Formative assessment Flashcards
Contraindications to getting rhinoplasty
Recent changes in mental health
First line child with OME
Watch and review for 3 weeks
Primary management if moderate to severe OSA in kids
Surgery
What abx should be avoided when treating tonsillitis or glandular
Amoxicillin
When should a nasal fracture be assessed to see if local manipulation is indicated
7-14 days after the event - oedema will have settled
Battles sign
Temporal bone fracture - bruising behind the ear
(Significant trauma)
Virus associated with nasopharyngeal cancer
EBV
Most useful investigation for neck mass of unknown origin
US fine needle aspiration
Otitis externa management that’s not improved after 3 days with conservatives
topical sofradex
What does a flat tympanogram indicate (type B)
Fluid in the middle ear
Vertigo lasting minutes to hours, prodrome with a history of migraine (vestibular migraine)
1st management option?
Lifestyle and dietary changes
Vestibular neuronitis vs labrythinitis difference
Loss of hearing with labrythintis
Facial nerve palsy right sided - o/e grade 4 weakness but is able to raise eyebrows - what do you need to rule out
Cardiac event
What do you do first after any nasal trauma due to head injury
ATLS screen
Then rule out septal haematoma
Flat trace tympanogram with a high canal volume
…would show a perforation (or fluid if no high canal volume)
Tx for viral cause of hyposmia
Smell retraining and support
How is the pinna pulled in otoscopy
superior and posterior
Audiograms
Gold standard for OSA
Polysomnography
Symptoms of pharyngeal pouch
Investigation to exclude vestibular schwanomma
MRI
Orbital cellulitis vs preseptal cellulitis
Pain on eye movement (With orbital cellulitis)
Asthma and polyps go hand in hand
So if nasal blockage with history of asthma - think polyps
Nose bleeding with a nasal pack
Is on warfarin (INR 3.5) and bp is 170/110
What medication should be given
Anti-hypertensives is the easiest
Leave the INR alone - he is on warda
