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ABIM IM Recert > Board Vitals Otolaryngology and Dental Medicine > Flashcards

Board Vitals Otolaryngology and Dental Medicine Flashcards

1
Q

Where is the tuning fork placed in the Weber test?

A

In the center of the forehead

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2
Q

Where is tuning fork placed in the Rinne test?

A

Mastoid and then in air in front of ear

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3
Q

In a normal Rinne test - is air conduction or bone conduction louder?

A

Air conduction

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4
Q

If bone conduction is louder in the Rinne test - then what is the problem?

A

Conductive hearing loss on that side

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5
Q

In case of sensorineural hearing loss - what are the Rinne test results?

A

Normal

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6
Q

What is the purpose of the Weber test?

A

Lateralizing the hearing loss

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7
Q

Where does the Weber test lateralize in sensorineural hearing loss?

A

Unaffected side

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8
Q

Where does the Weber test lateralize in conductive hearing loss?

A

Affected side

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9
Q

What is the treatment for sudden onset sensorineural hearing loss?

A

Steroids

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10
Q

What are the two main causes of sensorineural hearing loss in younger patients?

A
  • Meniere’s disease
  • Acoustic neuroma/vestibular schwannoma
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11
Q

What is the best diagnostic test for a vestibular schwannoma/acoustic neuroma?

A

MRI brain

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12
Q

What is the treatment of acute otitis media?

A

Oral amoxicillin-clavulanate (Augmentin)

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13
Q

What is the treatment of acute otitis externa?

A

Topical antimicrobials

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14
Q

What is the most common organism in external otitis?

A

Pseudomonas aeruginosa

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15
Q

What is the most common organism in otitis media?

A

Streptococcus pneumoniae

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16
Q

Impairment of the left recurrent laryngeal nerve due to mechanical disruption of the nerve from enlarged cardiovascular structures.

Diagnosis?

A

Ortner’s syndrome

17
Q

Is CT or MRI more sensitive for fungal sinusitis?

A

CT

18
Q

What is the treatment of choice in vasomotor rhinitis?

A

Ipratropium bromide nasal spray

19
Q

In case of malignant otitis externa a technetium scan will remain positive indefinitely.

True or false?

A

True

20
Q

Is a gallium scan specific for malignant otitis externa?

A

No

21
Q

Can malignant otitis externa be ruled out in case of a negative CT scan?

A

No (can be negative in early disease)

22
Q

What is the treatment of acute bacterial rhinosinusitis?

A

Amoxicillin
Amoxicillin-clavulanate

23
Q

Is imaging necessary in uncomplicated sinusitis?

A

No

24
Q

What is the most common cause of adult bacterial epiglottitis?

A

Streptococcus species

25
Q

Is montelukast more or less effective in treating allergic rhinitis than oral antihistamines?

A

Less effective

26
Q

Is montelukast more or less effective in treating allergic rhinitis than inhaled corticosteroids?

A

Less effective

ABIM IM Recert (42 decks)

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