Passmed ENT - Pharmacological Managements

Question 1

Acute otitis media

Answer 1

Amoxicillin 5-7 days, erythromycin/clarithromycin IPA

Remember here that the majority of cases won’t need abx

Question 2

Ear wax

Answer 2

Olive oil, sodium bicarbonate 5%, almond oil

Question 3

Acute necrotising ulcerative gingivitis

Answer 3

Oral metronidazole/amoxicillin
Chlorhexidine 0.12/0.2% or hydrogen peroxide 6% mouth wash

Question 4

Otitis externa

Answer 4

Topical antibiotic +/- topical steroid (ear drops)

Question 5

Ramsay Hunt syndrome

Answer 5

Oral aciclovir + steroid

Question 6

Antibiotic indicated if CENTOR/FeverPAIN scores meet thresholds?

Answer 6

Phenoxymethylpenicillin, clarithromycin IPA
7-10 day course

Question 7

Sudden-onset sensorineural hearing loss

Answer 7

Oral corticosteroids

Question 8

Vestibular neuronitis

Answer 8

Rapid relief = buccal/IM prochlorperazine if severe
Short course of oral prochlorperazine for acute (or antihistamine)
Vestibular rehab exercises for chronic

Question 9

Viral labyrinthitis

Answer 9

Prochlorperazine or antihistamine