Ears, Nose, Throat Flashcards

1
Q

What is the largest sinus?

A

maxillary

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2
Q

What sinus is in the forehead?

A

frontal

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3
Q

What are sinuses lined with?

A

respiratory epithelium joined to nasal cavity via ostia

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4
Q

How many teeth do kids have from 6-24 mo?

A

20

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5
Q

How many permanent teeth do we have and when do we get them?

A

32 teeth, 6 yo

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6
Q

What causes pain in OE?

A

push on tragus

pull up and down on pinna

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7
Q

occlude one ear and speak softly into other

A

whisper test

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8
Q

pt eyes closed, hands beside ear, rub finger one at a time and say which ear

A

finger rub test

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9
Q

What is rinne test?

A

BC vs AC

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10
Q

What is a positive rinne?

A

AC>BC

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11
Q

What is a negative rinne?

A

BC>AC = conductive hearling loss

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12
Q

What is weber test?

A

fork in middle head

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13
Q

What does lateralized = in weber?

A

hearing loss

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14
Q

Where does weber go in conductive hearing loss?

A

affected side

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15
Q

What is weber go in SNHL?

A

unaffected

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16
Q

What are the different speculum sizes?

A

adults 4-6
kids 3-4
infant 2 mm

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17
Q

Who do you pull up and out in?

A

adults

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18
Q

Who do you pull down and back in?

A

kids

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19
Q

What is light reflex on TM?

A

cone of light on pars tensa

20
Q

What are the features of otitis externa?

A

painful tragus, lymphadenopathy, summer, normal TM, fever, slight hearing loss

21
Q

What are the features of otitis media?

A

painless tragus, absent lymph, normal ear cnal, winter season, fluid, fever, decreased hearing

22
Q

Where are most polyps found?

A

middle meatus

23
Q

How do you transillumiate hard palate?

A

direct light down under medial aspect of eye, open mouth; observe through hard palate.

24
Q

How do you illuminate frontal sinus?

A

direct light up under medial aspect of eyebrow, cover eye and scope; observe above eye

25
What do bluish gray boggy turbinates mean?
allergies
26
What are signs of cocaine use?
rhinorrhea, hyperemia, edema of nose, scabs, decreased taste and smell, perf of septum
27
What is it when teeth don't line up?
malocclusion
28
What nerve controls deviation of tongue?
CN XII - hypoglossal | goes to affected side
29
Where are 85% of lingual cancers?
lateral or ventral surface of tongue
30
What is a bony protuberance at midline of hard palate?
torsus palatinus
31
What is a bifid uvula?
usually benign but could be cleft palate
32
What does say ah check?
glossopharyngeal IX and vagus X | - deviates to unaffected side
33
What is yellow mucoid in pharynx?
post nasal drop
34
What nerves are involved in gag reflex?
IX and X
35
What are benign variants of tongue?
geographic, black hairy and fissured
36
What are most oral cancers?
squamous cell
37
Where are oral cancers most common?
tongue, floor of mouth, lower lip vermillion
38
How is infant different on ENT?
short ear canal adnoids can block eustachian tube sinues still develioping
39
What sinus is present at birth?
maxiilllary
40
What sinus is present at age 5?
sphenoid
41
What sinus is present at 7-8yo?
frontal
42
When do you lose smell?
60
43
When do you lose taste?
50
44
pale lips =
anemia
45
glossitis =
niacin or b12 def
46
When should a ped otoscopic exam be done?
end of exam