100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
HEENT ROSH REVIEW | Questions & Answers (100 %Score) Latest Updated 2024/2025 Comprehensive Questions A+ Graded Answers | With Expert Solutions $13.48   Add to cart

Exam (elaborations)

HEENT ROSH REVIEW | Questions & Answers (100 %Score) Latest Updated 2024/2025 Comprehensive Questions A+ Graded Answers | With Expert Solutions

 5 views  0 purchase
  • Course
  • Top Academic Papers 2024/2025
  • Institution
  • Top Academic Papers 2024/2025

HEENT ROSH REVIEW | Questions & Answers (100 %Score) Latest Updated 2024/2025 Comprehensive Questions A+ Graded Answers | With Expert Solutions

Preview 2 out of 11  pages

  • August 9, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Top Academic Papers 2024/2025
  • Top Academic Papers 2024/2025
avatar-seller
VasilyKichigin
HEENT ROSH REVIEW | Questions & Answers (100 %Score) Latest Updated 2024/2025
Comprehensive Questions A+ Graded Answers | With Expert Solutions


A 28-year-old woman presents with intense pain, tearing, and ocular foreign body
sensation in both eyes that began yesterday. She denies any trauma, past medical
problems, or contact lens use and reports that she works as ski patrol for a local resort.
Her physical examination is significant for bilateral decreased visual acuity, injected
conjunctiva, and diffuse punctuate corneal lesions with a discrete superior border. Her
pupils are equal, round, and reactive to light. Given this patient's clinical presentation,
which of the following is the most likely diagnosis? - Ultraviolet ketartitis

What is another name for ultraviolet keratitis and how is it caused? - This patient has
ultraviolet keratitis, also known as snow blindness. This is a radiation burn that occurs
when an individual comes in close contact with an ultraviolet-ray-containing light source.
It may be caused by sun lamps, tanning booths, or exposure to intense reflected
sunlight, particularly in high-altitude environments

How will flouresence staining present with ultraviolet keratitis? - Fluorescein staining
reveals superficial punctate epithelial surface irregularities, which usually cover the
entire surface of the cornea. This condition is usually referred to as superficial punctate
keratitis (SPK)

What is the treatment for ultraviolet keratitis? - Treatment consists of flushing the eye for
several minutes with water or saline solution and prescribing a short-acting cycloplegic
agent for pain management. The use of ophthalmic antibiotics has not been shown to
improve healing. While oral pain medications are often needed, topical anesthetics
should be avoided due to an increased risk of corneal ulceration.

What is episcleritis and how is it caused? - Episcleritis (B) is a common, benign
inflammatory condition of the episclera and most often occurs in young adults. It is
usually idiopathic but may be associated with systemic conditions such as diabetes
mellitus, systemic lupus erythematosus, rheumatoid arthritis, and inflammatory bowel
disease. Patients typically complain of a foreign body sensation, mild pain, photophobia,
and lacrimation. The condition is usually self-limiting.

What is iritis? - Iritis (C), also known as anterior uveitis, is an inflammation of the
anterior portions of the uvea (iris, ciliary body, and choroid). It is often idiopathic but may
be associated with systemic diseases such as rheumatoid arthritis, sarcoidosis, Reiter
syndrome, and tuberculosis.

How do cycloplegics work? - They relax ciliary muscle spasm and prevent contraction of
the iris, reducing pupillary photoresponse.

, What is leukoplakia? - Leukoplakia is a premalignant white patch or plaque that may
eventually progress to an ulcer or mass. It is a pre-malignant oral lesion. The biggest
risk factors are tobacco and alcohol use.

If oral leukoplakia is persistent for more than 2 weeks what is required? - If oral
leukoplakia persists for more than 2 weeks, biopsy and treatment is required.

What is the 5-year survival rate for oral cancer? - 50-55%.

The histopathologic findings of this disease includes endolymphatic hydrops, which is
thought to be caused by either overproduction or underresorption of endolymph in the
inner ear. - Meniere's disease

What percentage of vertigo is due to central vestibular etiologies? - Less than 10%

What is the treatment for menieres disease? - Vestibular rehabilitation, low-salt diet,
HCT, surgery

What is the treatment for a subconjunctival hemmorrage? - Reassurance and follow up

What is the cause of a subconjunctival hemmorrhage? - Subconjunctival hemorrhage
results from rupture of small subconjunctival blood vessels. It is thought to occur from
trauma or Valsalva maneuvers (e.g. coughing) although patients often have no memory
of an inciting event.

What history with subconjunctival hemorrhage would prompt investigation into a
bleeding diathesis? - Bilateral or recurrent subconjunctival hemorrhage should have a
bleeding diathesis workup.

What is the cause of mastoiditis? - This patient has acute mastoiditis, an infection of the
mastoid air cells that usually results from extension of untreated or inadequately (as in
this case) treated otitis media.

What are the symptoms of mastoiditis? - Patients typically present with fever, chills,
postauricular (mastoid) erythema and tenderness, and discharge from the external
auditory canal. It is critical to identify and treat mastoiditis because untreated mastoiditis
can progress to meningitis, encephalitis, sinus thrombosis, brain abscess, facial nerve
palsy, and sepsis.

What imaging is required to confirm the diagnosis of mastoiditis? - A contrast-enhanced
CT scan of the head with inclusion of the petrous portion of the temporal bones should
be obtained to confirm the diagnosis (primarily through visualization of fluid in the
mastoid air cells) and identify the presence of any complications.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller VasilyKichigin. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.48. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72042 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.48
  • (0)
  Add to cart