Corrections 2

Question 1

1st line mx of epistaxis (pt is stable)?

Answer 1

1) Asking the patient to sit with their torso forward and their mouth open

2) Pinch the cartilaginous (soft) area of the nose firmly for at least 20 minutes

Question 2

2nd line mx of epistaxis?

Answer 2

1) consider using a topical antiseptic such as Naseptin (chlorhexidine and neomycin)

2) consider silver nitrate cautery (if bleeding source is visible)

3) packing may be used if cautery is not viable or the bleeding point cannot be visualised

Question 3

Mx of epistaxis that has failed all emergency management?

Answer 3

may require sphenopalatine ligation in theatre

Question 4

What needs to be excluded in SSNHL?

Answer 4

An MRI scan is usually performed to exclude a vestibular schwannoma.

Question 5

What imaging is indicated in SSNHL?

Answer 5

MRI - exclude a vestibular schwannoma.

Question 6

Time of ENT assessment in SSNHL?

Answer 6

24h

Question 7

What is the main duct that sialolithiasis occurs in?

Answer 7

Wharton’s duct in the submandibular gland

Question 8

When can patients be offered a cochlear implant in hearing loss?

Answer 8

In adults, patients should have completed a trial of appropriate hearing aids for at least 3 months which they have been objectively demonstrated to receive limited or no benefit from.

Question 9

What abx drops are indicated in otitis externa in diabetics?

Answer 9

Ciprofloxacin to cover Pseudomonas

Question 10

What is sialadenitis?

Answer 10

Inflammation of the salivary gland likely 2ary to obstruction by a stone impacted in the duct.

Question 11

Mx of unilateral nasal polyps?

Answer 11

Red flag –> urgent ENT referral