ENT-1

Question 1

Ear pain Itchy, Draining ear, Pulling on pinna causes pain, Pushing on tragus causes pain

Answer 1

Otitis externa

Question 2

Bacterial Causes of OE = what population?

Answer 2

Pseudomonas- Swimmers, DM, Eczema.

Question 3

Otomycosis causes

Answer 3

Fungal ear infection caused by Candida or aspergillus

Question 4

TX of OE?

Answer 4

acetic acid drops, nystatin, triamcinilone ointment.

Question 5

Ramsay Hunt syndrome

Answer 5

Herpes zoster oticus- painful vesicles in EAM

Reactivation of VZV in geniculate ganglia (CN7)

Question 6

Ramsay Hunt Syndrome TX?

Answer 6

acyclovir to prevent progression to meningitis and Facial nerve palsy.

Question 7

If DM presents with VIral OE must do?

Answer 7

CT/MRI of temporal bone to r/o osteomyelitis and malignant OE which requires SX

Question 8

Gradenigo Syndrome

Answer 8

Complication of OM or mastoiditis.

Consists osteomyelitis of petrous apex.

Question 9

Ipsilateral otorrhea, eye pain, CN 6 paralysis, diplopia

Answer 9

Gradenigo syndrom- SX EM