ENT

Question 1

ET 4420 revise

Chronic sinusitis Most approate investigation

Answer 1

Ct
not MRI

But in Sensory neural hearing loss problems
MRI

Question 2

Ear Wax

Answer 2

1st : Soften only , if symptoms don’t improve Go to step 2
2nd : Irrigation only if fails , go to step 3
3rd : Soften for 3-5days then Irrigation ,

if fails go to step 4

4th : Instill water for 15 min. then Irrigation ,if fails
Go to step 5

5th : Refer to ENT specialist

Question 3

GS 4363

Quincy

Answer 3

Admit to hospital first

Referal to ent is slower than Hospital Admission

Question 4

TM membrane and

White chalk / white pearl

Answer 4

a white material on (in front of)
TM: Tympanosclerosis

behind TM: Cholesteatoma

Acquired Cholesteatoma: TM perforated +/- Hx of repeated suppurative ear infections.

Congenital Cholesteatoma: no perforation.

Question 5

CY 0096

Minierei’s disease

Answer 5

for attacks = prochlorperazine prevention

from further attacks = betahistine