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55 Cards in this Set

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How long after treatment initiation should corticosteroid nasal spray be expected to work for allergic rhinitis?
1-2 weeks
Most appropriate initial step for a 1-month history of hoarseness in a smoker with a 40 pack-year history?
Laryngoscopy
Reticular white plaques found on the buccal mucosa that cannot be rubbed off.
Oral lichen planus
What primary symptom differentiates Meniere's disease from vestibular neuronitis?
Hearing loss
Complication of acute otitis externa
Necrotizing otitis externa (aka malignant otitis externa)
Most common cause of acute pharyngotonsillitis in a young child.
Rhinovirus
A patient with recurrent otitis media is noted on otoscopy to have a chalky patch on the anterior-inferior quadrant of the TM. Likely diagnosis?
Tympanosclerosis
2 most likely bacterial causes of sinusitis
Strep pneumo and H flu
Unilateral foul-smelling purulent rhinorrhea in a child. Likely diagnosis?
Nasal foreign body.
Most likely pathogen to cause acute otitis externa
Pseudomonas aeruginosae
A patient with symptoms of sinusitis develops periorbital edema, ptosis, and decreased extraocular movements. What is the most appropriate treatment?
IV Antibiotics
10 month old with a barking cough, mild inspiratory stridor, with a 2 day history of URI that is worse at night. No drooling, taking in fluids. Most likely diagnosis?
Laryngotracheitis (croup)
Pathology in the cochlea will cause which type of hearing loss?
Sensorineural
Splenomegaly in a patient with acute tonsillitis suggests what diagnosis?
EBV (infectious mononucleosis)
A child develops a fever, arthralgias, and a confluent rash on the cheeks with a "slapped cheek" appearance
Erythema infectiosum (fifth disease)
If herpes zoster vesicles are found in the external ear canal, what cranial nerve can be affected?
Facial nerve
Treatment of choice for strep pharyngitis in a child who is allergic to penicillin.
Erythromycin
Define Koebner's phenomena
Linear lesions caused by allergic contact dermatitis
"Iris" or "target" lesions, usually found on the hands or feet, are most likely indicative of...
Erythema multiforme
A purplish dermal plaque found in an AIDS patient is likely...
Kaposi's sarcoma
A 70 year old man presents with a sudden complete loss of vision in his left eye 20 minutes ago, with no symptoms of pain, tearing, or eyelid swelling. Most likely diagnosis?
Retinal artery occlusion
Your acne patient who is on Accutane (isotretinoin) decides she wants to get pregnant. What do you do?
Stop the medication!!
What systemic endocrine disease is vitiligo often associated with?
Hypothyroidism
A 2 year old with a 104 (F) fever for the past 4 days develops an erythematous maculopapular rash on the trunk as the temperature returns to normal. Most likely diagnosis?
Roseola
Posterior auricular, cervical, and suboccipital lymphadenopathy in a child is followed by an erythematous maculopapular rash that begins on the face and then becomes generalized. Most likely diagnosis?
Rubella
Discrete, solid, skin-colored papules with central umbilication
Molluscum contagiosum
Most common complication of varicella in a normal host.
Secondary bacterial skin infections
Sharply demarcated erythematous elevated tender area on the face that is associated with a fever. Most likely diagnosis?
Erysipelas
More than 6 large cafe-au-lait spots may correlate with what disease process?
Neurofibromatosis, or von Recklinghausen's disease
Name the topical immunomodulators
tacrolimus (Protopic) and pimecrolimus (Elidel)
What is the pharmacologic management of eczema?
Oral antihistamines, corticosteroids, and topical immunomodulators
Ptosis, miosis, and anhidrosis
Horner's syndrome
Where is the lesion located if there is bitemporal hemianopia?
The optic chiasm
Where is the lesion located if there is left hemianopia with macular sparing?
Right dorsal optic radiation
Where is the lesion located if there is left homonymous hemianopia?
Right optic tract
The patient has impaired lateral peripheral vision bilaterally. Diagnosis?
Bitemporal hemianopia
A Caucasian female smoker with a family history of blindness presents with rapid painless loss of central vision. Likely diagnosis?
Exudative macular degeneration
After sustaining blunt force trauma to the face, the patient's plain films reveal hanging teardrop sign and open bomb-bay door sign. Diagnosis?
Blowout fracture (orbital fracture). Hanging teardrop sign is herniation of orbital fat into the maxillary sinus. Open bomb-bay door sign is bone fragments in the sinus.
Idiopathic, sterile chronic granulomatous inflammation of the meibomian gland.
Chalazion
What are the most likely bacterial causes of conjunctivitis?
S. pneumo, H. flu, S. aureus, and N. gonorrhea
In what type of conjunctivitis is preauricular lymphadenopathy common: Bacterial, viral, chlamydial, or allergic?
Viral conjunctivitis
A patient who wear soft contacts presents with a corneal abrasion. What infection is he at risk for, and how should he be treated?
Pseudomonas. He should get tobramycin or a fluoroquinolone.
Which type of glaucoma is an ophthalmic emergency?
Angle-closure
Which type of glaucoma is due to inadequate drainage of the aqueous humor?
Open-angle. Angle closure glaucoma is due to restricted flow of aqueous humor.
What is the normal intraocular pressure?
10-24 mm Hg
Which type of glaucoma presents with a gradual loss of peripheral vision and halos around lights?
Open-angle
What topical agents used to treat glaucoma are contraindicated in patients with asthma or cardiac conduction defects?
Topical beta-adrenergic blocking agents (timolol maleate, betaxolol, and levobunolol)
What is the leading cause of permanent blindness in the elderly?
Age-related macular degeneration
In which type of macular degeneration will drusen be noted ophthalmoscopically?
Non-exudative (dry)
In which type of macular degeneration will neovascularization be noted on ophthalmoscopy?
Exudative (wet)
What are the most common organisms causing orbital cellulitis?
H. flu and S. pneumo
A fleshy, triangular encroachment onto the cornea.
Pterygium
Where is the most common location of retinal detachment?
Superior temporal area
A 60 year old patient presents with painless monocular vision loss. On fundoscopic exam, a cherry red spot is noted on the macula. Diagnosis?
Retinal artery occlusion
In which type of diabetes is diabetic retinopathy more likely to occur?
type II