Inservice deck 9 - environmental and ophtho

Question 1

what do babesiosis, colorado tick fever, ehrlichiosis, lyme and relapsing fever, RMSF, tularemnia and tick paralysis have in common?

Answer 1

tick borne diseases

Question 2

tx for rattlesnake bite in sx patient with elevated PT?

Answer 2

antivenom first

Question 3

mds for prophylaxis of acute mountain sickness

Answer 3

acetazolamide

Question 4

differntiates acute mountain sickness with HACE?

Answer 4

any mental status change or ataxia

Question 5

tx for skier in colorado who develops cough and difficulty breathing at rest?

Answer 5

HAPE

descend immediately

Question 6

best predictor of outcome in hypothermic patient

Answer 6

underlying disorder

not initial temperature

Question 7

most significant sx experienced 1 hour after experiencing a black widow spider bite

Answer 7

abd pain, diffuse muscle spasms

Question 8

med for toxic child who was camping and has rash on palms and soles

Answer 8

RMSF

chloramphenicol, doxy if >8 y/o

Question 9

patient has pulseless extremity after burn due to lightning strike. tx?

Answer 9

NOT FASCIOTOMY

pulseless due to vasospasm

Question 10

patient with concern for rabies, where d you give immunoglobulin?

Answer 10

around wound site as much as possible

Question 11

best test to determine extent of radiation poisoning 48 hours after the fact?

Answer 11

absolute lymph count

Question 12

first sx after acute radiation exposure?

Answer 12

N/V

Question 13

tx for pregnant female with chlamydia conjunctivitis?

Answer 13

erythromycin

Question 14

tx for patient with visual loss, pale retina, cherry red spot in macula?

Answer 14

central retinal artery occlusion

ocular massage

CRAOT
CO2
Rub
Acetazolamide
Optho
Timolol

Question 15

tx of hyphema with increased IOP in sicke cell patient. Precautions?

Answer 15

avoid carbonic anhydrate inhibitors

can lead to acidosis

Question 16

tx for corneal abrasion?

Answer 16

topical abx/cycloplegic

Question 17

tx for dacrocystisis?

Answer 17

topical and anti-staph abx, warm compresses, and optho referral

Question 18

next test for 50 year old with acute left eye pain 10 minutes after sitting down in a movie theater?

Answer 18

acute angle glaucoma

test IOP

Question 19

painless floaters in vision?

Answer 19

retinal detachment

Question 20

dendritic lesion with fluorescein staining may suggest what?

Answer 20

herpes; acyclovir drops and call ophtho

Question 21

patient presents after cataract surgery w ith ciliary flush and pain with cell/flare. dx?

Answer 21

endophthalmitis, consult emergently ophtho

Question 22

monocular diplopia may suggest?

Answer 22

displaced lens