Ent

Question 1

AOM

Answer 1

Amox 80-90 mg/kg/day tid or bid or 1000 for adults
Augmentin
2nd line ceftra or azithro

Question 2

Mastoiditis

Answer 2

If ŵ no recurrent AOM Vanco
If recurrent AOM Vanco with ceftaz for 4 weeks IV

Question 3

COM

Answer 3

Based on culture sens
Cipro eardrum bid for 2 wks

Question 4

OE

Answer 4

Cipro dexa ear drop
2nd line neomycin +polymixin+hydrocortisone
If simple pruritis n discomfort just acetic acid n hydrocortisone
If systemic sxx- iv abx

Question 5

COE

Answer 5

Acetic acid
Tt underlying cause
Glycerin
Cerumenolytic agent alcohol
Topical antifungal

Question 6

Cerumen /wax impaction

Answer 6

Ceruminolytic drop , h2o2 olive oil
Syringing or manual irrigation if no contraindications

Question 7

Foreign body

Answer 7

Irrigation,

Question 8

Tinitis

Answer 8

Cause based

Question 9

Common cold

Answer 9

NSAID
Decongestant
Oral antihist

Question 10

Acute bact rhinosinisitis
Nasal discharge nasal obst /facial pain

Answer 10

Symptomatic relief
Amox 1st line. Augmentin as 2nd line or azithro
Xylometazolin and loratasine syrup for symptomatic relief

Question 11

Allergic rinitis

Answer 11

Decongestant n antihist( citrizine, loratadine…)
Xylometasoline

Question 12

Epistaxis

Answer 12

Steps to stop the bleeding
Amox to prevent tss in >48 nasal packing
( in immunocompromised, dm n advanced age)
2nd line Aug

Question 13

Nasal bone fracture

Answer 13

Sx

Question 14

Acute tonsillitis

Answer 14

Amox
Cephalexine 2nd line
Aug If amox fail

Question 15

Adenoid tonsillar hypertrophy

Answer 15

Sx

Question 16

Acute laryngitis

Answer 16

Symptomatic relies
Abx not needed
Pred

Question 17

Mumps parotitis/orchitis

Answer 17

Massage the glad
Paracetamol or tramadole

Question 18

Suppurative sialadenitis

Answer 18

Restrict jaw movement
Cloxa
2nd line cephalexin or clinda