ENT

Question 1

Well-defined peak with compliance pressures between +50 and -150 mmH20 and peak compliance betwen 0.2 and 1.8 cc

Answer 1

Normal tympanogram

Question 2

Tympanogram with a flat peak (poorly defined/absent peak)

Answer 2

Perforated TM

Question 3

Tympanogram with decreased compliance and positive pressures

Answer 3

bulging TM

Question 4

Tympanogram with a left sifted peak with normal compliance

Answer 4

Eustachian tube dysufnction

Question 5

Tympanogram with high peak compliance

Answer 5

Ossicular disarticulation

Question 6

Tympanogram with low peak compliance

Answer 6

ossicular fixation

Question 7

Grayish masses in between nasal turbinates and septum

Answer 7

Nasal polyps

Question 8

Most common causes of chronic rhinosinusitis

Answer 8

Staph aureus, fungi, aerobic gram negative rods, and anaerobes`

Question 9

Pathogens more common in acute sinusitis

Answer 9

Strep pneumo, nontypeable H. flu or Moraxella

Question 10

Decreased and painful range of motion of the neck in a younger ill appearing febrile child

Answer 10

Retropharyngeal abscess

Question 11

Lateral xray with widened retropharyngeal space with anterior displacement of hte airway

Answer 11

Retropharyngeal abscess

Question 12

Severe mouth pain, trismus, difficulty swallowing with woody bilateral submandibular cellulitis

Answer 12

Ludwig angina

Question 13

Management of auricular hematoma

Answer 13

Drainage and then pressure bandage to reduce reaccumulation risk. Ppx antibiotics often recommended usually amox-clav

Question 14

History of recurrent AOM. With TM with discrete, smooth, gray-ish white rounded opaque mass in superior portion of TM

Answer 14

Cholesteatoma

Question 15

Management of cholesteatoma

Answer 15

Surgical removal. Otherwise will progressively enlarge and destroy the ossicles

Question 16

Best step to improve removal of insects from children’s ears

Answer 16

Place lidocaine or mineral oil in ear. This will kill insect which prevents further damage and improves patient comfort on first pass of removal

Question 17

Most likely presentation of mild OSA in children

Answer 17

behavioral issues, mood swings and ADHD like symptoms

Question 18

Keyhole like or notch like defect affect the iris ciliary body, retina, choroid and/or optic nerve

Answer 18

Coloboma