ENT Flashcards

1
Q

Risk factors for otitis externa include

A

Water exposure, trauma, foreign bodies, dermatologic conditions

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2
Q

Microbes typically responsible for otitis externa

A

Pseudomonas, s. Aureus,

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3
Q

Is the tympanic membrane affected in otitis externa?

A

No, just the canal

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4
Q

Treatment for otitis externa

A

Topical antibiotic (e.g. fluoroquinolone), +/- topical glucocorticoid

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5
Q

Swimmers ear is also known as

A

Acute otitis externa

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6
Q

Topical therapy for acute otitis externa

A

Ciprofloxacin +/- glucocorticoid drops

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7
Q

Fungal otitis (otomycosis) occurs most commonly after

A

Treatment for AOE

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8
Q

Treatment for otomycosis (fungal otitis)

A

Debridement and topical antifungals (like clotrimazole)

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9
Q

Bisphosphonate related osteonecrosis of the jaw is caused by

A

Impaired remodeling of the bone

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10
Q

Bisphosphonate related osteonecrosis of the jaw typically presents

A

As an area of exposed, necrotic bone following tooth extraction or other dental procedure

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11
Q

Treatment for osteonecrosis of the jaw

A

Largely supportive, carful oral hygiene and antibacterial rinses

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12
Q

Aphthous ulcers and herpetic stomatitis present with

A

Painful superficial oral ulcers that heal spontaneously in 7-10 days

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13
Q

A common cause for social withdrawal in the elderly is

A

Presbycusis

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14
Q

What type of hearing loss is presbycusis

A

Bilateral, progressive, sensorineural hearing loss

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15
Q

Presbycusis mechanism of hearing loss is

A

Cochlear hair cell loss and cochlear neuron degeneration

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16
Q

Which structure is damaged in presbycusis

A

The cochlea

17
Q

Which sound frequency is lost first in presbycusis?

A

High frequencies

18
Q

Otosclerosis is caused by

A

Abnormal bone deposition leading to stiffening of the ossicular chain

19
Q

Rhinitis without other signs of allergy is called

A

Non allergic rhinitis aka vasomotor rhinitis

20
Q

First line treatment for allergic rhinitis and non allergic rhinitis is

A

Intranasal glucocorticoids

21
Q

How is non allergic rhinitis diagnosed

A

Clinically

22
Q

Untreated acute bacterial rhinosinusitis can lead to

A

Orbital cellulitis, meningitis, or brain abscess due to intracranial extension

23
Q

Symptoms of a brain abscess include

A

Focal headache, early morning vomiting, altered mental status, focal neurologic changes

24
Q

On CT a brain abscess can look like

A

Ring enhancing lesion