ENT Flashcards

1
Q

acute sinusitis is most commonly caused by which two pathogens?

A

strep pneumo. and H . flu

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2
Q

Oral herpes is best treated with systemic or topical antivirals

A

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

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3
Q

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

A

Meniere’s disease

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4
Q

White oral lesions which cannot be scraped off should make you think of what diagnosis?

A

oral leukoplakia

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5
Q

What type of hearing loss is associated with aging?

A

sensory

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6
Q

Which is the most commonly affected sinus in acute sinusitis

A

maxillary

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7
Q

A patient presents with a hot potato or muffled voice. What is the most likely diagnosis?

A

Peritonsillar abscess

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8
Q

What time frame are we talking about for chronic sinusitis

A

> 3 months

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9
Q

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

A

pollen tree and flower = spring, grasses are the summer, mold and ragweed are fall

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10
Q

HOw long should pressure by applied to treat epistaxis

A

15 minutes

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11
Q

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

A

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

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12
Q

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

A

Scarlet fever

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13
Q

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

A

Because this tumor is so slow growing, watching in an elderly patient is appropriate

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14
Q

What type of hearing loss would be caused by cerumen impaction

A

Conductive

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15
Q

How do you administer the Weber hearing test

A

Tuning fork placed in the middle of the forehead

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16
Q

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?

A

Mononucleosis

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17
Q

How do you administer the Rinne hearing test

A

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

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18
Q

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

A

Patient will report the sound louder in the affected ear

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19
Q

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

A

Matoiditis

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20
Q

After 7 days of sinusitis what antibiotic would you start?

A

Amoxicillin or bactrim

21
Q

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

22
Q

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

A

Laryngeal squamous cell carcinoma

23
Q

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

A

Labrynthitis

24
Q

What does Kiesselbach’s plexus refer to?

A

A group of veins in the anterior nose which bleed a lot

25
Small grouped vesicles on the vermillion border should make you think of what diagnosis?
herpes
26
How do you differentiate between preseptal and post septal orbital cellulitis?
Ct scan of the orbits can help differentiate or clinical exam (pain with eye movement in post septal)
27
What typically causes preseptal cellulitis?
An ascending URI
28
You have a patient who presents with a harden painless lump on the lid of their eye. What is this? How do you treat it?
Chalazion- warm compresses might provide symptomatic relief. Consider ophthalmologist referral
29
Most common etiology of viral conjunctivitis?
adenovirus
30
Main distinguishing factor between viral conjunctivitis and allergic conjunctivitis?
allergic conjunctivitis is itchy
31
You have a patient with a foreign body in their eye. Once the object is removed you notice a "rust ring". What was the object in the eye? What is the treatment for "rust ring"
metallic foreign body | Treatment- tetanus shot, antibiotics, pain control, removal with drill by ENT
32
A patient has a foreign body in their eye. You tried to irrigate with saline but were unsuccessful. What should you try next?
Use a cotton ball and swipe to try to pick up the foreign body
33
A patient experienced blunt trauma to the eye. Visualization of the eye reveals a "tear drop pupil"What does this patient have?
Ruptured globe
34
The most frequent location of orbital blow out fractures
inferior wall and medial wall
35
Normal pH of the eye
7
36
Which burn is worse- alkaline or acidic burns? WHy?
alkaline because liquification necrosis
37
"hazy cornea"- what is the treatment?
acute angle closure glaucoma- treat with IV mannitol, topical beta blockers and call ophthalmology
38
You have a patient who has painless, sudden loss of vision. You do an eye exam on a patient and see a "cherry red spot" What do they have?
central retinal artery occlusion
39
Your patient has malignant otitis externa. What is the most likely culprit?
P. aeruginosa
40
What underlying disorder does a patient with malignant otitis externa most likely have?
diabetes
41
First line treatment for mastoiditis
IV vanco or nafcillin
42
YOu have a patient with an anterior nosebleed and a patient with a posterior nosebleed. Which one will be admitted?
Posterior!- anterior just gets dose of antibiotics and packing in ER and then sent home
43
treatment for dental abscesses
Pen VK or clinda
44
"hot potato voice"
peritonsillar abscess
45
3 D's of epiglottis
drooling, dysphagia + distress
46
Pathogen causing epiglottitis
H flu
47
"railroad tracks " on X-ray
bronchiectasis
48
"thumb print sign" on X-ray
epiglottitis