ENT

Question 1

Vestibular schwannoma symptoms

Answer 1

Vertigo/imbalance
Hearing loss (sensorineural)
Tinnitus
Absent corneal reflex

Question 2

Meniere’s disease symptoms

Answer 2

Vertigo
Tinnitus (roaring sensation)
Sensorineural hearing loss
Symptoms lasting 20mins to several hours

Excess endolymph in the inner ear

Question 3

Vestibular neuritis

Answer 3

Following viral infection
Vertigo lasting days
Associated N&V

Question 4

BPPV

Answer 4

Brief episodes of mild to intense dizziness triggered by changes in position of head

Question 5

Cystic hygroma

Answer 5

Congenital lesion (lymphangioma)
Typically on left side of neck
Usually appears before 2yo

Question 6

Branchial cyst

Answer 6

Failure of obliteration of second branchial cleft in embryonic development
Oval, mobile, cystic mass between sternocleidomastoid and pharynx
Usually presents in early adulthood

Question 7

Nasal septal haematoma management

Answer 7

Require surgical drainage and IV abx
If untreated may have septal necrosis

Question 8

Otosclerosis

Answer 8

Conductive hearing loss
Tinnitus
Positive family history
May have ‘flamingo tinge’ to tympanic membrane