ENT Kahoot Flashcards
What additional test can you do to evaluate mobility of the TM?
Pneumatic otoscopy
True or false: routine cerumen removal is not recommended for asymptomatic pts
True
List 3 criteria for referral to an otolaryngologist
-Ear pain w Hx of multiple ENT surgeries
-Purulence or necrotic tissue
-Persistence of otologic complaints after cerumen removal
What would redness with no visibility of the TM indicate on an otoscopic exam?
Otitis externa
What is a major risk factor for otitis externa?
Swimming/ water exposure
True or false: topical therapy is the treatment of choice in otitis externa
True
What is the #1 cause of malignant/ necrotizing external otitis?
P. aeruginosa
A 5 year old presents with a FB in the EAC. What’s your next move?
Check the other ear and both nares
What is the likely diagnosis for a bulging and red TM?
Acute otitis media (AOM)
What is the Tx of choice for AOM in kids with no antibiotics use in the past month?
Amoxicillin
What’s the most common treatment for OME in children?
Watchful waiting (observation)
Your pt with a Hx of rhinosinusitis has a retracted left TM with decreased mobility on pneumatic otoscopy. Dx?
ETD (eustachian tube dysfunction)
Your 52 y/o pt presents with sudden left sided SNHL. What should you order? Why?
Order a head CT or brain MRI (to rule out acoustic neuroma)
If a pt presents with vertigo, what’s it important to determine? (3 things)
-Clarify what they mean by dizzy
-Do they have auditory complaints?
-Is it central or peripheral?
True or false: Central vertigo has a gradual onset and is not associated with auditory Sx
True
Is BPPV associated with HL?
No
What maneuver can help establish the Dx of BPPV?
Dix-Hallpike
What is the Ramsay Hunt syndrome triad?
Ipsilateral facial paralysis, otalgia, vesicles in the EAC
What is the most common suppurative complication of AOM?
Mastoiditis
Which of the following abt Meniere’s is false?
a) characterized by episodic vertigo
b) characterized by SNHL
c) most commonly bilateral
d) pt may complain abt fluctuating aural fullness
c) most commonly bilateral
What is the most common cause of tinnitus?
SNHL (presbycusis)
True or false: SNHL is usually correctable
False
What is the most common neoplasm of the EAC?
SCC (squamous cell carcinoma)
What is the most common source of anterior epistaxis?
Kiesselbach’s plexus
Anterior epistaxis in kids is most likely due to what?
Digital trauma
What is an important first step when treating anterior epistaxis?
Try to localize source of bleeding
True or false: posterior epistaxis always requires an urgent ENT consult
True
Which is a feature of allergic rhinitis?
a) ocular Sx
b) mucopurulent discharge
c) chronic cough
d) fever
a) ocular Sx
Which is a PE finding consistent with allergic rhinitis?
a) erythematous nasal mucosa
b) maxillary sinus tenderness
c) pale or violaceous turbinate mucosa
c) pale or violaceous turbinate mucosa
True or false: intranasal antihistamines are the mainstay of allergic rhinitis therapy
False (intranasal corticosteroids)
Which is not typically of non-allergic rhinitis?
a) can be triggered by spicy food
b) presence of ocular Sx or allergic conjunctivitis
B
Rhinitis medicamentosa can happen after you use OTC nasal decongestants for more than ________ days
3
True or false: acute rhinosinusitis means the Sx have been present for less than 4 weeks
True
List 3 common features of true bacterial sinusitis
1) Sx duration longer than 10 days
2) Double worsening
3) Unilateral facial pain
Which is NOT one of the 4 cardinal signs/ Sx of chronic sinusitis in adults?
a) anterior mucopurulent drainage
b) nasal obstruction, bilateral congestion
c) nasal pain
d) cough
d) cough
What is the most common subtype of chronic sinusitis?
CRS without nasal polyposis
True or false: The Dx of invasive fungal rhinosinusitis requires hospital admission and an urgent ENT referral
True
What is the treatment of choice for necrotizing ulcerative gingivitis?
a) amoxicillin
b) penicillin
d) metronidazole
c) azithromycin
d) metronidazole
Which of the following are considered emergencies?
a) upper airway FB
b) epiglottitis
c) leukoplakia
d) Ludwig’s angina
a, b, d
Which of the following is included on the Centor criteria?
a) pharyngotonsillar exudates
b) tender anterior cervical LAD
c) absence of cough
d) congestion
a, b, c
