Ears, Nose, Throat

Question 1

What is the largest sinus?

Answer 1

maxillary

Question 2

What sinus is in the forehead?

Answer 2

frontal

Question 3

What are sinuses lined with?

Answer 3

respiratory epithelium joined to nasal cavity via ostia

Question 4

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

Answer 4

20

Question 5

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

Answer 5

32 teeth, 6 yo

Question 6

What causes pain in OE?

Answer 6

push on tragus

pull up and down on pinna

Question 7

occlude one ear and speak softly into other

Answer 7

whisper test

Question 8

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

Answer 8

finger rub test

Question 9

What is rinne test?

Answer 9

BC vs AC

Question 10

What is a positive rinne?

Answer 10

AC>BC

Question 11

What is a negative rinne?

Answer 11

BC>AC = conductive hearling loss

Question 12

What is weber test?

Answer 12

fork in middle head

Question 13

What does lateralized = in weber?

Answer 13

hearing loss

Question 14

Where does weber go in conductive hearing loss?

Answer 14

affected side

Question 15

What is weber go in SNHL?

Answer 15

unaffected

Question 16

What are the different speculum sizes?

Answer 16

adults 4-6
kids 3-4
infant 2 mm

Question 17

Who do you pull up and out in?

Answer 17

adults

Question 18

Who do you pull down and back in?

Answer 18

kids

Question 19

What is light reflex on TM?

Answer 19

cone of light on pars tensa

Question 20

What are the features of otitis externa?

Answer 20

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

Question 21

What are the features of otitis media?

Answer 21

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

Question 22

Where are most polyps found?

Answer 22

middle meatus

Question 23

How do you transillumiate hard palate?

Answer 23

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

Question 24

How do you illuminate frontal sinus?

Answer 24

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

Question 25

What do bluish gray boggy turbinates mean?

Answer 25

allergies

Question 26

What are signs of cocaine use?

Answer 26

rhinorrhea, hyperemia, edema of nose, scabs, decreased taste and smell, perf of septum

Question 27

What is it when teeth don’t line up?

Answer 27

malocclusion

Question 28

What nerve controls deviation of tongue?

Answer 28

CN XII - hypoglossal

goes to affected side

Question 29

Where are 85% of lingual cancers?

Answer 29

lateral or ventral surface of tongue

Question 30

What is a bony protuberance at midline of hard palate?

Answer 30

torsus palatinus

Question 31

What is a bifid uvula?

Answer 31

usually benign but could be cleft palate

Question 32

What does say ah check?

Answer 32

glossopharyngeal IX and vagus X

- deviates to unaffected side

Question 33

What is yellow mucoid in pharynx?

Answer 33

post nasal drop

Question 34

What nerves are involved in gag reflex?

Answer 34

IX and X

Question 35

What are benign variants of tongue?

Answer 35

geographic, black hairy and fissured

Question 36

What are most oral cancers?

Answer 36

squamous cell

Question 37

Where are oral cancers most common?

Answer 37

tongue, floor of mouth, lower lip vermillion

Question 38

How is infant different on ENT?

Answer 38

short ear canal
adnoids can block eustachian tube
sinues still develioping

Question 39

What sinus is present at birth?

Answer 39

maxiilllary

Question 40

What sinus is present at age 5?

Answer 40

sphenoid

Question 41

What sinus is present at 7-8yo?

Answer 41

frontal

Question 42

When do you lose smell?

Answer 42

60

Question 43

When do you lose taste?

Answer 43

50

Question 44

pale lips =

Answer 44

anemia

Question 45

glossitis =

Answer 45

niacin or b12 def

Question 46

When should a ped otoscopic exam be done?

Answer 46

end of exam