Dental + ENT Flashcards

1
Q

What are the two different types of hearing impairment/loss?

A

Conductive

Sensorineural

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2
Q

What is conductive hearing loss?

A

When there is a reduced transmission of soundwaves due to an abnormality of the outer or middle ear impairs conduction of soundwaves to oval window

example impacted earwax or FB

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3
Q

What is sensorineural hearing loss?

A

Whether the disorder of nerves of inner ear or CNS

example - congenital or prolonged exposure to excessive noise

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4
Q

How is conductive and sensorineural hearing loss investigated and what are the considerations you have to take in while taking images on patients?

A

 neither conductive or Sensorineural hearing loss is investigated routinely - as this is not visible on images

Must take into consideration is communication with patience when undertaking other scans

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5
Q

What infection is found in the ear?

A

Acute otitis media

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6
Q

What is acute otitis media?

A

This is an information of the middle ear due to upward spread of infection via auditory tube in patient with URTI

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7
Q

What is a severe case of acute otitis media?

A

Infection may spread through temporal bone (as it is very thin) which can lead to a brain abscess and meningitis

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8
Q

What is acoustic neuroma?

A

It is a benign tumour cited in space from inner ear to brain - in the space is the vestibular and cochlear nerves

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9
Q

What is acoustic neuroma also known as?

A

Vestibular schwannoma

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10
Q

What are the Common symptoms of acoustic neuroma?

A

Uni sided hearing loss

Tinnitus left (sounds coming from within the body right)

Vertigo (feeling of moving or spinning)

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11
Q

What are the indications/symptoms of a larger neuroma?

A

Persistent headaches

Double vision (often temporary)

Uni sided numbness or ataxia (coordination)

Hoarse voice or swallowing difficulty

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12
Q

What imaging modality is used to image and acoustic neuroma?

A

MRI

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13
Q

Why is MRI used to image and acoustic neuroma?

A

Provides excellent contrast between all of the soft tissues present

Sensitivity and specificity are variable

Contrast is definite, if Selectively used

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14
Q

What is the Sinusitis?

A

Swelling of sinuses
Congested mucosa may cause blockage of openings between nose and sinuses preventing drainage of discharge

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15
Q

What are the symptoms of sinusitis?

A

Facial pain and headache

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16
Q

What may be the result of having repeated attacks of sinusitis?

A

It may result in the condition becoming chronic

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17
Q

What are nasal polyps?

A

Abnormal tissue growth in nasal passages and sinuses

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18
Q

What is the cause of sinusitis?

A

Infection
 The spread of microbes through the nose and pharynx to mucous membrane lining of sinuses.
Nasal polyps

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19
Q

What are the symptoms of nasal polyps?

A

Large diesel pops can block the nasal passage way and cause symptoms such as:
blocked nose

Runny nose

Snoring

Sinusitis

And the loss of smell and taste

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20
Q

What is the cause of nasal polyps?

A

Caused by inflammation and thought to be associated with allergic rhinitis (hayfever) and asthma

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21
Q

How are nasal polyps diagnosed?

A

Endoscopy or CT

22
Q

How are polyps treated?

A

Corticosteroids or surgical excision

However they regularly grow back over time

23
Q

What is nasal and paranasal carcinoma?

A

It is nasal cancer (the most common is squamous cell carcinoma)

24
Q

What is the prevalence of paranasal and nasal carcinoma?

A

Nasal carcinoma is very rare
affect more males than females

25
Q

What are the symptoms of nasal and Paranasal carcinoma?

A

The symptoms depend on the location for example it may affect eyesight or smell

26
Q

What is the survival rate for a nasal and paranasal carcinoma?

A

Good survival rate (65% stage one after five years)

27
Q

What is the prevalence of a nasopharyngeal carcinoma?

A

It’s very rare in the UK

It’s more common in men than women

28
Q

What are the risk factors of nasalpharangeal carcinoma?

A

Infection (some viruses link to Hodgkin lymphoma)

Smoking

Diet – particular with high salt and nitrates and nitrites

Genetics

Occupational: exposure to chemicals

Existing ENT conditions

Alcohol

29
Q

What are the signs and symptoms of nasopharyngeal carcinoma?

A

Lump/growth and neck area that stays longer than three weeks
Decreased hearing loss on one side
Tinnitus
Fluid in ear
Blocked or stuffy nose – particularly if it’s only on one side
Bloodstained discharge from your nose

30
Q

Laryngeals carcinoma what is the prevalence?

A

Uncommon in the UK

31
Q

What are the risk factors of laryngeal carcinoma?

A

Age – more common in older age

Smoking

Alcohol

Diet

HPV infection

Genetics

Low immunity example HIV or aids

Occupational exposure to chemicals

32
Q

What are the signs and symptoms of Laryngeal carcinoma?

A

Hoarse voice for more than three weeks

Dysphagia (Trouble swallowing)

Unexpected or Unintended weight loss

Long-term cough

Shortness of breath

33
Q

How does a calculi form?

A

Calculi (stones) Form in salivary glands by crystallisation of mineral salts in saliva

34
Q

What are the risks of having a calculi?

A

Can partially or completely blocked ducts

35
Q

What is the result of a calculi blocking ducts?

A

Can lead to painful swelling of gland
There is a predisposition to infection and in time atrophy (decrease in size of an organ or tissue; wasting)

36
Q

What is aetiology of a calculi?

A

Unknown

ha ha ha ha I got you

37
Q

What is an Adenoma?

A

A benign tumour - Most commonly found in parotid glands

Example pleomorphic slippery oedema

38
Q

What may happen years after the tumour is excised?

A

I second that each other may develop in the exact same gland years after

39
Q

 where is a malignant Carcinoma usually found?

Result of infiltration?

A

The parotids that may also occur in any salivary gland or duct

Infiltrate nerves and surrounding tissues which can cause severe pain

Lymph spread to cervical nodes

40
Q

What are we looking for on OPG?

A

Supernumerary teeth – hyperdontia
Overcrowding of teeth
Uninterrupted teeth – still in gum
Uninterrupted/impacted wisdom teeth
Infection or abscess teeth/roots
Subluxation of TMJs
Fracture of mandible

41
Q

What is a dental Caries Lesion?

A

It is the interaction of park with that hard Tissues - caries lesion

42
Q

What two factors determines the treatment of the dental caries?

A

The anatomical side of affected area what tooth and when it is on the tooth

The activity of the caries process example rampant caries - multiple active lesions

43
Q

What is dental radiography Valuable for and also not so valuable far?

A

Valuable for the anatomical site

Not so valuable for assessing activity

44
Q

Name different activities of caries:

A

 bitewing; multiple caries in crowns
Intraoral; root caries, extending into nerve
rampant caries - multiple active lesions

45
Q

What is a periapical abscess?

A

It is a result of a chronic localised infection located at the tip (apex) of the root of a tooth

46
Q

What is a malocclusion?

A

It’s the incorrect relationship between the maxilla and mandible or a general misalignment of the teeth; usually congenital
Contact between the upper and lower teeth is a regular with Jaw is closed

Bite of teeth not in contact

47
Q

Describe an overbite:

A

Top teeth protrude

48
Q

Describe an underbite:

A

Lower teeth protrude

49
Q

Describe a crossbite:

A

Teeth are malaligned in a criss-cross arrangement at the front

one top/bottom tooth in malalignment

Can be bilateral unilateral anterior or posterior

50
Q

What tooth are we referring to when we talk about the eights?

A

The wisdom teeth