ENT

Question 1

___ hearing loss is the dysfunction of external/middle ear, including obstruction, mid ear effusion/scarring, otosclerosis.

Answer 1

Conductive

Question 2

___ hearing loss is the deterioration of cochlear or vestibulocochlear nerve and is generally permanent

Answer 2

Sensorineural

Question 3

Age-related hearing loss, noise trauma, and ototoxicity are all examples of what type of hearing loss

Answer 3

Sensory hearing loss

Question 4

Rinne test performed on patient - they hear the fork better when fork is in front of their ear… On Weber test, patient hears better in right. What type of hearing loss does patient have?

Answer 4

Sensorineural hearing loss in left ear

Question 5

BPPV lasts for ____.

Answer 5

Seconds

Question 6

Meniere’s disease lasts for ___.

Answer 6

30 min - 12 hours

Question 7

Labyrinthitis lasts for ___ to ____.

Answer 7

Days to weeks

Question 8

In regards to BPPV, _____ maneuver is the diagnostic test and ____ maneuver is the treatment.

Answer 8

• Dix-Hallpike

- Epley

Question 9

After draining an auricular hematoma and applying a pressure dressing, patient should be started on what Abx?

Answer 9

Keflex

Cipro if patient was wearing headgear, ie wrestler

Question 10

Acute bacterial otitis media is commonly caused by ____ and should be treated with ____

Answer 10

Strep pneumo; Amoxicillin

Question 11

Chronic otitis media is commonly caused by ____ and should be treated with ____

Answer 11

Pseudomonas; Cipro otic drops

Question 12

Otitis externa is commonly caused by ____ and should be treated with ____

Answer 12

Pseudomonas; Cipro HC otic drops

Question 13

What is the treatment for mastoiditis?

Answer 13

• Vancomycin, if early

- Admission & Rocephin IV, if very ill appearing

Question 14

Acoustic neuroma is a tumor of CN ___

Answer 14

CN VIII

Question 15

Bullous myringitis is mainly caused by ___ and should be treated with ___

Answer 15

Mycoplasma; Erythromycin

Question 16

On exam, patient appears to have a “peeled grape” in the nasal cavity. What is this?
How would you treat it?

Answer 16

• Nasal polyp

- topical nasal steroid or surgery

Question 17

Patient presents with “hot potato voice”, trismus, drooling, and sore throat. What is the likely Dx?

Answer 17

Peritonsillar abscess

Question 18

Peritonsillar abscess is mainly caused by ___ and is treated with ___

Answer 18

Group A strep; Clindamycin

Question 19

Patient presents with a sore throat, neck pain, “duck quack” voice change and pharyngeal edema on exam. What is the likely Dx?

Answer 19

Retropharyngeal abscess

Question 20

Retropharyngeal abscess - pathogen and treatment?

Answer 20

• Group A strep

- Clindamycin

Question 21

Ludwig’s angina treatment

Answer 21

Clindamycin and Flagyl

Question 22

Group A Strep pharyngitis treatment

Answer 22

Penicillin VK

Question 23

If a patient has mono, it is recommended that they avoid ______ due to possible ____

Answer 23

• avoid contact sports

- HSM

Question 24

Dental fracture treatment

Answer 24

pain control; prophylactic PCN

Question 25

Bacterial sinusitis Tx

Answer 25

• Augmentin

- Doxycycline if PCN allergy

Question 26

Sialolithiasis Tx

Answer 26

• hydration / lemon drops

- massage

Question 27

Sialadenitis Tx

Answer 27

• warm compress
• hydration / lemon drops
• Augmentin

Question 28

Pt presents with gingival pain, ulcerations, and bleeding… Tx?

Answer 28

• hydrogen peroxide rinse

- Flagyl PO

Question 29

Pt presents with white, scrap-able patches on tongue… Tx?

Answer 29

• nystatin oral suspension or fluconazole

Question 30

Pt with white non-scrapeable patches in mouth… Tx?

Answer 30

• observe
• cessation of ETOH and tobacco
• Bx if chronic

Question 31

What is the main Tx for Meniere’s

Answer 31

CATS

• caffeine
• alcohol
• tension
• salts