ENT Flashcards

1
Q

Maximum duration of acute rhinosinusitis is:

A

under 4 weeks

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2
Q

Untreated acute otitis media may lead to:

A

Mastoiditis

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3
Q

Important aspect of Leukoplakia is that it can be:

A

precancerous

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4
Q

Characteristic of vertigo’s

A

Labyrinthitis=Continuous

Meniere = Episodic

Benign = Positional

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5
Q

deviation of uvula

muffled / potato voice

odynophagia

tonsillar buldge

trismus (diffeculty opening month)

are descriptive of:

A

Peritonsillar Abscess

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6
Q

Most common salivary gland tumor occurs in:

A

Parotid gland

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7
Q

typical cause of Gingivitis is:

A

poor dental hygine

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8
Q

Tx for Strep Pharyngitis in pt who are allergic to penecillin:

A

Azithromycin

Clyndamycin

Clarithromycin

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9
Q

Parotid gland is drained by:

A

Stensen’s duct

Stensen’s check aread

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10
Q

typical organism that causes Sialadenitis is:

A

S. aureus

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11
Q

Cholesteatoma results in what hearing loss

A

Conductive

Cholesteatoma=Conductive loss

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12
Q

acute onset of vertigo without any other sx is:

A

Vestibular Neuritis

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13
Q

Otitis externa / swimmer’s ear is most often caused by:

A

Pseudomonas aeruginosa

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14
Q

bilateral infection of submandibular space (mouth floor) is known as:

A

Ludwig’s angina

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15
Q

tx for Mastoiditis:

A

IV cefazolin

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16
Q

autophony is usually seen in pt. with:

A

overly patent eustachian tube

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17
Q

2nd line treatment for allergic sinusitis:

A

Antihistamines

Decongestants (sympathomemetics)

Cromolyn

Montelukast

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18
Q

Postauricular erythema and pain are sx of:

A

Mastoiditis

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19
Q

Benight Migratory Glossitis is known as:

A

Georgraphic Tongue

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20
Q

Neural hearing loss is often caused by:

A

Acoustic Neuroma (CN 8 Schwannoma)

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21
Q

Deterioration of chochlear hair cells will result in:

A

Sensory hearing loss

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22
Q

Episodic

Sensorineural hearing loss

Vertgo

Tinnitus

Aural pressure

are signs of:

A

Meneire syndrome

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23
Q

Pott Puffy Tumor means:

A

Frontal sinus osteomyelitis

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24
Q

Low frequency hearing loss is associated with:

A

Meniere Dz

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25
Q

Acute Sinusitis is most commonly caused by

A

Rhinovirus

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26
Q

unilateral Tinnitus is a concern for:

A

Schwannoma

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27
Q

Acute laryngitis usually occures in the settings of:

A

viral URI

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28
Q
A
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29
Q

Most common age for Strep Phayrngitis is:

A

5-15 y.o

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30
Q

1st line tx for allergic sinusitis is:

A

continious use of intranasal corticosteroids

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31
Q

Centor Criteria for Step Pharyngitis includes:

A

Fever>38C

Anterior cx lympadenopathy

Absence of a cough

Tonsillar exudate

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32
Q

Episodic

vertigo

lower frequency hearing loss

tinnitus

aural pressure

is associated with:

A

Menier Syndrome

Menier = episodic=recurrent.

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33
Q

Ototoxic medications are:

A

Aminoglycosides -mycins-

Vancomycin

Furosemide

ASA

Cisplatin

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34
Q

typical organism that cause mastoiditis:

A

S. Pneumoniae

H. influenza

S. pyogenes

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35
Q

Ecchymosis of pinna

loss of cartilaginouse landmarks

are signs of:

A

Auricular Hematoma

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36
Q

Hot potatoe voice is indicative of:

A

Peritonsillar Abscess

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37
Q

description of vertigo in vestibular neuritis

A

acute w.o any other sx

acute vestibular neuritis

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38
Q

red smooth surface tongue is known as:

A

Glossitis

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39
Q

Dix-Hallpike maneuver is used to assess

A

for benign positional vertigo

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40
Q

acute onest of sever continuous unilateral:

vertigo

hearing loss

tinnitus

nystagmus

is known as:

A

Labyrinthitis

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41
Q

BC>AC in Rinne test is indicative of:

A

Conductive hearing loss

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42
Q

Inflamation of salivary gland is known as:

A

Sialadenitis

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43
Q

white coating in mouth that CAN be scraped off

A

Candidiasis

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44
Q

Mastoiditis diagnosing test is:

A

CT

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45
Q

Nectorizing ulcerative gingivitis is typical in:

A

young adults under stress

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46
Q

Lateralization to the affected ear in weber test is a signs of

A

Conductive hearing loss

Affected = conductive hearing

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47
Q

Maintanence medication for Meniere Dz is:

A

Diuretics

Salt restriction

Intratempanic steroid injections

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48
Q

side effects of nasal decongestants:

A

HTN

headache

insomnia

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49
Q

most common cause of benign paroxysmal positional vertigo is:

A

calcium debris within posterior semicircular canal (canalithiasis)

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50
Q

Samter’s triad:

A

Asthma

Apririn sensitivity

Nasal polyps

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51
Q

Tx for Strep Pharyngitis:

A

Penicillin

or

Amoxicillin

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52
Q

central vertigo is often an early sign of:

A

Multople Sclerosis

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53
Q

risk factors for Laryngeal Squamous Cell Cancers are:

A

Smoking

HPV

54
Q

acute voice hoarseness is usually caused by:

A

Acute Laryngitis

55
Q

abx for Epiglottitis is:

A

IV ceftriaxone

56
Q

Submandibular gland on the mouth floor is drained by:

A

Wharton duct

wharton’s floor

57
Q

causes of Peripheral vertigo

A

Labyrinthisis

Benign positional vertigo

Menieir’s dz

Vestibular neuritits

58
Q

Atrophy of filiform papillae of the tounge is known as:

A

Atrophic glossitis

59
Q

oral lesions that can be scratched off resulting in a bleed is known as:

A

Oral candidiasis/ Thrush

60
Q

Diagnostic test for Mastoiditis is:

A

CT

61
Q

Oral Leukoplakia is seen in pt with:

A

Smoking

Dentures

62
Q

which salivary duct is more prone to stone formation:

A

Wharton’s

Wharton’s floor

63
Q

Yellow, boggy masses of hypetrophic nasal mucosa is known as:

A

nasal polyps

64
Q

1st line of abx for bacterial sinusitis is:

A

Amoxicillin

or

Amoxicillin/Clavulanate - Augmentin

65
Q

medication used to contol acute sx of vertigo:

A

Diazepam

Scoplamine

Clonezepam

Antihistamin

66
Q

beefy red throat

tonsillara exudate

petechiae on soft palate

scarlet fever - rash over groin and torso

are descriptive of:

A

Group A strep pharyngitis

67
Q

most common oral cancer is:

A

squamous cell carcinoma

68
Q

Maple like distribution of erythema of the tongue is known as:

A

Benight Migratory Glossitis

69
Q

pulsatile tinnitus is a concern for:

A

Vascular lesion

70
Q

vesicular lesions/blisters with crust and areas of ulcerations is a description of:

A

Oral Herpes Simplex

71
Q

Sensation of spinning surroundings or falling is typical of

A

Vertigo

72
Q

Perforatoin of TM with keratin or grnulation tissue coming out is a sign of:

A

Cholesteatoma

73
Q

sx of Acoustic Neuroma / Schwannoma

A

unilateral sensorinueral hearing loss

tinnitus

continuous diequilibrimum/ vertigo

74
Q

Posterior nose bleed is usually from:

A

sphenopalatine artery

75
Q

Oral Hairy Leukoplakia is associated with:

A

Ebstain bar virus

76
Q

Unilateral nasal discharge is often associated with:

A

nasal foreign body

77
Q

Hairy leukoplakia is associated with which conditions?

A

HIV

EBV (mono)

78
Q

New, persistent and long lasting voice hoarseness is a concern for:

A

Laryngeal Squamous Cell Carcinoma

79
Q

Complicatoin of Auricular Hematoma is known as:

A

Cauliflower Ear

80
Q

high frequency hearing loss is most often related to:

A

presbycusis (age related)

81
Q

contraindication to nasal decongestants:

A

HTN

CAD

82
Q

AC>BC in Rinne test is indicative of:

A

Normal

83
Q

tx for Auricular Hematoma is:

A

Insicion and Drainage with compression dressing

Anti staph abx - cephlex

84
Q

most common salivary gland to become inflamed is:

A

parotid

85
Q

Montelukast (Singulair) is indicated for:

A

Allergic Sinusitis

and

Asthma

86
Q

Ofloxicin

A
87
Q

Most common cause of otitis media

A
  • Strep P*
  • M. Cattaralis*
  • H. Influenza*
88
Q

Oral luekoplakia has a potential to progress to:

A

Oral Squamous Cell Carcinoma

89
Q
A
90
Q

retraction of TM and decreased TM mobility is associated with

A

Dysfunction of Eustachian Tube

91
Q

Necrotizing ulcerative gingivitis is also known as:

A

Trench mouth

92
Q

tx for Oral candidiasis is:

A

Nystatin suspension/mouthwash

93
Q

autophony is:

A

exaggerated ability to hear oneslef breahing and spekaing

94
Q

Rinne test

A

Bone>Air=CHL

Air>bone=SNHL

95
Q

abx for bacterial sinusitis in a pt with allergy to penicillin?

A

Doxycycline

Levofloxacin or Moxiflxacin

96
Q

Most common anterior nasal bleed/epistaxis is associated with:

A

trauma to Kiesselch plexus

97
Q

side effects of intranasal gluccorticoids indclude:

A

headache

epistaxin

nasal dryness

98
Q

important step before packing epistaxis is:

A

removal of the clot

99
Q

boggy, pale, bluish nasal mucosa, turbinate swelling

is a typical description of:

A

Allergic Rhinitis

100
Q

medication for acute and severe Meniere dz:

A

Diazepam

101
Q

criteria for acute bacterial rhinosinusitis

A

worsening of sx after initial improvement

or

sever facial pain and fever>102 x 3-4 days

or

sx lasting for over 10 days

102
Q

Eustachian Tube Dysfunction is associated with

A

URI

Allergies

103
Q

positive Dix-Hallpike maneuver is:

A

the presence of nystagmus

104
Q

Cherry red epiglotts is a signs of:

A

Epiglotititis

105
Q

most common cause of sialadenitis is:

A

stone in the salivary duct

106
Q

“patulous eustachian tube” is known as:

A

overly patent eustachian tube

107
Q

coalescence of mastoid air cells

bone erosion and abscess-like cavities

are seen

A

Mastoiditis

108
Q

Glossitis is typically caused by:

A

nutritional deficiency

niacin - B3

riboflavin - B2

vitamin E

109
Q

most common cause of Labyrinthitis is:

A

viral inflamation of inner ear

I*_nner LabyrI_*nthitis

110
Q

Tinnitus

A
111
Q

white oral lesions that do NOT scrape off are:

A

Oral leukoplakia

112
Q

Plaque on the edge of the tongue is known as:

A

Oral hairy leukoplakia

Hairy edge

113
Q

Distention of endolymptoh compartment of inner ear which produces excess fluid is known as:

A

Meniere Syndrome

114
Q

Description of vertigo in Labyrintitis is:

A

continious long lasting

continuous labyrintitis

115
Q

abnormal growth of the stapes is known as:

A

Otosclerosis

116
Q

Rebound nasal congestion after prolonged use of decongestant spray is known as:

A

Rhinitis medicamentosa

117
Q

lateralization to unaffected ear during Weber test is a sign of:

A

sensorineural hearing loss

unaffected ear=sensorineural hearing loss

118
Q

Possible causes of Tinnitus:

A

ototoxic medication !

Schwannoma

Vascular lesion

119
Q

viral sialadenitis is caused by:

A

Mumps

120
Q

Mastoiditis occures as a result of:

A

unreated otitis media or pharengitis

121
Q

in cholesteatoma which part of TM is most often affected/retracted?

A

upper

122
Q

Description of vertigo in Menier DZ is:

A

Episodic Menier

123
Q

Posterior cx lympoadenopathy is a sign of:

A

Mononucleosis

124
Q

red halos

shallow ulcers

yellow/white centers

are descriptive of:

A

Aphtous ulcer / Canker sore

125
Q

important risk factor for Leukoplakia is:

A

tabaco use

126
Q

In cholestatoma the TM is retracted as a result of:

A

chronic eustachian tube dysfunction

127
Q

tx for Dysfucntion of Eustachian tube:

A

NSAIDs

Antihistamines

128
Q

Epley maneuver is used to treat

A

benign positional vertigo

129
Q

most common location for Aphtous ulcer

A

libial and buccal mucosa

130
Q

Acoustic Neuroma / Schwannoma is usually unilateral or bilateral?

A

Unilateral acoustic neuroma