ENT

Question 1

Imaging for Retropharyngeal abscess

Answer 1

Neck xray during inspiration and extension

Question 2

Tropicamide

Answer 2

Shortest acting cycloplegic (ED eye dilation)

Question 3

Criteria for AOM “wait and see” rx

Answer 3

> 2 yo
unilateral
<48 hrs sx
< 39 C temp

Question 4

Pediatric AOM rx

Answer 4

Amoxicillin 90 mg/kg/day 7d

Augmentin (second round)

Question 5

Hordeolum

Answer 5

PAINFUL stye, warm compresses , preceeds chalazion

Question 6

Chalazion

Answer 6

PAINLESS, lump in the eyelid caused by blockage of the meibomian gland; warm compresses, preceeded by hordeolum

Question 7

headache, fever, CN6 abducens palsy

Answer 7

Cavernous sinus thrombosis

CT head and orbits w/ con

Question 8

Retropharyngeal abscess (RPA)

Answer 8

pts < 4
Inspiratory XR w/ 7mm C2
Similar presentation to epiglottitis except for age

Question 9

Epiglottitis

Answer 9

Average age is now 46 yo. Inspiratory stridor and tripoding

Question 10

Pyogenic Granuloma

Answer 10

Vascular lesion in mucosa after trauma (in pregnancy) - conservative management, self resolves

Question 11

Idiopathic endolymphatic hydrops

Answer 11

“Meniere disease” tinnitus w/ hearing loss and vertigo.