HEENT

Question 1

Ménière disease presentation

Answer 1

Episodic (20 min - 4 hr) vertigo, hearing loss, tinnitus & ear fullness

Question 2

Labyrinthitis presentation

Answer 2

Severe vertigo, gait instability, N/V & unilateral hearing loss occurring as single, acute episode

(Vestibular neuritis + unilateral hearing loss = labyrinthitis)

Question 3

Normal intraocular pressure

Answer 3

8-21 mm Hg

Elevated >30 mm Hg

Question 4

Eye chemical burn goal pH with irrigation

Answer 4

7.0 - 7.4

Question 5

Otitis media complication that causes sixth nerve palsy?

Answer 5

Lateral sinus thrombosis

Question 6

Medication contraindicated in sickle cell patients with hyphema?

Answer 6

Carbonic anhydrase inhibitor (lowers pH –> increased sickling)

Question 6

Medication contraindicated in sickle cell patients with hyphema?

Answer 6

Carbonic anhydrase inhibitor (lowers pH –> increased sickling)

Question 7

Zones of neck

Answer 7

1: sternum & clavicle to cricoid cartilage
2: cricoid cartilage to angle of mandible
3: angle of mandible to base of skull/mastoid air cells

(penatrating neck injuries are those that go through platysma muscle)

Question 8

Orbital wall bones

Answer 8

• Superior: frontal bone
• Inferior: maxillary bone
• Medial: lacrimal & ethmoid bones
• Lateral: zygomatic bone

Question 8

Orbital wall bones

Answer 8

• Superior: frontal bone
• Inferior: maxillary bone
• Medial: lacrimal & ethmoid bones
• Lateral: zygomatic bone