + fever
Conductive hearing loss Right Ans - from a physical block/occlusion
Test: Rhinne/Webber
Sensorineural hearing loss Right Ans - Eardrum cannot vibrate
Prevents CN VIII (acoustic) from functioning
Causes: ototoxic drugs (aspirin, gentamycin)
Disruption of the transmission of the cochlea
Drugs that cause Ototoxicity Right Ans - Aspirin
Gentamycin
Aminoglycosides (end in mycin)
Loop Diuretics
Chloroquine, Quinidine
Macular degeneration Right Ans - loss of central vision over time, (big
blotch on eyeball)
Glaucoma Right Ans - Loss of peripheral vision
Open angel glaucoma Right Ans - slow, non-painful, notching of optic cup,
diminished night vision
Treat: topical beta blocker, pilocarpine
Angel-closure glaucoma Right Ans - Unilateral, painful, rapid peripheral to
central vision loss
EMERGENCY
Pharyngitis Right Ans - MUST TREAT to prevent scarlet
fever/nephritis/rheumatic heart disease
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