Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MB2 Ear, Nose and Throat > Trauma > Flashcards

Trauma Flashcards

1
Q

local cause of epistaxis

A 
idiopathic 
truamatic 
inflammatory 
foreign body 
tumour
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

systemic cause epistaxis

A 
anticoagulants 
clotting issues 
liver disease 
haemophilia 
HHT
leukaemia 
thrombocytopaenia 
arteriosclerosis 
wegners granulomatosis 
HTN
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

management local epistaxis

A 
external pressure 
ice 
cautery 
packing 
remove clots with suction 
lignocaine, adrenaline
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

management of distant epistaxis

A

sphenopalatine artery ligation
ant ethmoidal artery ligation
external carotid/maxillary ligation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

systemivc management of epistaxis

A 
reverse anticoagulants 
correct clotting 
tranexamic acid 
platelet transfusion 
treat cause 
treat HTN
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

questions to ask about ENT trauma

A 
mechanism 
when 
LOC 
epistaxis 
breatihng 
bruising/swelling 
tenderness
deviation 
infraorbital sensation 
cranial nerves?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is a septal haematoma

A

result of inflammation to mucosa supplying nasal cartilage leading to nasal collapse
can also become infected and spread to the danger traingle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what factors are setting the nose based off

A

breathing, cosmesis and deviation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

when would you consider resetting the nose

A

either immediately after or within 7-14 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

complications of nasal fracture

A

epistaxis
CSF leak
meningitis
anosmia with crib plate fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

blood tests during admission for epistaxis

A

FBC, G&S, XM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

most common site for CSF leak and management

A

cribiform plate
usually settles but may need repair within 7 days
do not give abx as can mask a meningitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is a pinna haematoma and how would you manage it

A

avascular cartilage cannot receive nutrient from mucosa due to trauma
aspirate, incision and drainage
pressure dressing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

management of lacteration to ear

A

debride
local anaesthetic
Abx
primary or reconstructive tissue repair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

key questions in temporal bone fracture

A 
facial palsy 
CSF leak 
hearing loss 
vertigo 
mechanism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

features of temporal bone fracture on examination

A

battles sign
look at TM and canal
test CN VII and assess palsy
hearing test

17
Q

what is worse, progressive facial nerve palsy or immediate

A

immediate, indicates severe damage to the facial nerve

18
Q

complications of a longitudinal temporal bone fracturr

A

most common
facial nerve palsy
haemotympanum
ossicular chain dysruption

19
Q

mechanism and complications of a transverse temporal bone fracture

A

frontal blow
cross IAM to damage auditory/facial nerve
facial nerve palsy/vertigo

20
Q

management of sudden sensorineural hearing loss?

A

1mg/kg steroid and intratympanic treatment

21
Q

what foreign body MUST be removed with immediate effect

A

button batteries, organ threatening

22
Q

managing live animals in the ear?

A

drown them in oil and remove in urgent clinic

23
Q

demographic for penetrating neck trauma

A

GSW, knife
Males
younger

24
Q

aerodigestive features of penetrating neck trauma

A

SOB
hoarse
dysphonia
dysphagia

25
Q

Zone I area of penetrating neck trauma

A

cricoid to sternum and clavicle

trachea, oesophagus, thoracic duct, thyroid, great vessels, cord

26
Q

Zone II area of penetrating neck trauma

A

cricoid to hyoid
larynx
hyopharynx
CN X, IX, XII

27
Q

Zone III area of penetrating neck trauma

A

cricoid to skull base
pharynx, cranial nerves, carotids IJV, vetebral arteries
cord

28
Q

management of penetrating neck trauma

A 
ABCDE
inspect and classify
manage bleed 
aerodigestive issues
neuro issues 
FBC, G&S, XM
AP/lat neck
CXR, CT angio or MRI 
endoscopy may be considered
29
Q

when is urgent surgical exploration indicated in penetrating neck trauma

A

expanding haematoma, shock, obstruction, blood in the aerodigestive tract

30
Q

cause of deep neck space infection?

A

tonsil or oropharynx infection

31
Q

symptoms of deep neck space infection

A 
sore throat 
febrile 
limited neck movement 
red and tender neck 
trismus
32
Q

management of deep neck space infection

A 
admit 
IV access with bloods 
fluids 
coamoxiclav and clindamycin 
theatre to drain 
manage any airway compromise by securing
33
Q

management of airway obstruction

A 
ABCDE 
High flow O2 
heliox 
neb budesonide and adrenaline 
fibre optic endoscope 
secure with ET, tracheostomy 
cricothyroidectomy in emergency cases
34
Q

features of orbital blowout

A 
pain
decreased visual acuity 
diplopia 
hypoaesthesia 
periorbital ecchymosis 
oedema 
enophthalmos 
restricted movemennt 
bony step
35
Q

investigation of orbital blowout

A

CT sinus

surgical if there is eye defect or entrapment

36
Q

le fort I?

A

maxilla and upper dentition

37
Q

le fort II?

A

maxilla and nose

38
Q

le fort III?

A

maxilla, orbit involved

MB2 Ear, Nose and Throat (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions