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Flashcards in ENT Deck (26)
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1
Q

How does vestibular neuronitits affect hearing?

A

Normal hearing
Rinnes: Air > Bone
Webers: Midline lateralisation

2
Q

Investigation of sudden onset sensorineural hearing loss?

A

MRI
Urgent ENT referral

3
Q

Management of sudden onset sensorineural hearing loss?

A

High dose oral steroids

4
Q

Meniere’s triad?

A

Hearing loss (sensorineural)
Tinnitus
Vertigo (acute)

5
Q

Bell’s palsy management?

A

Oral pred within 72 hours of onset
Artificial tears

6
Q

Management of non-resolving otitis externa with increasing pain ?

A

Urgent ENT referral
?necrotising otitis externa

7
Q

Weber’s test in conductive hearing loss?

A

Lateralises to the affected ear

8
Q

Weber’s test in sensorineural loss?

A

Lateralises to the unaffected ear

9
Q

Vertical nystagmus and vertigo?

A

Suggests a central cause of vertigo
CT head to exclude cerebellar stroke

10
Q

What is Ludwig’s angina?

A

Cellulitis at the floor of the mouth (immunocompromised patients with poor dentition can develop airway compromise as a result)

11
Q

Management of any post tonsillectomy haemorrhage?

A

Review by ENT

12
Q

What sensitivity are nasal polyps associated with?

A

Aspirin

13
Q

Management of Meniere’s disease?

A

Acute: Buccal or IM prochlorperazine
Prophylaxis: Betahistine and vestibular reran exercises

14
Q

Most common complication of measles?

A

Otitis media

15
Q

In what condition is hyperacusis see in 1/3 of patients?

A

Bell’s palsy

16
Q

In tonsilitis, what may a deviated uvula suggest?

A

Quinsy (peritonsilar abscess)

17
Q

After how many weeks of a persistent ulcer should an urgent referral be made ?

A

3 weeks (?SCC)

18
Q

Management of perforated tympanic membrane due to barotrauma?

A

Self-limiting, offer reassurance

19
Q

Hutchinson’s sign?

A

Top of nose involvement = strong predictor of ocular involvement

20
Q

Management of necrotising gingival ulceration?

A

Referral to dentist
Oral metronidazole for 3 days
Chlorohexadine mouth wash
Simple analgesia

21
Q

CMV blood film?

A

Owls eye appearance due to intranuclear inclusion bodies

22
Q

Who gets CMV retinitis?

A

HIV patients with CD4 count < 50
‘Pizza retina’
IV ganciclovir is tx of choice

23
Q

Organisms causing acute otitis media?

A

Strep pneumonia
Haemophilius influenza

24
Q

Definition of chronic supportive otitis media?

A

Perforation of tympanic membrane with of otorrhoed for more than 6 weeks

25
Q

Organisms causing otitis externa ?

A

Steph aureus
Pseudomonas aerginosa

26
Q

Management of otitis external in patient with dm?

A

Ciprofloxacin - cover pseudomonas