ENT Flashcards

1
Q

Classic features of vestibular neuronitis

A

Vertigo attacks hrs/days
Nausea & vomiting
Horizontal nystagmus
NO hearing loss
No tinnitus

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2
Q

Medication used for acute vestibular neuronitis - severe

A

Buccal/IM prochlorperazine

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3
Q

Medication used for acute vestibular neuronitis - moderate

A

Oral prochlorperazine
or antihistamine

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4
Q

Management of allergic rhinitis - mild-moderate

A

Allergen avoidance + oral/intranasal antihistamine

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5
Q

Management of allergic rhinitis - moderate-severe/2nd line

A

Intranasal corticosteroid

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6
Q

Management of allergic rhinitis - acute control eg for life events

A

Short course oral corticosteroid

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7
Q

Management of Ramsay Hunt syndrome (herpes zoster oticus)
Facial nerve palsy
Auricular pain
Vesicular rash around the ear

A

Oral aciclovir + corticosteroids

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8
Q

First-line management of recurrent mild epistaxis

A

Topical chlorhexidine/neomycin cream (Naseptin)

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9
Q

First-line management of recurrent mild epistaxis (allergic to peanut/soy/neomycin)

A

Mupirocin cream

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10
Q

Otosclerosis features

A

Conductive deafness
Tinnitus
Family history
Flamingo tinge 10%

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11
Q

Otosclerosis inheritance

A

Autosomal dominant

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12
Q

Otosclerosis usual age of onset

A

20-40y

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13
Q

Meniere’s features

A

Recurrent episodes mins-hrs
Vertigo + sensorineural hearing loss
+ tinnitus
Aural fullness

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14
Q

Noise damage hearing loss

A

Bilateral
Worset 3000-6000Hz

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15
Q

Contraindication to Naseptin

A

Allergy to peanut, soy or neomycin

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16
Q

Viral labrynthitis

A

Recent viral illness
Sudden onset
N&V
Hearing may be affected

17
Q

Management of acute menieres attack

A

Prochlorperazine 7 days

18
Q

Prevention of menieres attacks

A

Betahistine
Vestibular rehabilitation

19
Q

BPPV - diagnostic maneuvre

A

Dix-Hallpike

20
Q

BPPV - for symptom relief

A

Epley maneuvre - dr
Brandt-Daroff - self