ent

Question 1

chronic disease associated with HLA-B51

Answer 1

Bechet’s disease

Question 2

oral ulcers, eye ivolvement (iritis), HLA-B51

Answer 2

Bechet’s disease

Question 3

persistent, unexplained, unilateral middle-ear effusion

Answer 3

nasopharyngealc arcinoma

Question 4

chronic inflammation and can be caused by tobacco and alcohol use. Oral lesions are usually seen as reticular striae

Answer 4

Lichen planus

Question 5

senorineural hearing loss, weber/sound laterliases to?

Answer 5

normal ear

Question 6

conductive hearing loss, weber laterilises to which ear

Answer 6

affected ear

Question 7

medication that can cause rhinitis as side effect

Answer 7

alpha blocker - tamsulosin/nsaid/ace/ccb

Question 8

2 most common causes of unilateral sensorineural hearing loss

Answer 8

acoustic neuroma and presbycusis

Question 9

virus likely to cause Ramsay–Hunt syndrome?

Answer 9

varicella zoster

Question 10

ystic, translucent papulonodule, most often found on the inner surface of the lower lip, and often associated with minor trauma

Answer 10

mucocoele

Question 11

treatment for aspergillus oe

Answer 11

clotrimazole drops 1%

Question 12

Which ONE of the following features on examination would raise concern that the diagnosis might be malignant otitis externa?

Answer 12

A facial nerve palsy

Question 13

parotid swelling with hypercalcaemia

Answer 13

sarcoidosis

Question 14

possible difference with acoustic neuroma and presbycusis if sensorineural hearing loss

Answer 14

presbycusis is bilateral, acoustic neuroma is unilateral

Question 15

most common malignan salivary gland tumour

Answer 15

Mucoepidermoid carcinoma

Question 16

sore throat with dysphagaia and odynophagai but normal throat

Answer 16

supraglottitis

Question 17

tinnitus with — warrantrs immediate referral

Answer 17

vertigo or focal neurology

Question 18

averagr duration of otitis media

Answer 18

3 days (can last for a week)

Question 19

licence of steroid nasal spray per agae

Answer 19

fluticasone 4 above, beclometasone 6, budesonide 12

Question 20

oral thrush, nystatin or antifungal moutwahs do not work, next?

Answer 20

oral fluconazole

Question 21

off school after tonsillectomy for how long?

Answer 21

2 weeks

Question 22

drugs commonly cause hoarseness

Answer 22

ACE, antihistamines/cholinergics/ inhale steroids, anticoagulants, bisphospohnates, antipsychotics

Question 23

painless white patch - tongue

Answer 23

leukoplakia

Question 24

Drugs which can commonly cause tinnitus include

Answer 24

loop diuretics, aminoglycoside antibiotics, non-steroidal anti-inflammatory medications and aspirin

Question 25

non-surgical treatment options is recommended to treat chronic otitis media with effusion (OME) in children with hearing loss?

Answer 25

Hearing aids

Question 26

basterial sinusitis abx (common and if high risk or immunsuppresed)

Answer 26

phenoxymethylpenicillin with erythromycin, doxycyline or clarithromycin if allergic to penicillin. Co-amoxiclav is used as the first choice if systemically unwell or at high risk of complications (she is immunosuppressed).

Question 27

Acute otitis externa is defined as lasting for up to

Answer 27

six weeks

Question 28

Which of the following conditions is associated with acoustic neuroma

Answer 28

Neurofibromatosis

Question 29

episode of otitis media with abnormal audiogram - child. Next step?

Answer 29

repeat audiogram in 3 months

Question 30

most common premalignant or potentially malignant disorder of the oral mucosa

Answer 30

leukoplakia

Question 31

abx useful for AOM if (x2)

Answer 31

with otthorea or under 2 with bilateral AOM

Question 32

herpangina - caused by

Answer 32

Coxsackie A virus