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ENT Flashcards

1
Q

Treatment of mastoiditis?

A

ABs IV

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2
Q

Presentation of mastoiditis?

A

Tenderness of mastoid process
Displacement of external ear
Septic picture

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3
Q

Antibiotics for patient with CENTOR 4?

A

Phenoxymethylpenicillin
OR
Clarithromycin for allergies

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4
Q

Presentation and demographic for people with nasopharyngeal carcinoma?

A

Asian origin

Epistaxis
Headaches
Lymph nodes mets
Unilateral hearing loss

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5
Q

Rinne’s test shows what?

A

Conductive hearing loss

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6
Q

What can differentiate between posterior circulation stroke and vestibular neuronitis?

A

HiNTs exam

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7
Q

Offensive ear discharge?

A

Cholesteatoma

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8
Q

Vertigo with change of head position?

A

BPPV

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9
Q

What do you do with BPPV InVgX wise?

A

Dix-Hallpike manoeuvre: this provoked rotational upbeat nystagmus

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10
Q

Treatment of BPPV?

A

Epley manouvre

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11
Q

Children presenting with glue ear and a background of Down’s?

A

Immediate referral to ENT

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12
Q

Bleeding within 6-8 hours of tonsillectomy?

A

Primary haemorrhage
-Immediate return to theatre

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13
Q

What is Ramsay Hunt Syndrome?

A

Type 2:
Condition where reactivation of varicella Zoster occurs in geniculate ganglion

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14
Q

Features of Ramsay Hunt Syndrome?

A

Facial paralysis
Taste loss
Dry eyes
Tinnitus
Vertigo
Hearing loss

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15
Q

Typical presentation of vestibular neuronitis?

A

Bit of a cold
|
Dizzy + room spinning + vomiting

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16
Q

Treatment of vestibular neuronitis?

A

Prochlorperazine in acute phase of illness

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17
Q

Characteristics of menieres disease?

A

Recurrent episodes of vertigo
Fluctuating sensorineural hearing loss
Sensation of fullness or pressure

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18
Q

Why do ears feel full in meniere’s?

A

Accumulation of endolymphatic fluid within inner ear

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19
Q

What is impaired in sensorineural hearing loss?

A

Both air and bone conduction

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20
Q

What is impaired in conductive hearing loss?

A

Air conduction

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21
Q

Acute viral labrynthitis features?

A

Sudden onset horizontal nystagmus
Hearing disturbances
N/V
Vertigo

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22
Q

When an epistaxis bleed is hard to localise?

A

Anterior packing

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23
Q

Common cause of conductive hearing loss?

A

Ear wax impaction

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24
Q

Cholesterol crystals?

A

Branchial cyst

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25
Unilateral middle ear effusion in adult approach?
Nasopharyngeal cancer
26
What is exostosis?
Benign bone tumour
27
Weber's test involves what?
Vibrating tuning fork in centre of head
28
Rinne's test involves what?
Tuning fork next to each ear in turn
29
Hearing is normal in which post-viral syndrmoe?
Vestibular neuronitis
30
Chronic rhinosinusitis manaegment?
Trial of nasal irrigation with saline solution
31
Treatment of vestibular neuronitis?
Prochlorperazine
32
Sensorineural hearing loss Rinne result?
Air conduction > bone conduction bilaterally
33
Sensorineural hearing loss Weber test?
Lateralises to unaffected ear
34
Pain on palpation of tragus
Otitis externa
35
Exercises at home for BPPV?
Brandt-Daroff
36
If a perforated tympanic membrane does 't heal over time by itself?
Myringoplasty
37
Menieres disease characteristics?
Vertigo which occurs spontaneously Minutes-hours Unilateral hearing loss
38
Otitis externa in diabetics?
Treat with ciprofloxacin to cover pseudomonas
39
Haemorrhage 5-10 days after tonsillectomy management?
Treat with antibiotics, commonly assoc with infection
40
Common cause of bacterial otitis media?
H. Influenza
41
Ramsay Hunt management?
Oral aciclovir + prednisalone
42
YA with parotid swelling & pancreatitis/orchitis/reduced hearing//meningoencephalitis?
Mumps (AKA viral parotitis)
43
1st line for otitis externa that is spreading?
Fluclox
44
AB for otitis media + perforation?
Amoxicillin
45
Complications of thyroid surgery?
Hypocalcaemia
46
Recurrent otitis externa following numerous AB treatments: what could a likely cause be?
Candida infection
47
Treatment of acute necrotizing ulcerative gingivitis?
Paracetamol Oral metronidazole Chlorhexidine mouthwash
48
What is associated with and commonly drives Oropharyngeal SSC?
Human Papilloma Virus (P16 is a surrogate marker of this)
49
Chalky white patches on tympanic membrane?
Tymapnosclerosis
50
InVgx for vestibular schwannoma?
MRI head + contrast
51
Man, 5o years old, SNHL detected. What you giving him while wiating for FBC to come back?
High dose prednisalone PO
52
Trauma to face + bunged up?
CSF rhinorrhoea -Break of fronto-basal skull + requires urgent imaging as a fracture may allow bacteria to ascend from nasal cavity to meninges and neural tissues
53
Non-tender, rubbery LNs are highly suggestive of what?
Hodgkin's lymphoma
54
Management of acute bacterial rhinosinusitis?
Amoxi or Doxy
55
HTT inheritance pattern?
AD
56
Tympanometry showing a type B (flat) curve with normal canal volume indicates what?
V high +ve predictive value for OME
57
What drugs cause gingival hyperplasia?
Phenytoin Ciclosporin CCB AML
58
Malignant otits externa is most common in what type of patients?
Diabetes
59
Neck lump associated with halitosis?
Pharyngeal pouch
60
Midline cyst?
Thyroglossal
61
Elderly patient dizzy on extending neck?
Vertebrobasilar ischaemia
62
Way to remeber the distinction between labyrinthitis and vestibular neuritis?
Labrynth echos and your hearing goes weird in labyrinthitis (skience)
63
Otitis ecterna AB and why?
Ciprofloxacin Covers pseudomonas as well
64
Sudden onset SNHL treatment?
High dose oral steroids
65
Keep or remove pleomorphic adenoma
Remove! Can become maligers
66
Drugs with otoxtoxicity?
Loop diuretics Gentamicin NSAIDs Cyclophosphamide Quinine Vincristine Cisplatin Loopy GENT SAID he CYCled QUIckly then VINt SPLAT!
67
HORIZONTAL NYSTAGMUS?
Vestibuular neuronitis
68

PPQ Learning (30 decks)

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