INVESTIGATIONS - ENT and ophthalmology Flashcards

1
Q

What type of imaging is used to investigate conductive hearing loss?

A

CT

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2
Q

What type of imaging is used to investigate sensorineural hearing loss?

A

MRI

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3
Q

What’s the usual imaging method of choice to investigate trauma involving the orbit, midface and skull base?

A

CT

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4
Q

What method of imaging might be useful in trying to determine the cause of dizziness in a patient?

A

MRI

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5
Q

Apart from an audiogram, what investigation would be helpful in a patient with suspected cholesteatoma?

A

CT of the petrous temporal bone

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6
Q

Which tuning fork is used for Rinnes and Werbers?

A

512Hz

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7
Q

What manouvre is used to help diagnose BPPV?

A

Dix-Hallpike test

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8
Q

In a patient with allergic rhinitis, what test could be done to establish the causative allergen?

A
Skin prick testing
or RAST (measure specific serum IgE levels)
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9
Q

Investigation of choice in suspected orbital cellulitis?

A

CT

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10
Q

Diagnostic test for infective mononucleosis / glandular fever?

What’s the CRP normally in mono?

A

Blood IgM EBV

CRP tends to be <100

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11
Q

When investigating a potential foreign body with x-ray, what should you always do?

A

Lateral view to establish location (i.e. oesophagus or trachea)

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12
Q

First line investigation for neck lumps?

A

Ultrasound

+ FNA for thyroid

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13
Q

Investigation of choice for salivary gland disease?

A

Ultrasound

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14
Q

What’s the imaging method of choice for looking at the paranasal sinuses?

A

CT

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15
Q

Imaging method of choice for pathologies involving the skull base?

A

MRI

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16
Q

Imaging method of choice for staging most head and neck cancer?

A

CT

17
Q

Why is CT better than MRI in elderly / debilitated patients?

A

Much faster

18
Q

Investigation of choice to assess oesopahgeal structure in a patient presenting with dysphagia?

A

Endoscopy

19
Q

Investigation of choice to assess oesophageal function in a patient presenting with dysphagia?
Give examples of when this would be useful.

A

Barium swallow

Pharyngeal pouches, strictures, dysmotility

20
Q

Are benign lymph nodes elliptical or round?

A

Ellipitcal (rugby ball shaped)

21
Q

Imaging method of choice in nasal trauma?

A

No imaging needed!