ENT

Question 1

Vertigo, Hearing loss, Tinnitus and absent corneal reflex

Answer 1

Accoustic neuroma (Vestibular achwannoma)

Question 2

Condition associated with bilateral vestibular schwannoma

Answer 2

Neurofibromatosis Type 2

Question 3

Investigation for suspected vestibular schwannoma?

Answer 3

MRI of the cerebellopontine angle
Urgent referral to ENT

Question 4

Audiomotory results in presbyocusis?

Answer 4

Bilateral sensorinuerol hearing loss

Question 5

Drugs causing tinnitus

Answer 5

Aspirin
NSAIDS
Aminoglycosides
Loop diuretics
Quinine

Question 6

How long does it take for a perforated ear drum to heal?

Answer 6

6 - 8 weeks

Question 7

Most common bacterial cause of ottitis media?

Answer 7

Haemophilus influenzae

Question 8

DVLA advice for menniere’s disease

Answer 8

Patients should inform the DVLA
Cease driving until satisfactory control of symptoms in acheived.

Question 9

Treatment for sudden onset sensorineural hearing loss

Answer 9

High dose oral corticosteroids

Question 10

Investigation for sudden onset sensorineural hearing loss

Answer 10

MRI scan to exclude a vestibular schwannoma

Question 11

Organisms causing ottitis externa

Answer 11

Staph aureua, psuedomonas aeruginosa
Fungal seborrhoeic dermatitis

Question 12

Treatment of ottitis externa

Answer 12

Topical antibiotics + topical steroids

Question 13

Managment of mennieres disease

Answer 13

Referral to ENT to confirm the diagnosis
Acute attack - buccal or IM prochloperazine
Prevention - betahistine and vestibular rehabilitation

Question 14

Managment of a nasal septal haematoma

Answer 14

Surgical drainage
IV antibiotics

Question 15

Describe rinnes test

Answer 15

Tuning fork places on mastoid process and then in front of ear. Positive (normal) AC louder than bone conduction
Negative (abnormal) BC louder than AC

Question 16

Describe webbers test

Answer 16

Tuning fork placed in middle of the forehead and then patient asked which side is loudest

Question 17

Where is the most common case of epistaxis in trauma

Answer 17

Anterior bleed from the kiesselbach’s plexus

Question 18

Where is the most common cause of epistaxis due to old age/hypertension

Answer 18

Posterior bleed from the spenopalatine artery

Question 19

Investiagtion for salivary gland stones

Answer 19

X Ray Sialogram

Question 20

Diagnostic test for otosclerosis

Answer 20

Pure tone audiometry

Question 21

What is schwartz sign and what does it mean?

Answer 21

Pink tinge to the tympanic membrane - diagnostic indicator for otosclerosis

Question 22

What conditions are people with psoriasis at increased risk of getting?

Answer 22

Cardiovascular disease, Type 2 diabetes, NAFLD and hypertension

Question 23

What is the most common type of thyroid cancer?

Answer 23

Papillary thyroid carcinoma (75%)

Question 24

Which type of thyroid canceris more likely to metastasize?

Answer 24

Follicular carcinoma

Question 25

What type of hearing loss is seen in meniere’s disease

Answer 25

Sensorineural