ENT Flashcards
Maximum duration of acute rhinosinusitis is:
under 4 weeks
Untreated acute otitis media may lead to:
Mastoiditis
Important aspect of Leukoplakia is that it can be:
precancerous
Characteristic of vertigo’s
Labyrinthitis=Continuous
Meniere = Episodic
Benign = Positional
deviation of uvula
muffled / potato voice
odynophagia
tonsillar buldge
trismus (diffeculty opening month)
are descriptive of:
Peritonsillar Abscess
Most common salivary gland tumor occurs in:
Parotid gland
typical cause of Gingivitis is:
poor dental hygine
Tx for Strep Pharyngitis in pt who are allergic to penecillin:
Azithromycin
Clyndamycin
Clarithromycin
Parotid gland is drained by:
Stensen’s duct
Stensen’s check aread
typical organism that causes Sialadenitis is:
S. aureus
Cholesteatoma results in what hearing loss
Conductive
Cholesteatoma=Conductive loss
acute onset of vertigo without any other sx is:
Vestibular Neuritis
Otitis externa / swimmer’s ear is most often caused by:
Pseudomonas aeruginosa
bilateral infection of submandibular space (mouth floor) is known as:
Ludwig’s angina
tx for Mastoiditis:
IV cefazolin
autophony is usually seen in pt. with:
overly patent eustachian tube
2nd line treatment for allergic sinusitis:
Antihistamines
Decongestants (sympathomemetics)
Cromolyn
Montelukast
Postauricular erythema and pain are sx of:
Mastoiditis
Benight Migratory Glossitis is known as:
Georgraphic Tongue
Neural hearing loss is often caused by:
Acoustic Neuroma (CN 8 Schwannoma)
Deterioration of chochlear hair cells will result in:
Sensory hearing loss
Episodic
Sensorineural hearing loss
Vertgo
Tinnitus
Aural pressure
are signs of:
Meneire syndrome
Pott Puffy Tumor means:
Frontal sinus osteomyelitis
Low frequency hearing loss is associated with:
Meniere Dz
Acute Sinusitis is most commonly caused by
Rhinovirus
unilateral Tinnitus is a concern for:
Schwannoma
Acute laryngitis usually occures in the settings of:
viral URI
Most common age for Strep Phayrngitis is:
5-15 y.o
1st line tx for allergic sinusitis is:
continious use of intranasal corticosteroids
Centor Criteria for Step Pharyngitis includes:
Fever>38C
Anterior cx lympadenopathy
Absence of a cough
Tonsillar exudate
Episodic
vertigo
lower frequency hearing loss
tinnitus
aural pressure
is associated with:
Menier Syndrome
Menier = episodic=recurrent.
Ototoxic medications are:
Aminoglycosides -mycins-
Vancomycin
Furosemide
ASA
Cisplatin
typical organism that cause mastoiditis:
S. Pneumoniae
H. influenza
S. pyogenes
Ecchymosis of pinna
loss of cartilaginouse landmarks
are signs of:
Auricular Hematoma
Hot potatoe voice is indicative of:
Peritonsillar Abscess
description of vertigo in vestibular neuritis
acute w.o any other sx
acute vestibular neuritis
red smooth surface tongue is known as:
Glossitis
Dix-Hallpike maneuver is used to assess
for benign positional vertigo
acute onest of sever continuous unilateral:
vertigo
hearing loss
tinnitus
nystagmus
is known as:
Labyrinthitis
BC>AC in Rinne test is indicative of:
Conductive hearing loss
Inflamation of salivary gland is known as:
Sialadenitis
white coating in mouth that CAN be scraped off
Candidiasis
Mastoiditis diagnosing test is:
CT
Nectorizing ulcerative gingivitis is typical in:
young adults under stress
Lateralization to the affected ear in weber test is a signs of
Conductive hearing loss
Affected = conductive hearing
Maintanence medication for Meniere Dz is:
Diuretics
Salt restriction
Intratempanic steroid injections
side effects of nasal decongestants:
HTN
headache
insomnia
most common cause of benign paroxysmal positional vertigo is:
calcium debris within posterior semicircular canal (canalithiasis)
Samter’s triad:
Asthma
Apririn sensitivity
Nasal polyps
Tx for Strep Pharyngitis:
Penicillin
or
Amoxicillin
central vertigo is often an early sign of:
Multople Sclerosis
risk factors for Laryngeal Squamous Cell Cancers are:
Smoking
HPV
acute voice hoarseness is usually caused by:
Acute Laryngitis
abx for Epiglottitis is:
IV ceftriaxone
Submandibular gland on the mouth floor is drained by:
Wharton duct
wharton’s floor
causes of Peripheral vertigo
Labyrinthisis
Benign positional vertigo
Menieir’s dz
Vestibular neuritits
Atrophy of filiform papillae of the tounge is known as:
Atrophic glossitis
oral lesions that can be scratched off resulting in a bleed is known as:
Oral candidiasis/ Thrush
Diagnostic test for Mastoiditis is:
CT
Oral Leukoplakia is seen in pt with:
Smoking
Dentures
which salivary duct is more prone to stone formation:
Wharton’s
Wharton’s floor
Yellow, boggy masses of hypetrophic nasal mucosa is known as:
nasal polyps
1st line of abx for bacterial sinusitis is:
Amoxicillin
or
Amoxicillin/Clavulanate - Augmentin
medication used to contol acute sx of vertigo:
Diazepam
Scoplamine
Clonezepam
Antihistamin
beefy red throat
tonsillara exudate
petechiae on soft palate
scarlet fever - rash over groin and torso
are descriptive of:
Group A strep pharyngitis
most common oral cancer is:
squamous cell carcinoma
Maple like distribution of erythema of the tongue is known as:
Benight Migratory Glossitis
pulsatile tinnitus is a concern for:
Vascular lesion
vesicular lesions/blisters with crust and areas of ulcerations is a description of:
Oral Herpes Simplex
Sensation of spinning surroundings or falling is typical of
Vertigo
Perforatoin of TM with keratin or grnulation tissue coming out is a sign of:
Cholesteatoma
sx of Acoustic Neuroma / Schwannoma
unilateral sensorinueral hearing loss
tinnitus
continuous diequilibrimum/ vertigo
Posterior nose bleed is usually from:
sphenopalatine artery
Oral Hairy Leukoplakia is associated with:
Ebstain bar virus
Unilateral nasal discharge is often associated with:
nasal foreign body
Hairy leukoplakia is associated with which conditions?
HIV
EBV (mono)
New, persistent and long lasting voice hoarseness is a concern for:
Laryngeal Squamous Cell Carcinoma
Complicatoin of Auricular Hematoma is known as:
Cauliflower Ear
high frequency hearing loss is most often related to:
presbycusis (age related)
contraindication to nasal decongestants:
HTN
CAD
AC>BC in Rinne test is indicative of:
Normal
tx for Auricular Hematoma is:
Insicion and Drainage with compression dressing
Anti staph abx - cephlex
most common salivary gland to become inflamed is:
parotid
Montelukast (Singulair) is indicated for:
Allergic Sinusitis
and
Asthma
Ofloxicin
Most common cause of otitis media
- Strep P*
- M. Cattaralis*
- H. Influenza*
Oral luekoplakia has a potential to progress to:
Oral Squamous Cell Carcinoma
retraction of TM and decreased TM mobility is associated with
Dysfunction of Eustachian Tube
Necrotizing ulcerative gingivitis is also known as:
Trench mouth
tx for Oral candidiasis is:
Nystatin suspension/mouthwash
autophony is:
exaggerated ability to hear oneslef breahing and spekaing
Rinne test
Bone>Air=CHL
Air>bone=SNHL
abx for bacterial sinusitis in a pt with allergy to penicillin?
Doxycycline
Levofloxacin or Moxiflxacin
Most common anterior nasal bleed/epistaxis is associated with:
trauma to Kiesselch plexus
side effects of intranasal gluccorticoids indclude:
headache
epistaxin
nasal dryness
important step before packing epistaxis is:
removal of the clot
boggy, pale, bluish nasal mucosa, turbinate swelling
is a typical description of:
Allergic Rhinitis
medication for acute and severe Meniere dz:
Diazepam
criteria for acute bacterial rhinosinusitis
worsening of sx after initial improvement
or
sever facial pain and fever>102 x 3-4 days
or
sx lasting for over 10 days
Eustachian Tube Dysfunction is associated with
URI
Allergies
positive Dix-Hallpike maneuver is:
the presence of nystagmus
Cherry red epiglotts is a signs of:
Epiglotititis
most common cause of sialadenitis is:
stone in the salivary duct
“patulous eustachian tube” is known as:
overly patent eustachian tube
coalescence of mastoid air cells
bone erosion and abscess-like cavities
are seen
Mastoiditis
Glossitis is typically caused by:
nutritional deficiency
niacin - B3
riboflavin - B2
vitamin E
most common cause of Labyrinthitis is:
viral inflamation of inner ear
I*_nner LabyrI_*nthitis
Tinnitus
white oral lesions that do NOT scrape off are:
Oral leukoplakia
Plaque on the edge of the tongue is known as:
Oral hairy leukoplakia
Hairy edge
Distention of endolymptoh compartment of inner ear which produces excess fluid is known as:
Meniere Syndrome
Description of vertigo in Labyrintitis is:
continious long lasting
continuous labyrintitis
abnormal growth of the stapes is known as:
Otosclerosis
Rebound nasal congestion after prolonged use of decongestant spray is known as:
Rhinitis medicamentosa
lateralization to unaffected ear during Weber test is a sign of:
sensorineural hearing loss
unaffected ear=sensorineural hearing loss
Possible causes of Tinnitus:
ototoxic medication !
Schwannoma
Vascular lesion
viral sialadenitis is caused by:
Mumps
Mastoiditis occures as a result of:
unreated otitis media or pharengitis
in cholesteatoma which part of TM is most often affected/retracted?
upper
Description of vertigo in Menier DZ is:
Episodic Menier
Posterior cx lympoadenopathy is a sign of:
Mononucleosis
red halos
shallow ulcers
yellow/white centers
are descriptive of:
Aphtous ulcer / Canker sore
important risk factor for Leukoplakia is:
tabaco use
In cholestatoma the TM is retracted as a result of:
chronic eustachian tube dysfunction
tx for Dysfucntion of Eustachian tube:
NSAIDs
Antihistamines
Epley maneuver is used to treat
benign positional vertigo
most common location for Aphtous ulcer
libial and buccal mucosa
Acoustic Neuroma / Schwannoma is usually unilateral or bilateral?
Unilateral acoustic neuroma