UW3 (15 ENT)

Question 1

Epistaxis (treatment) 4

Answer 1

1) Nasal pinch (5-10m)
2) Oxymetazoline (< 3d) / Vaosconstrictor top
3) Cauterization (elect / AgNO3)
4) Nasal pack

Question 2

Neck mass
Midline
Moves up @ swallowing
Erythema
Tender

1) Diagnosis?
2) Complication?
3) Tests?
4) Treatment?

Answer 2

1) ThyroGlossal Duct Cyst
2) Complication = infection
3) Diagnosis = US / CT
4) Treatment = surgical removal

Question 3

Mastoiditis

Treatment?

Answer 3

1) Abx IV

2) Drain = Tympanostomy / Mastiodectomy

Question 4

Cleft lip/palate repair

• Reconstruction indication? 3
• When is it typically done?

Answer 4

• Weight > 10 lbs
• Age > 10w
• Hb > 10

• Typically done @ Age 3m

Question 5

Otitis Externa (treatment)

• Mild? 3
• Mod / Severe? 4
• Invasive / Malignant? 4

Answer 5

• Acetic acid topical
• Hydrocortisone topica
• Dexamethasone topical
• Wire loop clean ear
• Ciprofloxacin / Ofloxacin
• Neomycin/Polymyxin
• Colistin / Neomyci
• Ciprofloxacin
• Zosyn
• Ceftriaxone / Ceftazidine
• Debridement

Question 6

Auricular Hematoma

• Complications? 3
• Treatment?

Answer 6

• Abscess
• Cartilage AVN
• Deafness
• Aspiration / I&D
• Antibiotics PO
• FU 3-5d

Question 7

Vertigo
Unilateral hearing loss
Tinnitus

Diagnosis?

Answer 7

Menier’s

Question 8

OM

prophylaxis / tympanostomy indication?

Answer 8

• OM > 3 / 6m

* OM > 4 / 1y

Question 9

NasoPharyngeal Mass

• Symptoms?
• Complications?
• Diagnostic?

Answer 9

• Persistent unilateral ear effusion > 3m
• Infections
• NP carcinoma
• Neck mass
• Nasal obstruction / epistaxis
• Unilateral persistent earaches
• Nasal endoscopy
• CT / MRI