GP ENT

Question 1

Neck mass that moves when you protrude the tongue

Answer 1

Thyroglossal duct cyst. MC congenital cystic mass lesion

Question 2

Only neck mass that consistently transilluminates

Answer 2

Cystic hygroma

Question 3

Cystic Hygroma associated with syndromes

Answer 3

Noonan, Turner, Down (though most will have normal karyotype)

Question 4

Hearing loss with fainting

Answer 4

Jervelle Lange Neilsen (EKG with long QT, AR inheritance)

Question 5

SNHL plus white forelock

Answer 5

Waardenburg (often have different colored eyes)

Question 6

SNHL plus vertigo

Answer 6

Perilymphatic fistula (ENT referral needed for repair)

Question 7

Typanogram with poor compliance and high volume

Answer 7

Perforated TM

Question 8

Typanogram with poor compliance and low volume

Answer 8

Cerumen or probe against the wall

Question 9

Typanogram with poor compliance and normal volume

Answer 9

Effusion or sclerotic TM

Question 10

Abnormal Bone and Air Conduction

Answer 10

Sensory neural hearing loss

Mixed if difference between bone and air is > 10 dB

Question 11

Most common hearing loss

Answer 11

Conductive hearing loss

Question 12

MC acquired hearing loss

Answer 12

Effusion

Question 13

MC non-syndromic genetic hearing loss

Answer 13

Connexin 26 defect

Question 14

MC congenital infection leading to SNHL

Answer 14

CMV

Question 15

MC acquired infection leading to SNHL

Answer 15

Meningitis

Question 16

Which extra vaccine is implicated after cochlear implant ?

Answer 16

PPSV - 23

Question 17

MC complications of AOM

Answer 17

TM perforation

Question 18

MC serious complication of AOM

Answer 18

Mastoiditis

Question 19

Abx for AOM in Pcn allergic

Answer 19

3rd gen Cephalosporins

Question 20

Abx for bullous myringitis

Answer 20

Same as routine AOM
Amoxicillin 80 to 100 mg/kg for 10 days
if no response in 48 hrs of treatment
Amox/Clavulanate 80-100 mg/kg/day
if no response in 48 hrs
Ceftriaxone IM

Question 21

Treatment of Sinusitis diagnose due to 10 days of persistent symptoms

Answer 21

Obsv for 72 hrs. Treat with Abx if doesnt improve or worsens in the interim
Amox or augmentin for 10 days or 7 days after symptom free

Question 22

Most common predisposing etiology for acute bacterial sinusitis

Answer 22

Viral URI

Question 23

Neck mass Midline

Answer 23

Thyroglossal duct
Goiter
Laryngocele
Dermoid Cyst

Question 24

Neckmass Lateral Anterior Triangle

Answer 24

Brachial cleft cyst

US/CT Surgical Exc Abx if infected

Question 25

Neckmass Lateral Posterior Triangle

Answer 25

Cystic Hygroma (Lymphangioma)
Painless, compressible, transiluminates
CT / MRI
Resection vs Sclerotherapy (ethanol/bleomycin)
Send chromosomes studies

Question 26

Normal Bone

Abnormal air Conduction

Answer 26

Conductive hearing loss