ENT Kahoot Flashcards

1
Q

What additional test can you do to evaluate mobility of the TM?

A

Pneumatic otoscopy

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2
Q

True or false: routine cerumen removal is not recommended for asymptomatic pts

A

True

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3
Q

List 3 criteria for referral to an otolaryngologist

A

-Ear pain w Hx of multiple ENT surgeries
-Purulence or necrotic tissue
-Persistence of otologic complaints after cerumen removal

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4
Q

What would redness with no visibility of the TM indicate on an otoscopic exam?

A

Otitis externa

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5
Q

What is a major risk factor for otitis externa?

A

Swimming/ water exposure

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6
Q

True or false: topical therapy is the treatment of choice in otitis externa

A

True

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7
Q

What is the #1 cause of malignant/ necrotizing external otitis?

A

P. aeruginosa

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8
Q

A 5 year old presents with a FB in the EAC. What’s your next move?

A

Check the other ear and both nares

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9
Q

What is the likely diagnosis for a bulging and red TM?

A

Acute otitis media (AOM)

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10
Q

What is the Tx of choice for AOM in kids with no antibiotics use in the past month?

A

Amoxicillin

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11
Q

What’s the most common treatment for OME in children?

A

Watchful waiting (observation)

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12
Q

Your pt with a Hx of rhinosinusitis has a retracted left TM with decreased mobility on pneumatic otoscopy. Dx?

A

ETD (eustachian tube dysfunction)

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13
Q

Your 52 y/o pt presents with sudden left sided SNHL. What should you order? Why?

A

Order a head CT or brain MRI (to rule out acoustic neuroma)

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14
Q

If a pt presents with vertigo, what’s it important to determine? (3 things)

A

-Clarify what they mean by dizzy
-Do they have auditory complaints?
-Is it central or peripheral?

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15
Q

True or false: Central vertigo has a gradual onset and is not associated with auditory Sx

A

True

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16
Q

Is BPPV associated with HL?

A

No

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17
Q

What maneuver can help establish the Dx of BPPV?

A

Dix-Hallpike

18
Q

What is the Ramsay Hunt syndrome triad?

A

Ipsilateral facial paralysis, otalgia, vesicles in the EAC

19
Q

What is the most common suppurative complication of AOM?

A

Mastoiditis

20
Q

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

A

c) most commonly bilateral

21
Q

What is the most common cause of tinnitus?

A

SNHL (presbycusis)

22
Q

True or false: SNHL is usually correctable

A

False

23
Q

What is the most common neoplasm of the EAC?

A

SCC (squamous cell carcinoma)

24
Q

What is the most common source of anterior epistaxis?

A

Kiesselbach’s plexus

25
Q

Anterior epistaxis in kids is most likely due to what?

A

Digital trauma

26
Q

What is an important first step when treating anterior epistaxis?

A

Try to localize source of bleeding

27
Q

True or false: posterior epistaxis always requires an urgent ENT consult

A

True

28
Q

Which is a feature of allergic rhinitis?
a) ocular Sx
b) mucopurulent discharge
c) chronic cough
d) fever

A

a) ocular Sx

29
Q

Which is a PE finding consistent with allergic rhinitis?
a) erythematous nasal mucosa
b) maxillary sinus tenderness
c) pale or violaceous turbinate mucosa

A

c) pale or violaceous turbinate mucosa

30
Q

True or false: intranasal antihistamines are the mainstay of allergic rhinitis therapy

A

False (intranasal corticosteroids)

31
Q

Which is not typically of non-allergic rhinitis?
a) can be triggered by spicy food
b) presence of ocular Sx or allergic conjunctivitis

A

B

32
Q

Rhinitis medicamentosa can happen after you use OTC nasal decongestants for more than ________ days

A

3

33
Q

True or false: acute rhinosinusitis means the Sx have been present for less than 4 weeks

A

True

34
Q

List 3 common features of true bacterial sinusitis

A

1) Sx duration longer than 10 days
2) Double worsening
3) Unilateral facial pain

35
Q

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

A

d) cough

36
Q

What is the most common subtype of chronic sinusitis?

A

CRS without nasal polyposis

37
Q

True or false: The Dx of invasive fungal rhinosinusitis requires hospital admission and an urgent ENT referral

A

True

38
Q

What is the treatment of choice for necrotizing ulcerative gingivitis?
a) amoxicillin
b) penicillin
d) metronidazole
c) azithromycin

A

d) metronidazole

39
Q

Which of the following are considered emergencies?
a) upper airway FB
b) epiglottitis
c) leukoplakia
d) Ludwig’s angina

A

a, b, d

40
Q

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

a, b, c