ENT

Question 1

What is the most common cause of bacterial otitis media?

Answer 1

H influenzae

Question 2

In a conductive ear problem, which way does Webers test lateralise?

Answer 2

Lateralises towards the affected ear

Question 3

In a sensorineural ear problem, which way does Webers test lateralise?

Answer 3

Lateralises away from the affected ear

Question 4

What are the features of Otosclerosis?

Answer 4

Conductive deafness
Tinnitus
Tympanic membrane affected
FHx

Question 5

What is the management for Otosclerosis?

Answer 5

hearing aid
stapedectomy

Question 6

What causes Ramsay Hunt Syndrome?

Answer 6

VZV reactivation of 7th CN

Question 7

How do you manage Ramsay Hunt Syndrome?

Answer 7

Oral steroids and oral antivirals

Question 8

In an audiogram, what suggests sensorineural hearing loss?

Answer 8

Both air and bone conduction impaired

Question 9

In an audiogram, what suggests conductive hearing loss?

Answer 9

Only air conduction is impaired

Question 10

When should you prescribe antibiotics for acute otitis media?

Answer 10

> 4 days
Systemically unwell
Immunocompromised
2 years old + bilateral
Perforation

Question 11

Which drugs may cause tinnitus?

Answer 11

NSAIDs
Aspirin
Aminoglycosides
Loop diuretics
Quinine

Question 12

What are the clinical features of a cholesteatoma?

Answer 12

malodorous discharge
hearing loss
vertigo
facial nerve palsy
attic crust on otoscopy

Question 13

What are the red flag features of chronic sinusitis?

Answer 13

Unilateral
>3 months with Tx
Epistaxis

Question 14

How do you manage a perforated tympanic membrane?

Answer 14

6-8 weeks allow to resolve, if not, ENT referral

Question 15

How do you treat otitis externa in diabetics?

Answer 15

Ciprofloxacin to cover for Pseudomonas