ENT

Question 1

Sinusitis

Answer 1

MC viral (rhinosinusitis)

SS:
Colored rhinorrhea
Sinus pain
Congestion

localized or diffuse HA
Fever
Lean forward increase pain
hyposmia/anosmia
mucosal edema
erythema

Bacterial:
10 day symptoms
fever >= 102

Eval:
None
CT

Txt:
nasal lavage
fluids
rest
analgesics
decongestants

Bacterial:
Augmentin 500 mg bid x 10 days
decongestants
antihistamine

Question 2

Allergic rhinitis

Answer 2

immunologically mediated adverse reaction

SS:
Sneezing
Post nasal drainage
Rhinorrhea
Itchy nose
Nasal congestion
Throat, sore

Dennie-morgan
Eyes involved
Allergic salute and shiners
d

Eval:
allergy testing
CT

Txt:
allergen avoidance
corticosteroids (flonase 2 sprays/nostril qd)
antihistamine
decongestants

Question 3

Rhinitis medicamentosa

Answer 3

severe nasal congestion with clear drainage

Cause:
Afrin > 3 days

Txt:
stop afrin

Question 4

Nasal polyps

Answer 4

SS:
pale (yellow to white)
edematous
glistening
mucosally covered masses
nasal congestion
rhinorrhea

Eval:
allergy evaluation
sweat chloride testing for CF
CT

Txt:
intranasal steroids
oral steroids
surgery

Question 5

What is Samter’s triad

Answer 5

asthma
aspirin allergy
Nasal polyps

Question 6

What is trismus

Answer 6

restricted ability to open jaw

Question 7

Viral pharyngitis symptoms

Answer 7

Fever
Ear pain
Nasal congestion /rhinorrhea
Cough
Enlargement tonsils/erythema pharyngeal/exanthem viral
Sore throat

Question 8

Strep throat symptoms

Answer 8

Pet (echiae)

Fever
Exudate
Lack cough
Tender anterior cervical lymph nodes

the

f
Ear pain
Nasal congestion/rhinorrhea
cEnlargement tonsils/erythema pharynx
Sore throat

Txt:
penicillin 500 mg bid x 10 days

Question 9

scarlet fever

Answer 9

strawberry tongue
sandpaper rash
strep throat

Question 10

peritonsillar abscess

Answer 10

hot potato voice
unilateral pain
uvula deviation

Question 11

mononucleosis

Answer 11

Sore throat
HA
Exudate tonsils
Lymph posterior
Fever
Splenomegaly

Question 12

epiglottis

Answer 12

thumb(printing on xray) S(tridor)

on the

Fever
Anterior neck pain
Drooling/Dysphagia/Distress
Sore throat

Question 13

Croup

Answer 13

F(ever)

the strid(or)

to the

church (steeple sign)

with the dog (barky cough)

and horse(ness)at night

Question 14

Rhuematic Fever

Answer 14

SS:
Jones

Subcutaneous nodules
Carditish
Erythema marginatum
Migratory arthritise
Syndenham's chorea

at a

Fever(ed)

P(R) interval
Arthralgias
C(RP)
E(SR)

Question 15

Aphthous Stomatitis

Answer 15

Canker Sores

Question 16

Dental Abscess

Answer 16

Pain
Erythema
Nausea/Vomiting/fever/chills
i
Swelling

Question 17

What is used to treat TM perforations if otorrhea present in ear

Answer 17

Ciprodex

Floxin

Question 18

What is BPPV

Answer 18

• Benign proximal peripheral Vertigo
• otoconia (crystals) displased into Posterior semi-circular canal

eval:
hallpike
delayed onset
fatigue
nystagmus

Txt:
do nothing
epley maneuver
sermont maneuver
brandt-daroff exercises
PSSC occlusion

Question 19

What is meniere’s

Answer 19

SS:
intermittent vertigo
low frequency
buzzing or roaring tinnitus
aural fullness

Txt:
diet
meds
steriods
ELS decompression
surgery

Question 20

What is acoustic neuroma

Answer 20

benign tumor CN VIII
progressive or sudden hearing loss
tinnitus
imbalance

Eval:
MRI w/ gadolinium

Question 21

What is acute otitis externa

Answer 21

swimmer’s ear

SS:
severe pain
swelling/redness of external auditory canal

Txt:
ciprofloxacin drops
wicks
narcotic