ENT

Question 1

Causes of gingival hyperplasia

Answer 1

phenytoin, ciclosporin, calcium channel blockers and AML

Question 2

What does it mean if Webers localises?
What side would be affected?

Answer 2

Sensorineural hearing loss. Localises to opposite side to the one that’s affected. So Webers that localises to right = left sensorineural hearing loss

Question 3

What to do if you have a patient with acute sensorineural hearing loss?

Answer 3

Urgent referral to ENT and consider high dose steroids.
MRI is usually done by ENT to exclude a vestibular schwannoma.

Question 4

Acoustic neuroma presentation

Answer 4

Hearing loss, vertigo, tinnitus
Absent corneal reflex is important sign
Associated with neurofibromatosis type 2

Question 5

After how long would you 2ww a mouth ulcer

Answer 5

After 3 weeks

Question 6

Would quinine cause hearing loss?

Answer 6

Yes

Question 7

In a conductive hearing loss, does Webers lateralise?

Answer 7

Yes. To same side.

Question 8

Symptoms of otitis externa

Answer 8

Ear pain
Itch
Discharge
Might get hearing loss due to occluded canal but less common.

Question 9

How to manage otitis media

Answer 9

If uncomplicated nothing
IF serious/ complications/ at risk of complications e.g. immunosuppressed/HF then treat straight away

If kid under 3m with a fever needs admission.

Question 10

Most common causative organism for OE

Answer 10

pseudomonas/ s aureus

Question 11

How to distinguish between labyrinthitis/ vestibular neuronitis

Answer 11

Labyrinthitis - loss of hearing.