ENT

Question 1

Menieres disease

Answer 1

Vertigo
Ear fullness
Loss of hearing

Question 2

Thyroid acropachy (triad)

Answer 2

Clubbing
Soft tissue swelling
Periosteal new bone formation

Question 3

Neck lumps ddx

Child

Answer 3

Thyroglossal duct cyst
Congenital dermoid cyst
Cystic hygroma

Question 4

Cystic hygroma

Answer 4

malformation of lymphatic system
Seen in 1st trimester
‘Moist tumour’

Question 5

Neck lump young adult

Answer 5

Branchial cyst

Carotid body tumour

Question 6

Branchial cyst

Answer 6

Remnant of branchial cleft cyst

Due to failure of branchial cleft closing embryonically

Question 7

Neck lump older adult

Answer 7

Pharyngeal ca
Laryngeal ca
Pharyngeal pouch

Question 8

Unilateral neck lump

Answer 8

Parotid gland tumour
Submandibular gland tumour
Thyroglossal cyst
Goitre
Single thyroid nodule

Question 9

Bilateral neck lumps

Answer 9

Chronic parotitis
Lymphoma
Sjörgens
Mumps

Question 10

Side of neck lump

Answer 10

Sebaceous cyst
Carotid body tumour
Lipoma
Branchial cyst
Cystic hygroma
Submandibular gland stone/tumour

Question 11

Salivary gland stones

Answer 11

Intermittent pain and swelling which is related to eating

Question 12

Hoarseness of voice ddx

Answer 12

Ca bronchu, oesophagus, thyroid, pharynx

Question 13

Pharyngeal pouch

Answer 13

Herniation between oblique and transverse fibres of pharyngeal muscles
Gurgles on palpation
May present with: dysphagia, halitosis, regurgitation