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24 Cards in this Set
- Front
- Back
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What is the distinguishing clinical feature between croup and epiglotitis?
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epiglotitis = rapid onset
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What is the most appropriate initial study in a pt with h/a, lethargy, nuchal rigidity, and papilledema?
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CT then LP
exclude mass lesions |
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"teardrop" shaped pupil in a pt with hx of trauma to eye
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perf injx to cornea
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MC precipitating factor in the development of Lugwig's angina (cellulitis of floor of the mouth)?
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dental procedures
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Clinical Presentation: an adult male was struck in the eye by a fist 3 days ago. over the past 24hrs he has devloped redness, pain and photophobia. How would u confirm the dx? how is this tx?
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Traumatic Iritis is confirmed by slit lamp examination which demostrants cells and flare in the ant chamber. Tx consists of drops that dilate the constricted pupil and topical steroids to reduce inflammation
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Of all pts with epistaxis, the ones who must be admitted are those tx with ____.
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posterior packing
feared complications are hypoxia and sudden death |
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List the complications of a hyphema (blood in the eye)
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rebleeding, corneal opacification, intractable glaucoma, ext of hemorrhage into vitreous humor
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what is the MC direct source of posterior nosebleeds?
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posterior branches of the splenopalentine artery
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Pt presents within 3 days of tooth extraction c/o severe pain and foul odor to the breath. what is the dx?
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Acute alveolar osteitis
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What is the dx in pt who c/o "flashing lights" in front of the eyes, esp at night and i nthe peripheral visual fields
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Retinal detachment
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Slit lamp exam of painful eye reveals a fluoroscein-positive area with a branching or dendrite pattern. What is the dx and tx of this dz?
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HSV keratitis
topical antivirals |
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Clinical presentation: a pt c/o weakness of upper ext as well as numbness and tingling of the forearm and middle finger. When the pt is asked to extend the elbow against resistance, he is unable t odo so and c/o pain in the upper back. Where is the lesion?
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C7
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What is the usual cause of bacterial parotitis?
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S aureus
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MC presenting symptom of a brain abscess?
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H/a
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Which abn lab finding is assoc wit temporal arteritis?
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elevated Sed Rate (usually over 50 mm/hr)
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what is the organism that causes malignant otitis externa/
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pseudomonas
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Compressive dressings applied to an external ear injx may cause _____
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necrosis of ear cartilage
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What are the complications of ethmoid sinusitis?
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orbital cellulitis and brain abscess
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What is a complication of sphenoid sinusitis?
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meningitis
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Mastoiditis is usually a complication of which d/o?
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OM
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Tx of mastoiditis?
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admit, IV abx, ENT consult re: surgerical drainage
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Pt complains of severe sore throat as well as diff swallowing and opening mouth. what is the suggested dx?
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peritonsillar abscess
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What are the MC suppurative complications of GAStrep pharyngitis?
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AOM and acute sinusitis
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Pt with hx of blunt trauma to face has enophtalmos (recongizable as slight ptosis) on PE. what dx should be considered?
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orbital fx
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