Throat Latest Update -

FNU NM 703 Primary Care Ears Eyes Nose Throat Latest Update - from Credible Source with 125 Questions and 100% Verified Detailed Correct Answers Guaranteed A+ Approved by Professor •Uveitis or Iritis symptoms - CORRECT ANSWER: •Conjunctival Hyperemia=Redness of the eye (from center outward) Red ring around iris •Blurred vision •Photophobia •Eye pain •Floaters •Headaches •Epiphora=excessive watering of the eye.•Pupil constriction

• What diagnostic test is the most useful in diagnosing mononucleosis? - CORRECT

ANSWER: ● Most useful: serologic test for heterophil antibodies( retest in 7 days if negative and symptoms persist) It will remain positive for one year.● CBC with diff-help identify absolute lymphocytosis.● Absoute lymphocytosis and Positive heterophil antibody test= infectious Mono

A good mnemonic to remember Centor is: - CORRECT ANSWER: C - Cough absent, or the incorrect but memorable "Can't Cough" E - Exudate N - Nodes T - temperature (fever) OR - young OR old modifier

• / 3

Allergic conjunctivitis - CORRECT ANSWER: • Associated with Allergic Rhinitis and Allergic Pharyngitis • Headache • Fatigue • Often have a positive family history of hay fever or atopy • Generally begins simultaneously in both eyes • Itching, watery eyes • Periocular skin discoloration, thickening, erythema

Allergic Rhinitis - CORRECT ANSWER: Condition characterized by sneezing,

rhinorrhea & nasal/pharyngeal itching in relation to an allergen exposure.

Allergic Rhinitis example clinical presentation - CORRECT ANSWER: Barbara, age 25, has an itchy, runny nose and sneezes a lot. It is worse every year in May when the trees bloom.

allergic salute - CORRECT ANSWER: ● Transverse line on the nose caused by

rubbing nose in upward motion (to remove snot and open passages) is a feature of chronic allergies.

Angle-closure Glaucoma Management - CORRECT ANSWER: •This is a Medical

Emergency •Immediate Referral to Ophthalmologist

Angle-closure Glaucoma symptoms - CORRECT ANSWER: •Sudden and severe pain

•Variable decrease in vision •Nausea/vomiting •Red eye •Rainbow-like halos around lights •Photophobia 2 / 3

•Conjunctival Hyperemia •Oval pupil from bowed iris •Cloudy cornea •May have history of a recent eye dilation •PUpil mild-dilated & fixed •Firm Globe •Shallow anterior chamber

Aphthous Ulcer- Edie, a 30 year old, has developed a single, painful mouth sore during the last 2 days.She has never experienced anything like this before. She denies use of tobacco in any form, alcohol or illicit drugs. She is normally healthy and takes no medications.

• What further history is needed? If there was a trauma, if they have any vitamin

deficiencies, if they are anemic, any allergies, if they use any mouthwashes or eat citrusy foods.

• Describe the physical findings if Edie has an aphthous ulcer. Circular, shallow,

grayish membrane over them, with raised red border. May see 1-5 (minor), major 2 or more large and can have 5-100!

• How are aphthous ulcers treated? If Vitamin deficiency, replace. Treat the cause if

known. Magic mouthwash if painful. Are they likely to recur? They do recur, but are

typically self-limiting. - CORRECT ANSWER:

At what point should for patient with otitis media without improvement after 2 days now started on antibiotics be referred to ENT Specialist? Explain. - CORRECT ANSWER: Anyone who appears more toxic or lethargic that symptoms would suggest.If symptoms do not clear up with antibiotics, if symptoms worsen, or if symptoms clear and then come back.Antibiotic resistance Potential for complications: eardrum perforation, conductive hearing loss, perforation of eardrum, cholesteatoma, acute mastoiditis, meningitis, epidermal absdess.Specialist can perform tympanocentesis for culture to determie Abx sensitivity that fails to resolve after 3 days of tx w/ 2nd line agent.Anyone with recurrent ear infections. 3 episodes in 6 mos or 4 or more in 1 year.

• / 3