MSRA special senses

Question 1

Dermatomyositis is associated with what malignancy?

Answer 1

Breast, Ovarian, Lung

Question 2

what should be prescribed in otitis externa?

Answer 2

topical corticosteroid + topical abx

Question 3

phenylephrine eye drops does what in episcleritis?

Answer 3

blanches redness

Question 4

patients with nasal polyps have a sensitivity to which drug?

Answer 4

aspirin

Question 5

when should anterior packing be used in epistaxis?

Answer 5

If cautery is not viable and bleeding point cannot be identified (after first aid measures have been tried)

Question 6

acoustic neuroma causes what type of deafness?

Answer 6

Unilateral sensorineural deafness

Question 7

what are the common symptoms of acoustic neuroma?

Answer 7

• Vertigo
• hearing loss
• tinnitus
• absent corneal reflex

Question 8

acoustic neuroma affects which cranial nerves?

Answer 8

V, VII, VIII

Question 9

otosclerosis causes what type of hearing loss?

Answer 9

Progressive, bilateral conductive hearing loss

Question 10

Cholesteatoma causes what sort of hearing loss?

Answer 10

Conductive hearing loss in affected ear

Question 11

retinitis pigmentosa presents with what kind of visual field problem?

Answer 11

Tunnel vision
Early blindness family history

Question 11

when there is macula sparing where is the lesion most likely to be?

Answer 11

Occipital cortex

Question 12

what are the 3 main features of meniere’s disease?

Answer 12

• vertigo
• tinnitus
• hearing loss (sensorineural)

Question 13

nasal septal haematomas require urgent drainage and antibiotics - true or false

Answer 13

True
avoid septal necrosis
boggy swelling in midline

Question 14

what drug treatment can be used in capillary haemangiomas?

Answer 14

Propranolol or topical beta blockers

Question 15

what manoeuvre is done to investigate BPPV?

Answer 15

Dix Hallpike manoeuvre

Question 16

what manoeuvre is done to treat BPPV?

Answer 16

Epley manoeuvre