ENT

Question 1

14 month old, otherwise healthy now has a conductive hearing loss for more than 3 months

1. This child is likely to have sensorineural hearing loss
2. This child is likely to have a type A tympanogram
3. This child should be referred for tubes
4. This child should only swim with earplugs or earmolds

Answer 1

3. This child should be referred for tubes

Question 2

12 years old draining left ear x 1 year. What is the most likely diagnosis?

1. perforated acute otitis media
2. cholesteatoma
3. otitis media with effusion
4. otitis externa

Answer 2

2. cholesteatoma

Question 3

first born infant with profound SNHL and normal hearing parents could likely have deafness resulting from all but one of the listed causes:

1. congenital CMV
2. anomaly of ionic homeostasis within the cochlea
3. Branchial Oto Renal Syndrome
4. Mondini Deformity

Answer 3

3. Branchial Oto Renal Syndrome

Question 4

What is the most common cause of bilateral nasal obstruction in a child?

1. nasal foreign body
2. adenoid hypertrophy
3. septal deviation
4. nasal polyposis

Answer 4

2. adenoid hypertrophy

Question 5

What is the most common cause of new onset, persistent unilateral foul smelling nasal discharge in a child?

1. unilateral choanal atresia
2. adenoid hypertrophy
3. septal deviation
4. nasal foreign body

Answer 5

4. nasal foreign body

Question 6

13 years old boy – severe chronic epistaxis – blood tests normal :

1. repeat coagulation profile
2. transfuse prophylactically
3. refer to otolaryngology for endoscopy/possible imaging
4. start on nasal steroids

Answer 6

3. refer to otolaryngology for endoscopy/possible imaging

Question 7

6 yo, w/ poor school performance, somnolence, snores heroically. What are secondary indications of obstructive apnea:

1. enuresis
2. daytime somnolence
3. ADHD
4. failure to thrive
5. all of the above

Answer 7

5. all of the above

Question 8

a 9 month old male presents with sudden onset “croup” to your office. Was unobserved playing when heard coughing? What is the provisional diagnosis?

1. foreign body of the airway
2. croup
3. URTI
4. laryngomalacia

Answer 8

1. foreign body of the airway

Question 9

2 year old, afebrile, non-tender mass, growing. What is the most likely diagnosis?

1. salivary gland neosplasm
2. mycobacterial avium adenitis
3. hemangioma
4. branchial cleft cyst

Answer 9

2. mycobacterial avium adenitis