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47 Cards in this Set
- Front
- Back
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What is a complication of cataract surgery, with curtain coming down over my eyes that is persistant?
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Retinal Detachment
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In retinal detachment which vision goes first? Peripheral or Central
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Peripheral
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What is the treatment for Retinal Detachment?
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Laser cryopexy, photocoagulation, pneumatic retinopexy and vitrectomy
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Floaters and flashes of light and sudden loss of vision...what is it?
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Vitreous Hemorrhage
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What is the treatment for Vitreous Hemorrhage
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Vitrectomy
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RED eye+ PAIN + photophobia, reduced vision with dendritic ulcer on flurooscein slit lamp
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Herpes Simplex
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How do you treat dendritic corneal ulcer with red eye and pain
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Antiviral eye drop----Trifluridine, Vidarabine, or Acyclovir
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What do you treat recurrent eyes Herpes?
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ORAL--acyclovir
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What are the common bugs for bacterial keratitis?
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Pseudomonas and STrep
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How do you treat bacterial keratitis?
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TOPICAL--tobramycin with fortified cefazolin or moxifloxacin
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What is the mechanism of actue angle closure glaucoma?
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Aqueous humor doesn't get absorbed b/c iris is closing the angle when pupils eyes get dialated.
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What are the SX of Actue angle glucoma? What is the treatment of acute angle closure gluacomaz/
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Severe red eye, severe pain, Profound visual loss
Treatment : Topical Timolol + ORAL Acetazolamide Or Iridotomy |
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What is the Uveitis
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Inflammation of the iris, choroid, and ciliary body
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What will be the chief complaint of Uvieits patients?
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Red eye, with photophobia
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How will the pupil look in Uveitis?
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Small and IRREGular Pupil
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If you look at Uveitis with an Opthalmoscope what will you find?
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Keratic Precipitate
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How do you treat Anterior Uveitis?
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Topic Corticosteroid
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How do you treat POSterior Uveitis?
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SYStemic Corticosteroid
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What do you diagnose if there is yellow deposits on the marcular region (Drusen)
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Macular degeneration
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What is Wet Macular degeneration?
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Distortion of central vision in ONE eye
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What is dry or ATrophic macular degeneration?
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gradual vision loss in BOTH eyes
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What is the treatment for wet and dry macular degeneration?
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WET--VEGF
DRY--vitamin supplement and stop smoking |
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What are some bugs/things that cause congenital cataracts?
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Rubella, CMV, Galactosemia
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What is the treatment of Cataracts?
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Intra ocular Lens implant
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Open angle glaucoma what happens to the optic disk?
What kind of vision will the pt. complain of? |
Pathological cupping
c/o tUNNEl vision |
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What is the diagnosis if old pt complains of:
1) Sudden loss with pain and red eye 2) Slow vision loss with difficult driving 3) Slow vision loss with difficulty in reading |
1) Acute angle closure glaucoma
2)Open angle glaucoma 3)Macular degeneration |
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How to treat HA, nasal congestion, watery rhinorrea, sneezing, scratchy throat with red muscosa and watery discharge.
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Decongestants
Oxymethazoline NASAL spray |
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What is the s/E of oxymethazoline?
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rebound nasal congestion
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What is it called if you have rebound nasal congestion caused by a drug?
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Rhitinis medicamentosa
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How do you treat rebound nasal congestion caused by a drug?
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Stop oxymethazoline (drug). Use intranasal coricoseroid and ORAL tapering of prednisone
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Chronic nasal congestion that is changed by the seasons and you find non-allergic mucosa of the nose...how do you treat?
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Mast cell stabilizer---cromolyn Sodium
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When doing a webers test (put TF on Forehead)...what loss is it if you hear the sound better in the ear that is having the problem?
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Conductive---defective
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When doing a webers test (put TF on Forehead)...what loss is it if you hear the sound better in the ear that is NOT having the problem? I.E. the good ear?
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Sensorineural deafness in the OTHER ear
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How do you do Rinnes test?
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put tuning fork on the mastoid and then in front of the ear.
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How do you diagnose conductive hearing loss in Rinnes?
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the Mastoid process hears it better than in front of the ear.
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What makes the Rhinne's test postitive?
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When bone conduction is better than air conduction. Normally AIR is better than BONE
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What bug is the causative agent for malignant otis externa?
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Pseudamonas
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How do you dx malig. otis externa?
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CT to r/o abscess, meningitis, bone erosion
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How do you treat malig otis externa? When can you discontinue
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IV antibiotic
Discontinue after gallium guided scan |
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What is a complication of chronic otitis media/
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chelestatoma (amorphous white debri)
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How do you treat choesteatoma?---what can it cause?
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Treat with Mastoidectomy
if you don't it can cause bone erosion |
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What dx. are you thinking if you see progressive hearing loss, tinnitus, and paracusis (hearing better when there is more background noise) and what is the treatment?
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Otosclerosis of the stapes
Treatment: surgery |
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Nystagmus during the hallpike maneuver diagnoses what disease?
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Benign Postisional vertigo
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What is the treatment of BPV?
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Particle repositioning maneuver (Brandt-Daroff exercise, Semont maneuver, and EPley maneuver)
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How do you differentiate between BPV, Meneire's and acoustic neuroma?
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BPV--sudden, seconds lasting, and Nystagmus on turning head while pt. on edge of bed.
Meneires ds--triad---tinnitus, vertigo, and hearing loss Acoustic neuroma---ONE ear is affected and its subacute |
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How to differentiate betwn. Meniere's, Viral Labyritih, and Vestibular Neuritis since all 3 have VERTIGO?
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Meniers'--all 3--hearing, vertigo (hours) and tinnitus
Viral--has all 3--hearing, vertigo (days), and tinnitus Vestibular--has ONLY vertigo (days) |
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How do you treat viral labyrithitis and vestibular neuronitis?
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Corticosterios
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