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Flashcards in HEENT Deck (85)
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1

Which of the following may cause microcephaly?
a) Hypocalcemia
b) Craniosynostosis
c) Skull fracture
d) Seizure disorder

b) Craniosynostosis

2

What finding may accompany macrocephaly?
a) Pulsating anterior fontanel
b) Sunken fontanel
c) Premature closure of suture lines
d) Widened suture lines

d) Widened suture lines

3

Obtaining a CT of the head would be indicated in which of these conditions?
a) Macrocephaly
b) Cephalohematoma
c) Craniosynostosis
d) Caput succedaneum

a) Macrocephaly

4

Which one of the following conditions increases the risk of developing hydrocephalus?
a) Bilateral cephalohematomas
b) Craniosynostosis
c) Prematurity
d) Familial macrocephaly

c) Prematurity

5

A conjunctivitis appearing in a 2 day old newborn is likely due to:
a) chemical irritation from eye drops
b) group B streptocuccus
c) chlamydia
d) gonorrhea

a) chemical irritation from eye drops

6

Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done by obtaining which one of the following?
a) cervical swab of the mother
b) urine PCR from the mother
c) culture of the eye discharge
d) culture of the conjunctival scrapings

d) culture of the conjunctival scrapings

7

Which one of the following eye findings would be considered an ophthalmic emergency?
a) unilateral vesicular lesions on the upper eyelid of a 3 week old
b) presence of chemosis in a 5 yo with bilateral upper eyelid edema
c) cobblestone-like appearance along the inner aspect of the upper eyelid in a 15 yo
d) bilateral redness along the eyelid margins with tiny ulcerated areas in a 16 yo

a) unilateral vesicular lesions on the upper eyelid of a 3 week old

8

The most appropriate management of a 5 yo with a firm, nontender nodule in the mid-upper eyelid for 3 weeks would be:
a) cool compresses
b) topical ophthalmic ointment
c) oral antibiotics
d) oral steroids

b) topical ophthalmic ointment

9

Daily eyelid cleansing with diluted baby shampoo and a cotton tipped applicator would be appropriate in the treatment of which one of the following conditions?
a) Dacryostenosis
b) Chalzion
c) Hordeolum
d) Blepharitis

d) Blepharitis

10

A 3 year old has an edematous, mildly erythematous right upper eyelid for one day with a fever of 103. An important eye assessment would be:
a) ocular mobility
b) conjunctival inflammation
c) pupillary reaction
d) optic disk papilledema

a) ocular mobility

11

Concurrent otitis media and conjunctivitis is likely due to which organism?
a) streptococcus pneumoniae
b) haemophilus influenza
c) moraxella catarrhalis
d) staphylococcus aureus

b) haemophilus influenza

12

All but which one of the following is consistent with glaucoma?
a) photophobia
b) epiphora (increased tears)
c) blepharospasm
d) leukocoria

d) leukocoria

13

All but which one of the following assessments is used to determine the presence of a strabismus:
a) Hirschberg test
b) Cover-uncover test
c) Extraocular movements
d) Pupillary response

d) Pupillary response

14

A 3 month old has a mild asymmetrical corneal light reflex on physical exam. What is the next appropriate step?
a) observe and reevaluate at the next well check
b) refer immediately to ophthalmology
c) begin atropine drops or eye patching
d) protect eyes from sunlight

a) observe and reevaluate at the next well check

15

Prematurity increases the risk of developing which one of the following?
a) nystagmus
b) astigmatism
c) myopia
d) glaucoma

c) myopia

16

Fluorescein staining of the eye is used to detect a:
a) keratitis
b) foreign body
c) corneal abrasion
d) hyphema

c) corneal abrasion

17

Trauma to the eye increases the risk of developing all but which one of the following?
a) strabismus
b) glaucoma
c) cataracts
d) hyphema

a) strabismus

18

Corneal abrasions can be managed with topical application of which of the following:
a) anesthetic for pain control
b) steroids to prevent adhesions
c) antibiotics to prevent infection
d) atropine to prevent ciliary spasm

c) antibiotics to prevent infection

19

The greatest risk in a patient with a hyphema is which of the following?
a) glaucoma
b) infection
c) rebleed
d) cataracts

c) rebleed

20

A 16 yo was hit in the eye 1 day ago and now has ecchymoses on the upper and lower lids with 5/10 eye pain. All but which of the following would be appropriate to obtain at this time:
a) visual acuity
b) intraocular pressure
c) CT scan
d) fluorescein stain

b) intraocular pressure

21

A 10 yo has marked ear pain, not wanting anyone to touch his ear. The canal is edematous and exudate is present. TM is normal. How should this be managed?
a) topical fluoroquinolone
b) oral steroids and topical neomycin
c) oral amoxicillin and topical anesthetic
d) oral amoxicillin and topical steroid

a) topical fluoroquinolone

22

Patients with otitis externa should be instructed to do which one of the following:
a) keep ear dry until symptoms improve
b) limit swimming for the remainder of summer
c) wear ear plugs at all times with swimming
d) use alcohol drops before swimming each day

a) keep ear dry until symptoms improve

23

All but which one of the following patients are at an increased risk of developing otitis media?
a) 2 yo with cleft palate repair at 1 year of age
b) 15 mo with down syndrome
c) 9 mo with lactose intolerance
d) 3 yo with IgA immune deficiency

c) 9 mo with lactose intolerance

24

A 15 mo failed treatment with amoxicillin for OM. At his 2 week re-check his TM remained red with distorted landmarks and he persisted with nasal congestion, poor sleep, and fever. The next best step would be to treat with:
a) a 10 day course of augmentin
b) a 3 week course of cephalosporin
c) a higher dose of amoxicillin and topical abx
d) ceftriaxone and an antihistamine

a) a 10 day course of augmentin

25

A 2 yo male with a history of chronic serous OM is noted to have a pearly white opacity in the upper outer quadrant of his TM. He currently has no symptoms and appears to be ok. The most likely diagnosis and appropriate managment would be:
a) tympanosclerosis; no treatment is necessary
b) persistent perforation; prescribe topical antibiotic drops
c) foreign body; perform an ear wash for removal
d) cholesteatoma; refer to otolaryngology

d) cholesteatoma; refer to otolaryngology

26

A 7 yo has experienced recurrent nose bleeds in the past 2 months. What finding on the physical exam would suggest an underlying medical cause for the epistaxis?
a) wheezing
b) grade II murmur
c) petechiae
d) tonsil hypertrophy

c) petechiae

27

An 8 yo has chronic intermittent nasal congestion. All but which of the following would support allergic rhinitis?
a) pale, boggy turbinates
b) darkened areas on lower eyelids
c) increased basophils on cbc
d) itchy, watery eyes

c) increased basophils on cbc

28

Acceptable management options for allergic rhinitis include all of the following except:
a) oral cetirizine
b) oral montelukast
c) nasal beclomethsone
d) nasal neosynephrine

d) nasal neosynephrine

29

Which foreign body in the nose needs immediate removal?
a) bean
b) bead
c) stone
d) battery

d) battery

30

What complication of sinusitis are adolescent males more prone to?
a) intracranial abscess
b) potts puffy tumor
c) orbital cellulitis
d) dental infection

a) intracranial abscess