DUMS ENT Flashcards

1
Q

What is the thinnest part of the skull and what bones are here?

A

Pterion

Join between temporal, parietal, sphenoid, frontal

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2
Q

What bones make up the anterior, middle and posterior cranial fossae?

A

Anterior: frontal and sphenoid
Middle: sphenoid and temporal
Posterior: temporal and occipital

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3
Q

What is the blood supply to the external ear?

A

Avascular

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4
Q

What is contained within the middle ear?

A

Tympanic membrane to oval window + eustachian tube

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5
Q

What is contained within inner ear?

A

Oval window to internal acoustic meatus

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6
Q

Where is pain referred from via the eustachian tube (presents as earache)?

A

Pharynx/tonsils (tonsilitis/pharyngitis)

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7
Q

What are the ossicles from first to last and what does the last one connect to?

A
Malleus, Incus, Stapes
Oval window (in inner ear)
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8
Q

How is otitis externa treated?

A

Aural toilet (clean the ear out)

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9
Q

How is otitis media managed first line?

A

Supportive

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10
Q

How is glue ear managed?

A

Grommet insertion

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11
Q

How is a cholesteatoma managed?

A

Surgically

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12
Q

What presets with ear symptoms including dizziness, vertigo, ear pain etc following a URTI?

A

Labyrinthitis

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13
Q

How is labyrinthitis managed?

A

Supportively

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14
Q

What is the difference between labyrinthitis and vestibular neuritis presentation?

A

Vestibular neuritis also presents with hearing symptoms

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15
Q

How is vestibular neuritis managed?

A

Supportively

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16
Q

Where is the hearing loss at in presbyacusis?

A

Higher frequencies

17
Q

What is the only part of the nervous system that can regenerate?

A

Olfactory bulbs (within cribriform plate of ethmoid bone)

18
Q

What does increased pain in forehead when bending over indicate?

A

Sinusitis

19
Q

How is a broken nose diagnosed?

A

Clinically (no X-ray)

20
Q

What criteria is used to decide to give antibiotics for tonsillitis?

A

CENTOR

Temp >38
Absence of cough
Swollen lymph nodes
Tonsillar swelling
<15

4/5 = antibiotics

21
Q

What does a cough indicate with swollen tonsils?

A

Viral cause of tonsillitis

22
Q

What drug is given for bacterial tonsillitis?

A

Penicillin

23
Q

What antibiotic is given for persistent otitis media?

A

Amoxicillin (think Eilidh)