Monday - ENT doc

Question 1

Most common peripheral vertigo?

causes
signs and symptoms (SSx)
Dx tests
pathophysiology

Answer 1

BPPV

Cause: post trauma, post viral infection
SSx: recurrent brief positional vertigo, latency, fatigability
Dx: Hx, Dix-Hallpike
pathophys: canalithiasis (build up of otoconia in SC canal)

Normal Hearing

Question 2

Most common cause of sensorineural hearing loss

Answer 2

presbycusis - progressive loss of hair cells with age

Question 3

otosclerosis - what is it

what type of hearling loss

Answer 3

autosomal dominant sclerosis of the stapes and can effect the oval window

conductive hearing loss

Question 4

Meniere’s disease

cause
SSx

Answer 4

leaking of endolymph

Fluctuating SNHL
Low freq tinnitus
episodic vertigo
asymptomatic between spells usually

Question 5

2 benign projections in the ear canal

Answer 5

osteomas and exostosis <-cold water exposure

look like cholesteatoma but not

Question 6

AOM
(acute otitis media)

SSx

Answer 6

otalgia (ear pain)
aural fullness
hearing loss

Question 7

Allergic rhinitis

cause
epidemiology
SSx
theraputics

Answer 7

IgE - mediated hypersensitivity of the nasal mucosa

20% of us population, rare before 2 years, more common in males if young

SSx - sneezing, rhinorrhea, nasal gongestion, lacrimation
PRURITIS IF ALLERGY

intranasal steroids

Question 8

sinusitis

cause
how do Dx
therapeutics

Answer 8

inflammatory, not infectious

CT WITHOUT CONTRAST

nasal saline
intranasal corticosteroids
antihistamines

Question 9

Best examination technique for hoarse voice

Answer 9

Videostroboscopy