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PPQ Learning > ENT > Flashcards

ENT Flashcards

1
Q

Treatment of mastoiditis?

A

ABs IV

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2
Q

Presentation of mastoiditis?

A

Tenderness of mastoid process
Displacement of external ear
Septic picture

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3
Q

Antibiotics for patient with CENTOR 4?

A

Phenoxymethylpenicillin
OR
Clarithromycin for allergies

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4
Q

Presentation and demographic for people with nasopharyngeal carcinoma?

A

Asian origin

Epistaxis
Headaches
Lymph nodes mets
Unilateral hearing loss

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5
Q

Rinne’s test shows what?

A

Conductive hearing loss

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6
Q

What can differentiate between posterior circulation stroke and vestibular neuronitis?

A

HiNTs exam

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7
Q

Offensive ear discharge?

A

Cholesteatoma

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8
Q

Vertigo with change of head position?

A

BPPV

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9
Q

What do you do with BPPV InVgX wise?

A

Dix-Hallpike manoeuvre: this provoked rotational upbeat nystagmus

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10
Q

Treatment of BPPV?

A

Epley manouvre

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11
Q

Children presenting with glue ear and a background of Down’s?

A

Immediate referral to ENT

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12
Q

Bleeding within 6-8 hours of tonsillectomy?

A

Primary haemorrhage
-Immediate return to theatre

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13
Q

What is Ramsay Hunt Syndrome?

A

Type 2:
Condition where reactivation of varicella Zoster occurs in geniculate ganglion

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14
Q

Features of Ramsay Hunt Syndrome?

A

Facial paralysis
Taste loss
Dry eyes
Tinnitus
Vertigo
Hearing loss

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15
Q

Typical presentation of vestibular neuronitis?

A

Bit of a cold
|
Dizzy + room spinning + vomiting

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16
Q

Treatment of vestibular neuronitis?

A

Prochlorperazine in acute phase of illness

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17
Q

Characteristics of menieres disease?

A

Recurrent episodes of vertigo
Fluctuating sensorineural hearing loss
Sensation of fullness or pressure

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18
Q

Why do ears feel full in meniere’s?

A

Accumulation of endolymphatic fluid within inner ear

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19
Q

What is impaired in sensorineural hearing loss?

A

Both air and bone conduction

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20
Q

What is impaired in conductive hearing loss?

A

Air conduction

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21
Q

Acute viral labrynthitis features?

A

Sudden onset horizontal nystagmus
Hearing disturbances
N/V
Vertigo

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22
Q

When an epistaxis bleed is hard to localise?

A

Anterior packing

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23
Q

Common cause of conductive hearing loss?

A

Ear wax impaction

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24
Q

Cholesterol crystals?

A

Branchial cyst

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25
Q

Unilateral middle ear effusion in adult approach?

A

Nasopharyngeal cancer

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26
Q

What is exostosis?

A

Benign bone tumour

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27
Q

Weber’s test involves what?

A

Vibrating tuning fork in centre of head

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28
Q

Rinne’s test involves what?

A

Tuning fork next to each ear in turn

29
Q

Hearing is normal in which post-viral syndrmoe?

A

Vestibular neuronitis

30
Q

Chronic rhinosinusitis manaegment?

A

Trial of nasal irrigation with saline solution

31
Q

Treatment of vestibular neuronitis?

A

Prochlorperazine

32
Q

Sensorineural hearing loss Rinne result?

A

Air conduction > bone conduction bilaterally

33
Q

Sensorineural hearing loss Weber test?

A

Lateralises to unaffected ear

34
Q

Pain on palpation of tragus

A

Otitis externa

35
Q

Exercises at home for BPPV?

A

Brandt-Daroff

36
Q

If a perforated tympanic membrane does ‘t heal over time by itself?

A

Myringoplasty

37
Q

Menieres disease characteristics?

A

Vertigo which occurs spontaneously
Minutes-hours
Unilateral hearing loss

38
Q

Otitis externa in diabetics?

A

Treat with ciprofloxacin to cover pseudomonas

39
Q

Haemorrhage 5-10 days after tonsillectomy management?

A

Treat with antibiotics, commonly assoc with infection

40
Q

Common cause of bacterial otitis media?

A

H. Influenza

41
Q

Ramsay Hunt management?

A

Oral aciclovir + prednisalone

42
Q

YA with parotid swelling & pancreatitis/orchitis/reduced hearing//meningoencephalitis?

A

Mumps (AKA viral parotitis)

43
Q

1st line for otitis externa that is spreading?

A

Fluclox

44
Q

AB for otitis media + perforation?

A

Amoxicillin

45
Q

Complications of thyroid surgery?

A

Hypocalcaemia

46
Q

Recurrent otitis externa following numerous AB treatments: what could a likely cause be?

A

Candida infection

47
Q

Treatment of acute necrotizing ulcerative gingivitis?

A

Paracetamol
Oral metronidazole
Chlorhexidine mouthwash

48
Q

What is associated with and commonly drives Oropharyngeal SSC?

A

Human Papilloma Virus
(P16 is a surrogate marker of this)

49
Q

Chalky white patches on tympanic membrane?

A

Tymapnosclerosis

50
Q

InVgx for vestibular schwannoma?

A

MRI head + contrast

51
Q

Man, 5o years old, SNHL detected. What you giving him while wiating for FBC to come back?

A

High dose prednisalone PO

52
Q

Trauma to face + bunged up?

A

CSF rhinorrhoea

-Break of fronto-basal skull + requires urgent imaging as a fracture may allow bacteria to ascend from nasal cavity to meninges and neural tissues

53
Q

Non-tender, rubbery LNs are highly suggestive of what?

A

Hodgkin’s lymphoma

54
Q

Management of acute bacterial rhinosinusitis?

A

Amoxi
or
Doxy

55
Q

HTT inheritance pattern?

A

AD

56
Q

Tympanometry showing a type B (flat) curve with normal canal volume indicates what?

A

V high +ve predictive value for OME

57
Q

What drugs cause gingival hyperplasia?

A

Phenytoin
Ciclosporin
CCB
AML

58
Q

Malignant otits externa is most common in what type of patients?

A

Diabetes

59
Q

Neck lump associated with halitosis?

A

Pharyngeal pouch

60
Q

Midline cyst?

A

Thyroglossal

61
Q

Elderly patient dizzy on extending neck?

A

Vertebrobasilar ischaemia

62
Q

Way to remeber the distinction between labyrinthitis and vestibular neuritis?

A

Labrynth echos and your hearing goes weird in labyrinthitis (skience)

63
Q

Otitis ecterna AB and why?

A

Ciprofloxacin
Covers pseudomonas as well

64
Q

Sudden onset SNHL treatment?

A

High dose oral steroids

65
Q

Keep or remove pleomorphic adenoma

A

Remove! Can become maligers

66
Q

Drugs with otoxtoxicity?

A

Loop diuretics
Gentamicin
NSAIDs
Cyclophosphamide
Quinine
Vincristine
Cisplatin

Loopy GENT SAID he CYCled QUIckly then VINt SPLAT!

67
Q

HORIZONTAL NYSTAGMUS?

A

Vestibuular neuronitis

68
Q
A

PPQ Learning (30 decks)

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