ENT

Question 1

what should you do if pt has chronic earache but normal ENT and dental exam

Answer 1

MRI!!!

it could be a malignancy

Question 2

otalgia referred pain C2 and C3

Answer 2

-arthritis/cervical spondylosis
-soft tissue injury

Question 3

referred otalgia CN V

Answer 3

-dental disease
-TMJ dysfunction
-tongue base tumour

Question 4

referred otalgia CN IX

Answer 4

-almost any oropharyngeal infective process
-tongue base tumour

Question 5

referred otalgia CN X

Answer 5

carcinoma of larynx and hypopharynx

Question 6

what is stertor

Answer 6

-caused by an obstruction above the level of the larynx
-low pitch snoring or snuffly sound

Question 7

what is stridor

Answer 7

-due to airflow changes within the larynx, trachea or main bronchi
-more musical in character
-high pitched
-narrow or obstructed airway path

Question 8

inspiratory stridor

Answer 8

generally higher in airway
-can be indicative of a serious airway emergency

Question 9

Slow growing, painless, mobile lump in the parotid gland of older female

Answer 9

pleomorphic adenoma

Question 10

gentamicin ototoxicity symptoms

Answer 10

irreversible hearing loss
-no vertigo or nausea

Question 11

what do you do if someone has a post-tonsillectomy haemorrhage

Answer 11

send to ENT

Question 12

haemorrhage 6-8 hours following tonsillectomy

Answer 12

immediate return to theatre

Question 13

haemorrhage 5-10 days after tonsillectomy what do u do

Answer 13

admission and antibiotics
-usually means a wound infection