EENT Flashcards
With a conduction hearing loss, how will the Webber test respond?
Lateralize to the AFFECTED ear
With a conductive hearing loss, how will the Rinne test respond?
Bone conduction > Air conduction
What is the most common cause of sensorineural hearing loss and what kind of hearing is lost?
Presbycusis, high frequency
What are the four main features of Meniere’s disease?
Vertigo, low range hearing loss, tinnitus and ear pressure
What ototoxic drugs lead to hearing loss?
Aminoglycosides, loops and chemo (cisplatin)
What bugs are most common in otitis media?
Strep, H Flu and M Cat
What kind of nystagmus is associated with peripheral vertigo?
Horizontal with rotary component
What test is used to diagnose BPPV?
Dix-Hallpike
T/F: most cases of sinusitis resolve without antibiotics
True
What symptoms are suggestive of Group A beta-hemolytic strep?
Centor Criteria
What symptoms are NOT consistent with Group A beta-hemolytic strep?
Corzya, hoarse voice or cough
What is antibiotic of choice for Group A beta-hemolytic strep if PCN allergic?
Erythromycin
What is the diagnosis consistent with sore throat, uvula deviation, drooling, and trismus?
peritonsillar abscess
How will aphthous ulcers appear in the mouth?
painful, round with yellowish-gray centers and red halos
What is the most common yeast in oral thrush?
Candida albicans
What is the location of anterior nosebleeds?
Kesselbach plexus
What is the triad of nasal polyps, asthma and aspirin sensitivity?
Samter’s triad
What is the most common cause of community-acquired pneumonia?
Strep pneumoniae
What antibiotic is appropriate for outpatient treatment of community acquired pneumonia?
Macrolide (not erythromycin) or doxycycline
Who is the pneumococcal polysaccharide vaccine recommended for?
Young / old, sick, sickle cell (functional asplenia), smokers, liver disease, asplenics
What are two buzzwords that go with Mycoplasma Pneumoniae?
Bullous myringitis and cold agglutinins
What are two buzzwords with Pneumocystis Jiroveci?
elevated LDH and hyper-hypoxia
What is a buzzword for pneumococcal pneumonia (strep pneumonia)?
rust-colored sputum
Buzzwords for Kelbsiella pneumonia?
ETOH abuse and currant jelly sputum
Most likely bug that causes pneumonia in an ETOH abuser?
Klebsiella
Most likely bug that causes pneumonia in COPD patient?
Haemophilus
Most likely bug with causes pneumonia in a cystic fibrosis patient?
Pseudomonas
