N6501 Exam 1 Study Guide
LATEST QUESTIONS AND
VERIFIED CORRECT ANSWER
Treatment:
- Artificial tears
- Cool compresses
Bacterial conjunctivitis:
definition, appearance - correct answer Overgrowth of normal eye flora or from an infected
person
Appearance:
Thick, purulent discharge
- Worse in AM
Bacterial conjunctivitis:
- length ss, treatment - correct answer 7-10 days
- Self-limiting
Treatment:
- Topical Abx in high risk pts (ex: immunocomp, DM, HC workers)
- trimethoprim- polymyxin B, fluoroquin. Gtts
,- Systemic abx for: flu, gonococcal, chlamydial
Appearance of allergic conjunctivitis - correct answer - Occurs in both eyes
- Clear/stringy/ white
Treatment for allergic conjunctivitis - correct answer - Avoid trigger
- PO or eye antihistamine
- Cool compresses
- No contacts
Vernal/Atopic:
- Defintion, SS - correct answer More severe than allergic → itching, burning, tearing
Appearance:
Cobblestone appearance of upper lid with bumps
Treatment for vernal/atopic conjunctivitis - correct answer - Avoid triggers
- Mast cell stabilizers two wks before known trigger
What are complications of cerumen impaction? - correct answer - Can lead to hearing loss,
earaches, and pruritis
- Removal can cause otitis externa or TM injury
How to treat cerumen impaction? - correct answer - Before lavage, verify that pt has never had
a ruptured TM, tympanostomy tubes, recent ear surgery
- Remove with spoon or curette
, - Ceruminolytic (carbamide peroxide) or mineral oil, hydrogen peroxide for 3-5 days
- Irrigation with water or NS c ear syringe
Vestibular Neuritis Definition - correct answer - Acute unilateral labyrinthine dysfunction
Vestibular Neuritis Clinical presentation - correct answer - Severe vertigo, NV, disequilibrium
lasting a few days that is followed by vertigo and disequilibrium with rapid head movement
lasting weeks-months
- ? tinnitus
- Hearing remains intact
- Precipitations to the SS, such as: cough, sneeze, change in head position
Vestibular neuritis causes - correct answer - viral inflammation of the vestibular nerve
- otitis media
- latent HSV-1
vestibular neuritis diagnostics - correct answer CBC → looking for bacterial cause
MRI or CT → looking for tumor
- TSH, RPR, glucose, Lyme titers
Vestibular neuritis differentials - correct answer - Benign paroxysmal positional vertigo (BPPV)
- Meniere Disease
- Ramsay Hunt syndrome
LATEST QUESTIONS AND
VERIFIED CORRECT ANSWER
Treatment:
- Artificial tears
- Cool compresses
Bacterial conjunctivitis:
definition, appearance - correct answer Overgrowth of normal eye flora or from an infected
person
Appearance:
Thick, purulent discharge
- Worse in AM
Bacterial conjunctivitis:
- length ss, treatment - correct answer 7-10 days
- Self-limiting
Treatment:
- Topical Abx in high risk pts (ex: immunocomp, DM, HC workers)
- trimethoprim- polymyxin B, fluoroquin. Gtts
,- Systemic abx for: flu, gonococcal, chlamydial
Appearance of allergic conjunctivitis - correct answer - Occurs in both eyes
- Clear/stringy/ white
Treatment for allergic conjunctivitis - correct answer - Avoid trigger
- PO or eye antihistamine
- Cool compresses
- No contacts
Vernal/Atopic:
- Defintion, SS - correct answer More severe than allergic → itching, burning, tearing
Appearance:
Cobblestone appearance of upper lid with bumps
Treatment for vernal/atopic conjunctivitis - correct answer - Avoid triggers
- Mast cell stabilizers two wks before known trigger
What are complications of cerumen impaction? - correct answer - Can lead to hearing loss,
earaches, and pruritis
- Removal can cause otitis externa or TM injury
How to treat cerumen impaction? - correct answer - Before lavage, verify that pt has never had
a ruptured TM, tympanostomy tubes, recent ear surgery
- Remove with spoon or curette
, - Ceruminolytic (carbamide peroxide) or mineral oil, hydrogen peroxide for 3-5 days
- Irrigation with water or NS c ear syringe
Vestibular Neuritis Definition - correct answer - Acute unilateral labyrinthine dysfunction
Vestibular Neuritis Clinical presentation - correct answer - Severe vertigo, NV, disequilibrium
lasting a few days that is followed by vertigo and disequilibrium with rapid head movement
lasting weeks-months
- ? tinnitus
- Hearing remains intact
- Precipitations to the SS, such as: cough, sneeze, change in head position
Vestibular neuritis causes - correct answer - viral inflammation of the vestibular nerve
- otitis media
- latent HSV-1
vestibular neuritis diagnostics - correct answer CBC → looking for bacterial cause
MRI or CT → looking for tumor
- TSH, RPR, glucose, Lyme titers
Vestibular neuritis differentials - correct answer - Benign paroxysmal positional vertigo (BPPV)
- Meniere Disease
- Ramsay Hunt syndrome
