Exam (elaborations)
EENT APEA EXAM QUESTIONS WITH COMPLETE SOLUTIONS
- Course
- Institution
EENT APEA EXAM QUESTIONS WITH COMPLETE SOLUTIONS
[Show more]
Content preview
EENT APEA EXAM QUESTIONS WITH COMPLETESOLUTIONS
93 demented pt. tx for URI and still has nasal drainage from one
nostril. What should the NP suspect? Correct Answer Presence
of a FB; 2 cluesunilateral, and drainage even after TX
Age-Related Macular Degeneration (AMD)
Description (1)
Types (2) Correct Answer -Degeneration of the central portion
of the retina (Macula)
1. Dry (most common); macula gets thinner w/ age (No TX)
2. Wet (more severe) Abnormal blood vessels grow in the back
of the eye and damage the macula (Treatable)
Allergic Rhinitis:
Etiology Correct Answer - IgE mediated respsone from
allergens
Allergic Rhinitis:
RX (2) Correct Answer 1. Topical intranasal steroids
- MOST effective TX; Preventive!
- Drugs: Budesonide, Fluticasone, mometasone, ciclesonide
- MOA: Inhibit allergic inflammation & down regulate the
inflammatory response**
- Onset: few hours, but takes a few days for maximal effect!
ADD intranasal antihistamine if needed (<3 days)
,2. Oral Antihistamins
- Helps with itching, sneezing, rhinorrrhea (not so much nasal
congestion)
ADD
- Oral decongestant or leukotriene receptor antagonist (Do not
add INS)
Allergic Rhinitis:
SX (7) Correct Answer - Sneezing
- Rhinorrhea
- Pruritus of the face
- Post nasal drip
- Fatigue
- Cough
Allergic Rhinitis:
Description Correct Answer Inflammatory IgE-mediated
disease of the mucous membranes of the nasal tract. Produces
mucosal edema, clear discharge, sneezing, and stuffiness.
Allergic Rhinitis:
DX Correct Answer - Usually none
- CBC: eosinophilia if acute reaction
- Allergy Testing
Allergic Rhinitis:
NonRX Correct Answer - 1st line TX is avoiding the allergen
AMD:
,Incidence (1) Correct Answer Most common cause of
permanent* vision loss in older adults
AMD:
Prevention (7)
TX (3) Correct Answer Prevention
- Eye exams yearly
- Healthy diet
- Exercise
- Stop smoking
- BP control
- HLD control
- Green veggies & fish
TX
- Oral eye vitamin supplement (eg, Ocuvite, PreserVision)
- NO TX for DRY AMD
- TX for WET AMD
AMD: RF (4) Correct Answer - Age >60
- White
- Smoke
- Fx HX
AMD: SX
3 stages
Hallmark sign? Correct Answer *Loss of central vision over
the years; Central vision* needed for driving, watching TV,
Reading, ADLS
1. Early: Asymptomatic
, 2. Intermediate:
- Asymptomatic
- Mild blurriness in central vision
- Trouble seeing in low light
3. Late:
- Blurry spot in the center of vision
- Colors less bright
- Trouble seeing in low light
- Straight lines look wavy*
-*Drusen *hallmark sign Localized deposits of extracellular
materialSmall, bright-yellow objects
AOM:
3 Characteristics Correct Answer 1. Acute sx onset
2. Presence of middle ear effusion
3. SX of acute middle ear inflammation (TM bulging, loss of
bony landmarks)
AOM:
Etiology (4) Correct Answer * Respiratory viruses + bacteria
1. Streptococcus pneumoniae: 49%
2. H. influenzae: 29% (half are beta lactamase-positive)
3. Moraxella catarrhalis: 28% (most are beta lactamase-positive)
4. Group A beta-hemolytic Streptococcus: <5%
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
71184 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now