ENT

Question 1

Most common age range for RPA

Answer 1

4-6 years

Question 2

What position is important in doing Xray for RPA?

Answer 2

neck extension

Question 3

Best imaging for suspected RPA

Answer 3

CT with contrast

Question 4

Treatment for RPA

Answer 4

clindamycin (30 mg/kg/ day in four divided doses)
OR
Clavulin 150mg/kg/day divided in 3 doses

Question 5

Most common pathogens in RPA

Answer 5

Strep pyogenes
Staph aureus
Anaerobes

Question 6

What areas of the face need to be examined for suspected facial fracture?

Answer 6

malar eminences
zygomatic arches
superior orbital rim
inferior orbital rim
maxilla
mandible - multiple areas
mouth + oral cavity
nose/nasal septum

Question 7

What are the areas of the mandible that can fracture?

Answer 7

condyle + subcondylar region
angle
body
symphysis

Question 8

Penetrating injuries to what section of the neck should ALWAYS be surgically explored?

Answer 8

zone 2

Question 9

Treatment of post-tonsillectomy bleed

Answer 9

Do not dislodge clots
Call ENT if actively bleeding
IV access
If profuse bleeding - type & cross
Do not give advil

Question 10

At what point in healing is Eschar formed post tonsillectomy?

Answer 10

7-10 days post surgery

Question 11

Risk factors for bleeding post T+A

Answer 11

• Older age
• Male sex
• Infectious indication for surgery

Question 12

Complications of peritonsillar abscess

Answer 12

• Airway obstruction
• Aspiration pneumonia after rupture
• Septicemia
• Internal jugular vein thrombosis
• Jugular vein suppurative thrombophlebitis (Lemierre syndrome)
• Carotid artery rupture
• Pseudoaneurysm of the carotid artery
• Mediastinitis
• Necrotizing fasciitis