ENT

Question 1

Diagnosis:

Young patient with:

1. Fleshy immobile mass in the midline of the hard palate

Answer 1

torus palatinus

Question 2

Treatment:

Torus palatinus

Answer 2

None unless the growth becomes symptomatic or interferes with speech or eating.

Question 3

Diagnosis:

Whistling noise during respiration in a patient with recent rhinoplasty

Answer 3

Nasal septal perforation

Other conditions that can cause septal perforation include: self-inflicted trauma (nose picking), syphilis, tuberculosis, intranasal cocaine use, sarcoidosis and granulomatosis with polyangiitis (Wegner’s).

Question 4

Pathophysiology:

Nasal septal perforation s/p rhinoplasty

Answer 4

Septal hematoma or septal abscess

Question 5

What type of patients typically get nasal polyps

Answer 5

1. Asthmatics
2. Patients with allergy disorders
3. Patients with inflammatory conditions of the nasal mucosa.

Question 6

Clinical Manifestation:

Child with:

1. foul odor
2. halitosis
3. nasal bleeding

Answer 6

Nasal foreign body

Question 7

What might happen to a patient who forgets to remove their nasal packing?

Answer 7

Toxic shock syndrome

Question 8

Clinical Manifestation:

1. rhinorrhea
2. nasal pruritus
3. cough
4. dyspnea
5. edematous, pale nasal mucosa on physical exam

Answer 8

Allergic rhinitis

These patients may also have polyps!

Question 9

Pathophysiology:

Nasal furunculosis

Answer 9

Nose picking or nasal hair plucking leading to staphylococcal folliculitis infection.

Question 10

What is a potentially life threatening complication of nasal furunculosis?

Answer 10

spread to the cavernous sinus

Question 11

Clinical Manifestation:

Nasal furunculosis

Answer 11

1. Pain
2. Tenderness
3. Erythema of the nasal vestibule

Question 12

What viral infection is strongly associated with undifferentiated nasopharyngeal cancer?

Answer 12

Epstein-Barr virus infection

This cancer is also associated with smoking and chronic nitrosamine consumption (salted fish diets).