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NY-Pediatric Nurse Practitioner > EENT > Flashcards

Flashcards in EENT Deck (19)
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1
Q

A Hirschberg pupillary light reflex test for what?

A

strabismus

tests pupillary light reflex to see whether light reflex is = in both eyes (light shows up at same point on each eye)

2
Q

what two genetic conditions often have associated eye problems

A

Down syndrome

marfans

3
Q

Does a hordeolum have a slow or abrupt onset, when do you refer? painful or painless?

A

abrupt and painful refer after 48 hours

4
Q

what is the treatment for gonococcal conjunctivitis

A

Rocephin and azithromycin (IV pen for neonate)

5
Q

what age requires an eye culture?

A

under 30 days

6
Q

If a pt has allergic conjunctivitis why do you avoid steroids?

A

because of increase in intraocular pressure AND risk of activating herpes virus

7
Q

At what age is strabismus a concern?

A

after 6 months

8
Q

Esotropia means what kind of eye deviation?

a. outward
b. inward
c. upward
d. downward

A

inward

9
Q

if a red reflex is missing what are you concerned for?

A

retinoblastoma, cataract, scarring

10
Q

what are some common treatments for otitis external?

A

ciprofloxacin and dexamethasone otic drops
oflaxacin otic drops
(antifungal drops if fuzzy or hairy appearance present)

11
Q

treatment for serous otitis media (OME)

A

no abx needed, watch

12
Q

what antibiotics are at risk for ototoxicity?

A

aminoglycosides

13
Q

conductive hearing: with weber test would the affected ear hear vibrations louder or softer? what about with Rhinne?

A

weber=sound lateralizes (goes to) the AFFECTED ear
rinne test= vibrations heard louder at mastoid than in air (or abnormal rinne results)

think: skittles in 1 ear, vibrations conduct louder through bones & conductive hearing loss is a middle ear prob (impaction, AOM)

14
Q

Sensorineural hearing loss: weber does the sound transmit more to affected or unaffected? what about rine rinne results?

A
weber= noise is transmitted to unaffected (sounds goes to good ear)
rhinne= normal in affected ear
15
Q

what do you teach a parent who’s child has nosebleeds? Do you put your head back or down? where to hold pressure and how long?

A

sit up right, pressure at KIESSALBACHS triange (where bony part of nose becomes soft) for 10 minutes

16
Q

what are the 4 symptoms to watch for to indicate needing a strep test? How many do you need to test for strep?

A

Fever
Lack of cough
Exudate on tonsils
Adenopathy

17
Q

age range for croup?

A

3mo to 6 yrs

18
Q

age range for epiglottitis

A

6yrs to 10yrs

19
Q

Xray on a pt shows a +thumb sign, what is your diagnosis?

A

epiglottitis