ENT stuff

Question 1

otalgia as referred pain for CN5

Answer 1

• dental disease
• TMJ dysfunction
• nasopharyngeal disease

Question 2

otalgia as referred pain for CN 7

Answer 2

ramsay hunt

Question 3

otalgia as referred pain for CN 9/10

Answer 3

• throat infections

- head and neck cancer

Question 4

is perforated ear drum conductive or sensorineural

Answer 4

conductive

Question 5

management for otosclerosis

Answer 5

hearing aid or surgery

Question 6

what nerve for vestibular schwannoma

Answer 6

CN 8

Question 7

what does bilateral vestibular schwannoma indicate

Answer 7

neurofibromatosis type 2

Question 8

when are antibiotics given in otitis media

Answer 8

• child <2
• discharge
• bilateral infection
• perforation

amoxicillin
clarithromycin

Question 9

what drugs can cause tinnitus

Answer 9

aspirin and NSAIDs

Question 10

positive result of Dix Hallpike

Answer 10

rotational nystagmus

Question 11

if nasal polyps present in a child under 10 what should you consider

Answer 11

• cystic fibrosis

- malignancy

Question 12

what are the levels of treatment for epistaxis

Answer 12

1st - cautery
2nd - anterior nasal pack
3rd - posterior nasal pack
4th - endoscopic ligation of sphenopalatine artery 
5th - ligation of external carotid 
6th - embolization

Question 13

first line antibiotic for bacterial tonsillitis

Answer 13

penicillin

Question 14

indications for tonsillectomy

Answer 14

> 7 episodes in 1yr
5 episodes/yr in 2 consecutive years
3 episodes/yr in 3 consecutive years

Question 15

management for epiglottitis

Answer 15

call anaesthetist

ceftriaxone 2g IV