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26 Cards in this Set

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Conductive hearing loss
-Weber test findings
-Rinne test findings (+/-?)
Weber - sound localizes to side of hearing loss

Rinne - NEGATIVE - sound is more easily heard through bone, not air
Sensorineural hearing loss
-Weber test findings
-Rinne test findings (+/-?)
Weber - sound localizes to side of good hearing

Rinne - POSITIVE - sound is more easily heard through air, not bone
Which drugs are associated with gingival hyperplasia? (2)
Phenytoin and Nifedipine
Define strabismus.
Any misalignment of the eyes
Define Esotropia.
A type of strobismus where one eye is deviated inward.
Patient with HTN and DM complains of sudden unilateral vision loss. One optic nerve is normal, and the other is pale and swollen with splinter hemorrhages. Dx?
Dx: Ischemic optic neuropathy
What is the most common cause of ischemic optic neuropathy?
Occlusion of posterior ciliary arteries.
What are the two types of diabetic retinopathy? Which is responsible for most of the visual problems of diabetes?
Proliferative and Non-Proliferative
Patient has sudden PAINLESS vision loss in one eye. Fundoscopic exam reveals pale retina with macular "cherry red spot". Dx?
Dx: Central retina occlusion
Patient has slow, insidious vision loss. Upon clinical presentation, he has dramatic hemorrhaging of the retina. Dx?
Dx: Occlusion of the retinal vein.
Findings in non-proliferative diabetic retinopathy?
Macular edema
Hard exudates
Microaneurysms
Dot-and-blot hemorrhages
Staging of HTN retinopathy?
G1: Art. narrowing/copper wiring
G2: Add AV nicking
G3: Add hemorrhages exudates
G4: Add papilledema
Grades 1 to 4
Which muscle does CN4 control?
Superior Oblique -> Down and In
Classic complaint of cranial nerve 4 palsy?
Diplopia upon reading (inability to converge/move affected eye down and in) AFTER a traumatic brain injury or brain surgery.
What is the latin term for a transient ischemic attack of the retina?
TIA = amaurosis fugax
What is the classic presentation of amaurosis fugax?
Someone is pulling a cover over their eye.
Patient has hemorrhagic blistering of eardrum. Dx?

Causative organism?
Dx: bullous myringitis

Organism: Mycoplasma spp.
Pathogenesis of cholesteatomas?
Chronic otitis media -> perforation -> keratinized squamous epithelial proliferation
What is the eponym of Bell's palsy caused by HSV?
Ramsay Hunt syndrome
Patient has unilateral hearing loss, tinnitus, and vertigo. Diagnosis?
Acoustic neuroma.

AKA schwannoma
Nystagmus is named for which of its components: slow or fast?
Fast
What is the main trait of congenital nystagmus?
Disappears with convergence
Healthy patient has nystagmus when asked to gaze to far left. Diagnosis?
End-point nystagmus.
Patient has nystagmus that only occurs in one direction of lateral gaze.

Describe nystagmus.

Diagnosis?
Asymmetric lateral nystagmus

Dx: vestibular disease
If there is no slow component or fast component of nystagmus, just back and forth motion, what is this called?
Pendular nystagmus
Patients with brainstem lesions (eg, trauma, stroke, etc) will have what forms of nystagmus? (3)
Up-beating
Down-beating
Rotary