ENT Flashcards
Frequency used for Rinne and Weber’s?
512
Where is the dip in noise induced hearing loss?
4
What is Cohort’s notch?
in otosclerosis
air bone gap at 2kHz
What type of hearing loss is noise induced?
sensorineural
Is otititis media with effusion retracted or bulgin?
retracted
Is infective otitis media retracted or bulging?
bulging
What surgery can u do for glue ear if tried gromits etc?
adenoidectomy
Loss of corneal reflex?
acoustic neuroma
What frequencies affected in Menieres?
low
Frequency affected in prebyscusis?
high
Is there hearing loss in vestibular neuronitis?
NO
What virus causes pharyngitis?
adenovirus
How is otosclerosis inherited?
AD
Where do you see crust in cholesteatoma?
attic
What must you do for OME in an adult?
refer to ENT could be cancer
When is tonsillectomy considered?
7 episodes in 1 year
5 in 2
3 in 3
Hot potato voice?
quinsy
Treatment of quinsy?
IV penicillin, excision and drainage
Given amox and get a rash?
EBV
What advice if EBV?
no contact sports (splenomegaly)
Soggy omega shaped eppiglottis?
largyngomalacia
Who gets pleomorphic adenomas?
female non smokers
Who gets Warfin’s tumours?
male smokers
Virus associated with nasopharyngeal cancer?
EBV
Is Bell’s upper or motor neurone?
LOWER
What spares forehead?
stroke (Upper)
Arteries in Little’s area?
LEGS
superior Labial, anterior Ethmoidal, Greater palatine, Sphenal palatine
Nosebleed and can see point of bleeding?
cautery
Nosebleed and can’t see bleeding?
packing, anterior then posterior
How long do you do packing for?
anterior 24hrs
posterior 48hrs
What innervates stapedius?
facial nerve
How should you examine child’s ear?
pull back and down rather than up
What supplies tongue special sensory?
chorda tympani (facial branch)
What supplies tongue general sensory?
Lingual (trigeminal branch)
What happens in lesion of cranial nerve 12?
tongue points towards lesion
What happens in lesion of cranial nerve 10?
uvula points away from lesion
Tonsillar SCC what virus?
HPV
What prevents sinusitis episodes?
intranasal steroids
Bartonella infection caused by?
cat scratch
When do you give amox in sinusitis?
if systemically unwell
When do you give steroids in sinusitis?
if 10 days or more
Diabetic with otitis externa?
pseudomonas so treat with ciprofloxacin
How long is treatment for tonsillitis?
Ten days penicillin
How long does it take perforated ear drum to heal?
6-8 weeks
Who gets malignant otitis externa?
diabetes
Contained haematoma may occur after what?
thyroidectomy
Who is nasophargyngeal cancer more common in ethnically?
China
Acute phase of vestibular neuronitis, what is useful?
Prochlorperazine
Inflamed ear canal?
otitis externa
Age of onset of otosclerosis
20-40
Unilateral polyp?
refer to ENT