ENT

Question 1

acute otitis media causes

Answer 1

often follows cold or sore throat

Question 2

acute otitis media presentation in younger kids

Answer 2

• clasping at eats
• not sleeping
• fever, irritability, crying, off food

Question 3

acute otitis media presentation in older kids

Answer 3

• pain
• discharge
• decreased hearing

Question 4

acute otitis media management

Answer 4

• usually self-limiting (resolves within 4 days)
• amoxicillin (clarithromycin if penicillin allergy)

Question 5

when should antibiotics be considered in acute otitis media

Answer 5

• under 2
• bilateral marked otorrhoea
• marked symptoms
• bulging tympanic membrane

Question 6

tonsillitis presentation in younger kids

Answer 6

• fever
• irritable
• refusal to eat

Question 7

tonsillitis presentation in older kids

Answer 7

• sore throat (remember to consider diphtheria)
• dysphagia
• odynophagia
• bad breath
• earache

Question 8

tonsillitis diagnosis

Answer 8

viral throat swab

Question 9

tonsillitis management

Answer 9

none, unless following criteria is met:
- fever
- no cough
- tender cervical lymphadenopathy
- tonsillar enlargement

antibiotics 1st line: penicillin 10 days
penicillin allergy: clarithromycin 5 days

Question 10

scarlet fever causes

Answer 10

• within 3 weeks of tonsillitis
• group A bacterial strep throat/tonsillitis

Question 11

scarlet fever presentation

Answer 11

• follows sore throat
• fever
• lymphadenopathy
• strawberry tongue
• sandpaper rash (red, roughened macular rash on chest, arms, neck and legs, that is worse in skin folds)

Question 12

scarlet fever management

Answer 12

• penicillin 10 days
• penicillin allergy: azithromycin
• stay off school, but can return 24 hours after commencing antibiotics
• notify public health