ENT

Question 1

Acute sinusitis is most commonly caused by which two pathogens

Answer 1

Strep Pneumoniae and Haemophilus Influenzae

Question 2

Oral Herpes is best treated with systemic or topical antivirals

Answer 2

Topical is the first line. Systemic antivirals will help but are only indicated for severe cases

Question 3

A patient presents with several episodes of vertigo over the past few weeks. He has intermittent unilateral hearing loss and a “Blowing” in his ears. What is the most likely diagnosis ?

Answer 3

Meniere’s disease

Question 4

A white oral lesion which cannot be scraped off should make you think of what diagnosis

Answer 4

oral leukoplakia

Question 5

what type of hearing loss is associated with aging

Answer 5

sensory

Question 6

Which is the most commonly affected sinus in acute sinusitis

Answer 6

Maxillary

Question 7

A patient presents with a hot potato or muffled voice. what is the most commonly diagnosis

Answer 7

Peritonisillar abscess

Question 8

what time frame are we talking about for chronic sinusitis

Answer 8

> 3 months

Question 9

List the time of year when each of the following allergens is most prominent: Pollen, grass, mold, and ragweed

Answer 9

Pollen from trees and flowers = spring, grasses are the summer, mold and ragweed are fall

Question 10

How long should pressure be applied to treat epistaxis

Answer 10

15 minutes

Question 11

List the four things that suggest group A beta-hemolytic strep in a patient with pharyngitis

Answer 11

Fever, tender anterior cervical adenopathy, no cough, and exudate in throat

Question 12

A child presenting with an erythematous sandpaper rash should make you think of what diagnosis

Answer 12

scarlet fever

Question 13

In a patient with sensineuiral hearing loss, what will be the results of the weber test

Answer 13

the patient will hear the sound louder in the unaffected ear

Question 14

list four complications of untreated strep throat

Answer 14

scarlet fever, glomerulonephritis, rheumatic fever, and local abscess

Question 15

A patient presents with a round ulcer in her mouth that is yellow-grey and has a red halo. It is on the buccal mucosa and it is painful. What is the most likely diagnosis

Answer 15

Aphthous ulcers

Question 16

A patient presents drooling, with stridor and in tripod position. What diagnosis, and how do you treat is ?

Answer 16

Epiglottis is treated with a third generation cephalosporin and Ceftrixone

Question 17

White oral lesions which can be scraped off leaving punctuate bleeding should make you think of what diagnosis

Answer 17

oral candida

Question 18

What are three possible treatments for peritonsillar abscess

Answer 18

Needle aspiration, I&D and tonsillectomy

Question 19

What virus causes mumps

Answer 19

Paramyxovirus

Question 20

How do you treat allergic rhinitis

Answer 20

Intranasal corticosteriods and antihistamines

Question 21

What is the treatment of choice for strep throat

Answer 21

Penicillin, Amoxicillin, erythromycin

Question 22

A patient presents with unilateral hearing loss and a decrease in speech discrimination. She has also had difficulty with balance over the past week. What is the most likely diagnosis

Answer 22

Acoustic Neuroma

Question 23

A patient presents with acute swelling and pain in the cheek that increases at meals, What is the most likely diagnosis

Answer 23

Sialadentis (Salivary gland infection)

-staph aureus

Question 24

When is watchful waiting with a diagnosis of acoustic neuroma an appropriate plan

Answer 24

This tumor is very slow growing. Watching a small tumor in an elderly patient is appropriate treatment

Question 25

What type of hearing loss would be caused by cerumen impaction

Answer 25

Conductive

Question 26

How do you administer the Weber hearing test

Answer 26

Tuning fork placed in the middle of the forehead

Question 27

a 14 year old field hockey player presents with prominent adenopathy, white purple exudates in the throat and a palpable spleen. What is the most likely diagnosis?

Answer 27

Mononucleosis

Question 28

How do you administer the Rinne hearing test

Answer 28

Place the tuning fork on the mastoid and then move it to the ear

Question 29

Describe the result of a Weber hearing test in a patient with conductive hearing loss

Answer 29

Patient will report the sound louder in the affected ear

Question 30

An x-ray of the skull reveals coalescence of mastoid air cells. What is the most likely diagnosis

Answer 30

Mastoiditis

Question 31

After 10 days of worsening sinusitis what antibiotic should you start

Answer 31

Augmentin

Question 32

A 45 year old female complains of feeling the ground rolling under her feet at times. What is the most likely diagnosis

Answer 32

Vertigo

Question 33

A patient with a history of smoking presents with a new onset hoarseness. This has been persistent for the past two weeks. What is the most likely diagnosis

Answer 33

Laryngeal squamous cell carcinoma

Question 34

A patient presents with acute onset of continuous severe vertigo for the past 5 days. He does have a history of URI 2 weeks ago. What is the most likely diagnosis

Answer 34

Labrynthitis

Question 35

What does Kiesselbach’s plexus refer to

Answer 35

A group of vein’s in the anterior nose which bleeds a lot

Question 36

small grouped vesicles on the vermilion border should make you think of what diagnosis

Answer 36

Herpes