ENT

Question 1

Fluid level behind the ear drum, retracted drum, dull colour

Answer 1

otitis media with effusion

Question 2

Difficulty at school, having to shout for them to hear

Answer 2

otitis media with effusion

Question 3

aural fullness

Answer 3

Menieres disease

Question 4

Loss of corneal reflex + sensorineural hearing loss + vertigo + tinnitus

Answer 4

acoustic neuroma (a.k.a. vestibular schwannoma) -> think neurofibromatosis 2

Question 5

Bilateral vestibular schwannoma

Answer 5

neurofibromatosis type 2

Question 6

Vertigo on turning head to the side

Answer 6

benign paroxysmal positional vertigo

Question 7

battle sign

Answer 7

bruising on the skull very specific to mastoid process of the temporal bone fractures

Question 8

pearly white on otoscopy + foul smelling cheesy discharge

Answer 8

cholesteatoma

Question 9

saddle nose

Answer 9

GPA

Question 10

Little’s/ Kiesselbach’s area

Answer 10

branches of external carotid (via maxillary and facial) and internal carotid (via ophthalmic) anastomose here –> area on the nasal septum where nosebleeds commonly occur

Question 11

which virus during pregnancy can cause congenital deafness

Answer 11

CMV