student was hungry too....so he ate it. Dr. Haun has diagnosed him with what? Mucophagy 2. The boogers weren't enough, so the student is exhibiting EXTREME hunger, what is the name for this? Mucophagomania 3. Brief, choppy, irregular contractions of mm's? Chorea 4. CRP (C reactive protein) fights what kind of infection and how fast? ACUTE Bacterial Quickly 5. Do antibiotics kill GABHS? NO 6. Do most pt's with an URTI have a bacterial or viral infection? Viral 7. ESR fights what kind of infection and how fast? CHRONIC Bacterial Slowly 8. Grayish membrane of the pharynx, uvula, and soft palate? Diptheria 9. How do you tell which eardrum is which? Cone of light will be towards the side it is [cone of light on Right = Right eardrum] 10. How does GABHS spread? Hand contact w/ nasal discharge 11. How soon do most individuals with Viral URTI improve with NO treatment? 7 days 12. If pt has a cough with an URTI, this indicates? Viral Infection 13. Is GABHS normal nasopharyngeal flora? NO 14. Is thereapeutic ultrasound ever contraindicated for Sinusitis? YES, during acute infections 15. Is virus or bacteria the cause of most sore throats? Virus 16. Is virus or bacteria the cause of pharyngitis in the absence of nasal discharge, cough, and conjunctivitis? Bacteria 17. List the following in order of most likely to cause an URTI to least: Fungi, Bacteria, Protazoa, Viruses MOST: Viruses MORE: Bacteria LESS: Fungi LEAST: Protazoa 18. Little known to the student or Dr Haun, the student's neighbor has an intense fear of becoming a compulsive nose picker with delusions of being thought of as one. What is her condition? (yes this is a real thing) RHINOTILLEXOMANIPHOBIA 19. MCC of elevated hemoglobin? (for our purposes) Dehydration 20. Name for an infection of a Lymph NODE LymphaDENitis 21. Name for an infection of a Lymph VESSEL LymphaNGitis 22. Ok, so now since Dr. Haun caught that student, he has become compulsive in his behavior, what would that term be? Rhinotillexomania 23. Raised ASO titer w/mitral valve murmur and migrating polyarthritis? Rheumatic Fever 24. Rosacea often causes this Severe Rhinophyma 25. Sandpaper rash, strawbetty tongue, and circumoral pallor? Scarlet Fever 26. Scientific name for nosebleeds Epistaxis 27. Since the Cavernous Sinus is located around CN's 4, 5 and 6, what could a thrombosis there cause? Chemosis, Facial numbness, weak facial mm's, Seizures, coma, death 28. There is a 3 layer system for the Mucociliary transport system. List them from top to bottom. TOP: Gel layer MIDDLE: Sol or Aqueous layer BOTTOM: Ciliated Epithelial Cells 29. This infection is characterized by elevated CRP. Acute Bacterial Infection (not chronic, not viral) 30. This is a GABHS infection of the palatine tonsils and oropharynx Strep Throat EENT Exam 2 Study online at quizlet.com/_r3y88 31. This is a rash found on the neck, groin and axillae. Where is this rash accentuated? Pastia's Lines Accentuated in body folds 32. This is inflammation of the fat cells under the skin Erythema Nodosum (EN) Due to cancers, infections, pregnancy, medications 33. This is the BIG diff. b/w Allergic Rhinitis, a Viral URTI Rhinitis and an Acute Bacterial Rhinosinusitis ALLERGIC: boggy, bluish mucosa URTI: reddened mucosa, clear mucus BACTERIAL: reddened mucosa, thick and yellow mucus 34. This is the term Dr. Haun would use when he sees a student picking his nose Rhinotillexis 35. This pathogen is considered most at risk for life threatening complications GABHS (Group A beta-hemolytic streptococcus) 36. This strep throat complication is NOT treatable with antibiotics Poststreptococcal Glomerulonephritis (kidney inflammation) 37. True or False, "most pt's with ABRS do not recover w/o antibiotics" False 38. True or False, "signs and symptoms of ABRS and prolonged viral URTI are similar" True 39. What are more names for Strep Throat? GABHS pharyngitis GABHS tonsilitis 40. What are some clear symptoms of a Bacterial Infection? BACTERIAL: tend to Spread, severe complications, antibiotics available, ONE dominant symptom, more erythema 41. What are some common URTI symptoms? Think common cold symptoms: Rhinitis Nasal Obstruction Odynophagia Coryza LOTS of others 42. What are some PRIMARY malignant lymphandenopathies? Hodgkin's lymphoma non-Hodgkin's lymphoma Hairy cell leukemia 43. What are some SECONDARY malignant lymphadenopathies? Virchow's Node 44. What are the two most common pathogens responsible for ABRS? Streptococcus pheumonia Haemophilus influenzae 45. What causes both ABRS and AOM and then what is the final infector? Streptococcus pneumoniae infects first then around 3rd in line is GABHS 46. What causes croup? Parainfluenza Virus 47. What causes Diptheria? Corynebacterium diptheria 48. What causes Epiglottitis & Scarlet Fever? GABHS 49. What causes MONO EBV 50. What causes Viral rhinosinusitis? Any common cold virus 51. What does conjunctival bulges seen at the upper tarsal and separated by fibrous septa suggest? Papillae 52. What does Lymphocytosis suggest? Viral infection 53. What does Neutrophilia suggest? Bacterial infection (elevated Neutrophils in the blood) 54. What is a bulging, translucent bulbar conjunctiva suggest? Chemosis 55. What is commonly seen in Mono, but not strep throat? Posterior cervical lymphadenopathy 56. What is Coryza? Viral Rhinitis 57. What is granulocytosis associated with? Bacterial Infection 58. What is odynophagia? Sore throat (painful swallowing) 59. What is the "golden standard" in testing? Bacterial Cultures 60. What is the AKA for a Peritonsillar Abscess? Quinsy 61. What is the diff. b/w Allergic Rhinoconjuctivitis and Allergic Conjunctivitis? RHINO: Itchy ears, buzzing sounds, sneezing/conjestion, itchy/sore throat CONJUNCT: allergic shiners, papillae, chemosis 62. What is the Ostiomeatal Complex and what is its role in sinusitis? Area at the confluence of sinus drainage Vulnerable to inflammatory changes 63. What kind of infection is Serologic Testing best for? Viral or Recurring Infections 64. What organ is particularly affected in Strep Throat? Tonsillar lymph nodes Palatine tonsils 65. What shouldn't you do when popping zits? Lie down 66. What sore throat condition might need tracheotomy at the ER? Epiglottitis 67. What the heck is Rhinitis Medicamentosa? The chronic use of topical nasal decongestants which has produced a state of CHRONIC RHINITIS 68. What two signs seen on the face are specific to ABRS? (Acute bacterial rhinosinusitis) Facial Pain (around sinuses) Mucopurulent Nasal Discharge 69. What two strep throat complications are associated with raised antisteptolysisn-O-titer (ASO titer)? Poststreptococcal Glomerulonephritis & Rheumatic Fever 70. What type of cells do you think of with Mononucleosis? Downey Cells 71. What type of Herbal Supplementation is good for Sinusitis? Tea tree oil Eucalyptus oil Andrographis paniculata Goldenseal Oregano oil 72. What type of hypersensitivity is Poststreptococcal Glomerulonephritis associated with? Type III 73. What type of hypersensitivity is Rheumatic Fever associated with? Type II 74. What type of imaging is best for seeing the sinuses and ostiomeatal complex? CT 75. Which organ enlarges in children during Mono? Spleen 76. Which organ enlarges in children with Leukemia or Lymphoma? Liver or Spleen 77. Your pt has the following conditions: clear nasal discharge, b/l tonsilar enlargement, pharyngeal erythema, b/l conjunctivits, b/l retracted TM, and a cough....WEW! What is it??? Viral Infection