ENT Pass Med

Question 1

What is trismus?

Answer 1

Reduced opening of the jaw

Question 2

What is Ludwigs angina?

Answer 2

A rare infection of the floor of the mouth and soft tissue of the neck

Question 3

In a kid with a perforated tympanic membrane, how long does it take to heal? If it hasn’t healed by what point should you refer?

Answer 3

6-8 weeks to heal

Advise to keep ear dry and review at that point before considering referral

Question 4

What is first line for otitis externa

Answer 4

Ciprofloxacin with or without steroid (topical)

Question 5

If otitis media is spreading what is given

Answer 5

Oral fluclox

Question 6

Painful bleeding gums with halitosis and punched out ulcers on the gums

Answer 6

Acute necrotising ulcerative gingivitis (give paracetamol oral metronidazole and chlorhexidine mouth wash and urgently see a dentist)

Question 7

Intranasal steroids should only be considered for sinusitis if symptoms have persisted for

Answer 7

10 days or more

Question 8

Tonsillar SCC is associated with which infection

Answer 8

HPV infection

Question 9

Nasopharyngeal carcinomas associated with what infection

Answer 9

EBV infection

Question 10

Unilateral middle ear effusion can be a sign of

Answer 10

Nasopharyngeal cancer (blocking Eustachian tube)

Question 11

Stensons duct drains the

Answer 11

Parotid gland

Question 12

Wharton’s duct drains the

Answer 12

Submandibular gland

Question 13

What points towards vestibular neuronitis over labyrinth it is

Answer 13

Unaffected hearing

Question 14

Branchial cysts characteristically contain … crystals

Answer 14

Cholesterol

Question 15

Otitis externa in diabtetes what abx

Answer 15

Ciprofloxacin

Question 16

Haemorrhage 5-10 days post tonsillectomy is commonly associated with

Answer 16

Wound infection

Question 17

Recurrent epistaxis without red flags can be treated by

Answer 17

Naseptin (chlorhexidine/ neomycin)

Question 18

Bartonella infection may occur following a

Answer 18

Cat scratch

Question 19

Elderly patient dizzy on extending neck

Answer 19

Vertebrobasilar ischaemia