ENT

Question 1

Haemorrhage post tonsillectomy

Answer 1

If it occurs within 5-10 days often due to infection and manage with IV antibiotics

Question 2

Vestibular neuronitis

Answer 2

• unilateral ear pain
• vertigo
• no associated deafness
• nystagmus

Question 3

Ramsay Hunt syndrome

Answer 3

• severe deep ear pain
• vertigo
• facial palsy
• vesicular lesions that can affect tongue

Question 4

Chronic rhinosinusitis

Answer 4

Red flags include unilateral symptoms and constitutional symptoms

Question 5

Batonella infection

Answer 5

Generalised systemic symptoms in the presence of cat scratch

Question 6

Branchial cyst

Answer 6

Located at anterior border of sternocleidomastoid, soft and fluctuant and can become worse with infection

Question 7

Tachyphylaxis

Answer 7

Increasing dose required for the same affect

Question 8

Trigeminal neuralgia

Answer 8

Shooting pain across the cheek that can be triggered by touch.

Question 9

Ludwig’s angina

Answer 9

Infection to the floor of the mouth and soft tissues of neck that needs urgent ABC assessment

Question 10

Aspirin

Answer 10

Avoid in asthma as it can cause Samter’s triad and nasal polyposis

Question 11

Ciproflaxacin

Answer 11

Used to treat otitis externa in diabetics as it covers for pseudomonas

Question 12

Haemophilus influenzae

Answer 12

Common cause of bacterial otitis media

Question 13

Otitis media

Answer 13

Oral antibiotics are indicated with perforation

Question 14

Nasopharyngeal carcinoma

Answer 14

Suspect in epistaxis and Chinese heritage

Question 15

Vertebrobasiliar ischaemia

Answer 15

Elderly patients with dizziness on neck extension

Question 16

Vestibular rehabilitation exercise

Answer 16

Preferred treatment for ongoing cases