ENT overview

Question 1

During an ENT exam, what two other exams should you ALWAYS DO?

Answer 1

lungs and heart

Question 2

What tool allows you the check for movement of the TM?

Answer 2

pneumatic otoscope

Question 3

What can a tympanometer be useful for?

Answer 3

id effusion

Question 4

Upon examination of the TM, you identify a cyst in the middle ear space. You can also see that the TM is retracted/perforated. What are you worried about?

Answer 4

Cholesteatoma. could be destructive and erosive to ossicles.You will see keratin debris. The most common cause of this is prolonged eustachian tube dysfunction with chronic NEG EAR PRESSURE!

Question 5

A patient with a cholesteatoma usually has a history of..

Answer 5

chronic ear infections

Question 6

How do you diagnose and what do you do?

Answer 6

CT scan for dx, and refer to ENT

Question 7

A wrestler comes in, and you notice some necrosis and blood pooling on the external auricle. What should you do?

Answer 7

I&D!!! immediatley, but may come back.

Question 8

When do the frontal sinuses appear? What sinuses are the kids born with?

Answer 8

age 4, making it unlikely the will develop a frontal sinustits until 6-7. maxillary and ethmoid.

Question 9

What would be your three main reasons for order a CT for a nose/sinus disorder?

Answer 9

dx acute vs chronic sinusitis
med treatment fails
suspect a mass

CTs are tHE GOLD STANDARD…use sparingly in kids.

Question 10

Which diagnosit scan is not useful for nose/sinus work ups?

Answer 10

MRI

Question 11

What are common labs ordered for a oral cavity/pharynx work up?

Answer 11

rapid strep test, throat culture, cbc, monospot