ENT

Question 1

What are indications for Abx in otitis media?

Answer 1

<2 years old

Severe pain

Representation

Recurrent AOM

ATSI

Question 2

What is herpangina?

Answer 2

Vesicles on the posterior oropharynx and tonsils from cocksackie virus

Question 3

What is the SWISH test?

Answer 3

State Wide Infant Screening - Hearing

Question 4

How is otitis externa treated?

Answer 4

Antibiotic + corticosteroid drops

(dexamethasone + framycetin + gramicidin - Otodex, Sofradex)

Question 5

What is a typanostomy?

Answer 5

Grommets

Question 6

What is otitis media with effusion?

Answer 6

Non-infective middle ear effusion that persists for weeks following resolution of AOM

Question 7

Which features suggest a peritonsillar abscess (quinsy) in patients with tonsillitis?

Answer 7

Muffled speech

Trismus (limited ROM in the jaw)

High fever and severe pain

Question 8

What is the most common cause of otitis externa?

Answer 8

Pseudomonas aeruginosa

Question 9

What clinical features suggest mastoiditis following AOM?

Answer 9

Persistence/recurrence of otalgia and fever after initial improvement

Ear discharge becomes profuse

Tender and oedematous mastoid

Ear displaced laterally and forward