Formative assessment

Question 1

Contraindications to getting rhinoplasty

Answer 1

Recent changes in mental health

Question 2

First line child with OME

Answer 2

Watch and review for 3 weeks

Question 3

Primary management if moderate to severe OSA in kids

Answer 3

Surgery

Question 4

What abx should be avoided when treating tonsillitis or glandular

Answer 4

Amoxicillin

Question 5

When should a nasal fracture be assessed to see if local manipulation is indicated

Answer 5

7-14 days after the event - oedema will have settled

Question 6

Battles sign

Answer 6

Temporal bone fracture - bruising behind the ear

(Significant trauma)

Question 7

Virus associated with nasopharyngeal cancer

Answer 7

EBV

Question 8

Most useful investigation for neck mass of unknown origin

Answer 8

US fine needle aspiration

Question 9

Otitis externa management that’s not improved after 3 days with conservatives

Answer 9

topical sofradex

Question 10

What does a flat tympanogram indicate (type B)

Answer 10

Fluid in the middle ear

Question 11

Vertigo lasting minutes to hours, prodrome with a history of migraine (vestibular migraine)

1st management option?

Answer 11

Lifestyle and dietary changes

Question 12

Vestibular neuronitis vs labrythinitis difference

Answer 12

Loss of hearing with labrythintis

Question 13

Facial nerve palsy right sided - o/e grade 4 weakness but is able to raise eyebrows - what do you need to rule out

Answer 13

Cardiac event

Question 14

What do you do first after any nasal trauma due to head injury

Answer 14

ATLS screen

Then rule out septal haematoma

Question 15

Flat trace tympanogram with a high canal volume

Answer 15

…would show a perforation (or fluid if no high canal volume)

Question 16

Tx for viral cause of hyposmia

Answer 16

Smell retraining and support

Question 17

How is the pinna pulled in otoscopy

Answer 17

superior and posterior

Question 18

Audiograms

Question 19

Gold standard for OSA

Answer 19

Polysomnography

Question 20

Symptoms of pharyngeal pouch

Question 21

Investigation to exclude vestibular schwanomma

Answer 21

MRI

Question 22

Orbital cellulitis vs preseptal cellulitis

Answer 22

Pain on eye movement (With orbital cellulitis)

Question 23

Asthma and polyps go hand in hand

Answer 23

So if nasal blockage with history of asthma - think polyps

Question 24

Nose bleeding with a nasal pack
Is on warfarin (INR 3.5) and bp is 170/110

What medication should be given

Answer 24

Anti-hypertensives is the easiest

Leave the INR alone - he is on warda