ENT Surgery

Question 1

What is the triad of symptoms in menieres disease?

Answer 1

-Feeling of fullness in ear
-Tinnitus
-Vertigo

Question 2

What is the centor criteria used for and what does it include? When is management indicated?

Answer 2

Centor criteria is used for tonsilitis
Includes:
-Fever
-Cervical lymphadenopathy
-Cough
-Tonsil exudate
Antibiotics(phenoxymethylpenicillin or clarithromycin if allergic) are indicated if 3/4 of the criteria are met.

Question 3

What are risk factors for nasopharyngeal carcinoma and red flags? ?What would be the next step

Answer 3

-Ethnicity(Asian)
-Past adult history of tonsilitis
-RED flag sign is unilateral glued ear
Next step would be flexible nasoendoscopy

Question 4

What is first line treatment for otitis externa?

Answer 4

Topical ABx with or without topical steroids for 1-2weeks

Question 5

First line treatment for otitis media?
Including perforation or lasting more than 4 days

Answer 5

-Analgesia
-If perforated tympanic membrane or lasting more than 4 days, then oral amoxi