conditions

Question 1

mode of inheritance of otosclerosis/

Answer 1

autosomal dominant

Question 2

what sign do you get on audiogram for otosclerosis?

Answer 2

carhaarts notch

Question 3

what can make hearing better in otosclerosis?

Answer 3

background noise

Question 4

otosclerosis involves fixation of ? to ?

Answer 4

footplate of stapes to oval window

Question 5

management of otoscerosis ?

Answer 5

hearing aid
replacement of stapes
co2 lasers
cochlear implant

Question 6

what is cholesteatoma ?

Answer 6

skin growth in the middle ear (nn cancerous)

Question 7

what kind of discharge do you get in cholesteatoma

Answer 7

foul smelling, cheesy discharge

Question 8

on examination, what would the tympanic membrane look like in cholesteatoma

Answer 8

pearly white

Question 9

management of cholesteatoma

Answer 9

surgical removal

Question 10

what is glue ear also known as?

Answer 10

otitis media with effusion

Question 11

is there a source of infection in otitis media with effusion?

Answer 11

no

Question 12

typical patient with OME?

Answer 12

child

Question 13

what can OME be a sign of in adults?

Answer 13

nasopharyngeal cancer

Question 14

what is OME associated with ?

Answer 14

eustachian tube dysfunction

Question 15

what is OME associated with in terms of school?

Answer 15

behaviour problems, deafness, speech delay, decreased performance at school

Question 16

what would you see with OME on inspection ?

Answer 16

retracted membrane, fluid level, bubbles

Question 17

what is the purpose of grommets

Answer 17

to improve hearing

Question 18

treatment of OME in under 3 years ?

Answer 18

grommets

Question 19

1st time in child over 3 years?

Answer 19

grommets

Question 20

if second time OME in patient over 3 years?

Answer 20

adenoidectomy

Question 21

when would you refer a patient with OME?

Answer 21

if they’re had it for over 3 months, bilateral, significant hearing loss or impact on behaviour

Question 22

vestibular schwanomma is a benign tumour of?

Answer 22

nerve sheath of CN8

Question 23

VS, how does it usually present?

Answer 23

unilateral, hearing loss, distorted sound, unsteadiness, vertigo

Question 24

what is bilateral VS associated with?

Answer 24

neurofibromatosis type 2

Question 25

presbycusis is worse with what kind of noise?

Answer 25

background noise

Question 26

drugs which cause sensorineural hearing loss?

Answer 26

gentamycin, loop diuretics, hydroxcholoroquin, chemo

Question 27

what is the management of Vs?

Answer 27

watchful waiting

surgical excision

Question 28

what three complications can you get from chronic otitis media ?

Answer 28

facial nerve palsy

intercranial abcess mastoiditis

Question 29

presentation of mastoiditis?

Answer 29

otalgia, tender mastoid, protruding aricle, continual discharge

Question 30

management of mastoiditis ?

Answer 30

IV tazosin