ENT

Question 1

discharge from the ear, era pain in a swimmer

Answer 1

otitis externa

Question 2

management of otitis externa

Answer 2

aural toilet
hydrocortisone cream
topical antibiotic (ciprofloxacin)
alluminium acetate

Question 3

complication of otitis externa

Answer 3

malignant otitis externa
- extension of infection into bone

Question 4

patient has had an URTI, now has ear pain , fever and conductive hearing loss

Answer 4

acute otitis media

Question 5

management of otitis media

Answer 5

resolve on their own usually
1. amoxicillin

Question 6

foul smelling discharge, conductive hearing loss

Answer 6

cholesteatoma

Question 7

otoscopy of cholesteatoma

Answer 7

white cheesy material

Question 8

management of cholesteatoma

Answer 8

surgery

Question 9

hearing impairment in child, poor speech with language delay

Answer 9

otitis media with effusion
(glue ear)

Question 10

otoscopy of otitis media with effusion

Answer 10

tympanic membrane dull
bulging drum
loss of light reflex

Question 11

hearing loss in otitis media with effusion

Answer 11

conductive hearing loss

Question 12

management of otitis media with effusion

Answer 12

grommets

Question 13

slowly progressive conductive hearing loss
in a pregnant women

Answer 13

otosclerosis

Question 14

sudden onset vertigo when a patient moves their head in a particular direction

Answer 14

BPPV

Question 15

investigation for BPPV

Answer 15

halpike manoevure

Question 16

management of BPPV

Answer 16

epley manoeuvre

Question 17

patient who has had a recent virus now has vertigo for a few days, ringing in their ears and hearing loss

Answer 17

labyrinthitis

Question 18

what type of hearing loss in labyrinthitis

Answer 18

senosneurial hearing loss

Question 19

vertigo lasting around 30 minutes, with a sensoneurial hearing loss and a feeling of fullness in their ear
can have sudden collapses

Answer 19

meniere

Question 20

prevention of meniere

Answer 20

betahistine

Question 21

management of herpes simplex

Answer 21

aciclovir

Question 22

do you give antibiotic for infectious mononucleosis (glandular fever)

Answer 22

no

Question 23

sore throat, pain on swallowing, drooling, stridor

Answer 23

epiglottitis

Question 24

epiglottitis mangement

Answer 24

secure airway
IV antibiotics
corticosteroids

Question 25

conductive hearing loss
- rinnes and webers

Answer 25

webber heard in bad ear
rinne bone > air

Question 26

sensorineural hearing loss rinne and webber

Answer 26

webber heard in good ear
rinnes air > bone