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Question 1

The branches of the facial nerve

Answer 1

The - temporal
Zebra - zygomatic
Bullogned - buccal
My - marginal mandibular
Cat - cervical

Question 2

Red flag symptoms for neck/facial lumps

Risk factors to ask too

Answer 2

B symptoms - weight loss, fever, night sweats, malaise

Dysphagia
Dysphonia
Odynophagia
Perstient sore throat

HPV vaccination or known status
Previous glandular fever
Smoker
Heavy drinker

Question 3

Are you concerned about a vestibular schwannoma (acoustic nerouma)

What hearing loss is assoc?

Answer 3

No - benign and slow growing

Sensironeural - can cause loss of corneal reflex in same side too

Question 4

What is the invx + management of head and neck cancers?

Answer 4

Invx - MRI, endoscopy and FNA if neck mass

Manage
Nasopharngeal - radio
Oropharngeal - chemo
Larngeal - if advanced need larngectomy otherwise radio

Question 5

Children with glue ear with cleft palate/Down’s syndrome. What is different about their management?

Answer 5

Immediate referral to ENT - rather than wait 2-3 months for things to settle

Question 6

What causes epiglottis?

Answer 6

Haem influenza

Question 7

What is the diagnostic test for OSA?

Answer 7

Polysomnography

Question 8

How does COPD appear on CXR?

Answer 8

Hyperinflated lungs