ENT and eyes

Question 1

surfer who has gradual unilateral hearing loss

Answer 1

exostosis

surfers ear
many surfers and open water swimmers and wind surfers can get it . due to abnormal boine growth (otosclerosis)

Question 2

female who has permanent complete unilateral hearing loss in pregnancy

Answer 2

otosclerosis

pregnancy accelerates it/ makes it worse

Question 3

someone who had had hearing loss after getting off plane

Answer 3

glue ear ??

Question 4

man treated with antibiotics for presumed pneumonia, smoker, returns 6 weeks later still hoarse, what do doi?

Answer 4

refer urgently to ENT

Question 5

back pain, small pupils and red eyes

Answer 5

ank spond

Question 6

treatment for anterior uveitis

Answer 6

topical steroids

Question 7

treatment for acute closed angle glaucoma

Answer 7

IV acetazolamide (diamox)

it is a carbonic anhydrase inhibitor

Question 8

if somebody has a squint, what is the important first step in helpign them

Answer 8

correct any refractive errors

Question 9

in children how are squints/ lazy eyes corrected

Answer 9

patching
atropine drops (constricts the eye to make the other one work harder)

Question 10

MS with optic neuritis in left eye…. what visual field defect will you see

Answer 10

left central scotoma

Question 11

man age 21, sounds like MS nystagmus and pupils not looking in same direction

Answer 11

internuclear ophthalmoplegia

Question 12

bilateral red eye in child

Answer 12

chlamydial conjunctivitis

Question 13

person with contact lenses abd has red eye and pain

Answer 13

corneal ulcer

Question 14

bakc pain and red eye

Answer 14

anterior uveitis , seen in ank spond

Question 15

treatment of nasal polpys

Answer 15

steroids

Question 16

sinusitis for < 3 days, how do you treat it

Answer 16

decngestants

not antibiotics

Question 17

mid-dilated fixed pupil and painful red eye

Answer 17

acute closed angle glaucoma

Question 18

deep violaceous and red eye

Answer 18

scleritis

Question 19

red eye, no pain, pool of bloods

Answer 19

subconjunctival haemorrhage

Question 20

elderly lady with thin clear nasal discharge

Answer 20

vasomotor rhinits

Question 21

patient has runny nose with a cat

Answer 21

perennial rhinitis

Question 22

stridor and drooling

Answer 22

epiglottitis

Question 23

contact lens wearer and reduced visual acuity

Answer 23

corneal ulcer

Question 24

papilodema , headache and hemiparesis, what test shoud you do?

Answer 24

head CT

Question 25

vertigo and tingling in arms

Answer 25

vertibrobasillar insuffiency due tpo decreased bloodflow to posterior part of brain

Question 26

patient with trismus (locked jaw),, unilateral throat pain and deviated uvula

Answer 26

quinsy

Question 27

women had children, N+V then sudden onset dizziness lasting 2 weeks

Answer 27

acute labrynthitis

Question 28

woman had children, weakness in face, vertigo, previous episode of weakness

Answer 28

MS

Question 29

guy standing up from chair and gets dizzy

Answer 29

autonomic

Question 30

red eye and discharge

Answer 30

conjunctivitis

Question 31

farmer has a cat and has recurrent rhinitis, what test should you do

Answer 31

RASST

Question 32

chronic sinusitis and discharg, what test should you do?

Answer 32

CT sinus

Question 33

painful vesicles in ear

Answer 33

ramsey hunt syndrome

Question 34

single crease on nose is a sign of what

Answer 34

allergy/ allergic rhinits ( from constant rubbing)

Question 35

young man with 6 weeks of conjunctivitis and had conjunctival follicles. has been unresponsive to 1 week of topical chloramphenicol.

Answer 35

chalmydial conjunctivitis

Question 36

treatment of dendritic ulcer

Answer 36

acyclovir