ENT

Question 1

Sudden onset horizontal nystagmus, hearing disturbances, nausea, vomiting and vertigo, often preceded by viral illness:

Answer 1

Acute viral labrynthitis (Vestibular neuritis has very similar presentations but does not cause hearing loss)

Question 2

Episodes lasting minutes to hours of sudden hearing loss in left ear, associated with dizziness and a feeling of pressure in the affected ear, dx, type of hearing loss and Rinne’s and Weber’s results and mx:

Answer 2

Meniere’s disease, left sensorineural, Rinne AC > BC bilaterally, Weber lateralises to right ear, routine referral to ENT (prochlorperazine acute, betahistine and rehab for prevention)

Question 3

First-line for otitis externa

Answer 3

Topical corticosteroid + aminoglycoside

Question 4

Location of branchial cysts:

Answer 4

Smooth swelling in between the sternocleidomastoid muscle and the pharynx

Question 5

Otitis externa in diabetics

Answer 5

Ciprofloxacin to cover pseudomonas

Question 6

Treatment for secondary haemorrhage post tonsillectomy 5-10 days PO

Answer 6

Admit to ENT for IV abx, only primary or severe haemorrhages need re-exploration

Question 7

Ototoxic drugs

Answer 7

Aminoglycosides (genta), aspirin, furosemide, quinine.