ENT

Question 2

A 14 year old field hockey player presents with prominent adenopathy, white purple exudates in the throat and an enlarged liver. What diagnosis should you be thinking of?

Answer 2

Mononucleosis

Question 3

Acute sinusitis is most commonly caused by which two pathogens?

Answer 3

Strep pneumoniae and haemophilus influenzae

Question 4

Acute swelling and pain in the cheek that increases at meals. What diagnosis should you be thinking of?

Answer 4

Sialadenitis (salivary gland infection) - Staph aureus

Question 5

After 7 days of sinusitis what antibiotic would you start?

Answer 5

Amoxicillin or bactrim

Question 6

An x-ray of the skull reveals coalescence of mastoid air cells. What diagnosis should you be thinking of?

Answer 6

Mastoiditis

Question 7

Describe the result of a weber test with ina patient with conductive hearing loss.

Answer 7

Patient will report the sound louder in the affected hear.

Question 8

Describe the Rinne test?

Answer 8

Place the tuning fork on the mastoid and then move it next to the ear.

Question 9

Describe the Weber test?

Answer 9

Tuning fork placed in the middle of the forehead

Question 10

Erythematous sandpaper rash should make you think of what diagnosis?

Answer 10

Scarlet fever

Question 11

How do you treat allergic rhinitis?

Answer 11

Intranasal corticosteroids, antihistamines

Question 12

How long should pressure be applied to treat epistaxis?

Answer 12

15 minutes

Question 13

In a patient with sensorineural hearing loss what will be the results of the Weber test?

Answer 13

Patient will hear the sound louder in the unaffected ear.

Question 14

List four complications of untreated strep throat.

Answer 14

Scarlet fever, glomerulonephritis, rheumatic fever, local abscess

Question 15

List the four things that suggest group A beta hemolytic strep in a patient with pharyngitis.

Answer 15

Fever, tender anterior cervical adenopathy, no cough, exudate in the throat

Question 16

List the time of year each allergen is most prominent. Pollen, Grass, Ragweed and Mold.

Answer 16

Pollen tree and flower = spring, grasses are the summer, mold and ragweed are fall

Question 17

New onset hoarseness which has lasted the past 2 weeks in a smoker. What diagnosis should you be thinking of?

Answer 17

Laryngeal squamous cell carcinoma

Question 18

Oral herpes is best treated with oral or topical antivirals?

Answer 18

Systemic antivirals will help, but are only indicated for severe cases.

Question 19

Patient complains of feeling the ground rolling under their feet at times. What diagnosis should you be thinking of?

Answer 19

Vertigo

Question 20

Patient presents drooling, with stridor and in tripod position what is dx and how do you treat it?

Answer 20

Epiglottitis, erythromycin

Question 21

Patient presents with a hot potato voice or muffled voice. What diagnosis should you be thinking of?

Answer 21

Peritonsillar abscess

Question 22

Patient presents with acute onset of continuous severe vertigo for the past 5 days. Patient does have a history of URI 2 weeks ago. What diagnosis should you be thinking of?

Answer 22

Labrynthitis

Question 23

Patient presents with one unilateral hearing loss and a decrease in speech discrimination. They have also had difficulty with balance over the past week. What diagnosis should you be thinking of?

Answer 23

Acoustic neuroma

Question 24

Patient presents with round ulcer in her mouth that is yellow-grey with a red halo. It is on the buccal mucosa and it is painful. What diagnosis should you be thinking of?

Answer 24

Aphthous ulcers

Question 25

Patient presents with several episodes of vertigo over the past several weeks. He has had intermittent unilateral hearing loss and a “blowing” in his ears. What diagnosis should you be thinking of?

Answer 25

Meniere’s disease

Question 26

Small grouped vesicles on the vermillion border should make you think of what diagnosis?

Answer 26

Herpes

Question 27

Thumbprint sign on lateral neck x-ray is hat diagnosis?

Answer 27

Epiglottitis

Question 28

What are three possible treatments for peritonsillar abscess?

Answer 28

Needle aspiration, I&D, Tonsillectomy

Question 29

What does Kiesselbach’s plexus refer to?

Answer 29

A group of vein’s in the anterior nose which bleed a lot

Question 30

What is the treatment of choice for strep throat?

Answer 30

PCN, amoxicillin, erythromycin

Question 31

What time frame are we talking about for chronic sinusitis?

Answer 31

> 3 months

Question 32

What type of hearing loss is associated with aging?

Answer 32

Sensory

Question 33

What type of hearing loss would be caused by cerumen impaction?

Answer 33

Conductive

Question 34

What virus causes mumps?

Answer 34

Paramyxovirus

Question 35

When is watchful waiting with a diagnosis of acoustic neuroma?

Answer 35

Tumor is very slow growing so in an elderly patient with small tumor following it is the way to go.

Question 36

Which is the most commonly affected sinus in acute sinusitis?

Answer 36

Maxillary

Question 37

White oral lesion which can not be scraped of should make you think of what diagnosis?

Answer 37

Oral leukoplakia

Question 38

White oral lesions which can be scraped off leaving punctate bleeding.

Answer 38

Oral candida